ABSTRACT
Ophthalmic compromise is infrequent in children with congenital Chagas disease. We present 3 patients under 2 months of age, with ocular involvement, all of them referred to the hospital for ophthalmic evaluation of the premature newborn. The ophthalmic finding was bilateral severe vitreitis (posterior uveitis) related to Chagas disease. They received antiparasitic therapy with a good outcome in all cases. Chagas disease must be considered as differential diagnosis of ocular pathology in those countries where the pathology is endemic, and fundoscopic evaluation must be done in those children with the diagnosis, especially those symptomatic and prematurely born.
Subject(s)
Chagas Disease/congenital , Chagas Disease/complications , Diseases in Twins/congenital , Diseases in Twins/complications , Uveitis/parasitology , Chagas Disease/diagnosis , Chagas Disease/drug therapy , Diseases in Twins/diagnosis , Diseases in Twins/drug therapy , Female , Humans , Infant , Uveitis/diagnosis , Uveitis/drug therapyABSTRACT
El compromiso ocular es una forma de presentación infrecuente en los niños con la enfermedad de Chagas congénita. Se presentan tres pacientes menores de dos meses de edad con compromiso ocular, todos ellos derivados al hospital para control oftalmológico por prematuridad. El diagnóstico oftalmológico fue de vitreítis bilateral intensa (uveítis posterior) asociada a enfermedad de Chagas. Se realizó tratamiento antiparasitario, con buena respuesta en los tres casos. Debe considerarse la enfermedad de Chagas como diagnóstico diferencial de una patología ocular en los lugares donde la enfermedad es endémica y solicitar una evaluación oftalmológica en los niños con diagnóstico de la enfermedad, en especial aquellos sintomáticos y con antecedente de prematuridad.
Ophthalmic compromise is infrequent in children with congenital Chagas disease. We present 3 patients under 2 months of age, with ocular involvement, all of them referred to the hospital for ophthalmic evaluation of the premature newborn. The ophthalmic finding was bilateral severe vitreitis (posterior uveitis) related to Chagas disease. They received antiparasitic therapy with a good outcome in all cases. Chagas disease must be considered as differential diagnosis of ocular pathology in those countries where the pathology is endemic, and fundoscopic evaluation must be done in those children with the diagnosis, especially those symptomatic and prematurely born.
Subject(s)
Female , Humans , Infant , Chagas Disease/complications , Chagas Disease/congenital , Diseases in Twins/complications , Diseases in Twins/congenital , Uveitis/parasitology , Chagas Disease/diagnosis , Chagas Disease/drug therapy , Diseases in Twins/diagnosis , Diseases in Twins/drug therapy , Uveitis/diagnosis , Uveitis/drug therapyABSTRACT
El compromiso ocular es una forma de presentación infrecuente en los niños con la enfermedad de Chagas congénita. Se presentan tres pacientes menores de dos meses de edad con compromiso ocular, todos ellos derivados al hospital para control oftalmológico por prematuridad. El diagnóstico oftalmológico fue de vitreítis bilateral intensa (uveítis posterior) asociada a enfermedad de Chagas. Se realizó tratamiento antiparasitario, con buena respuesta en los tres casos. Debe considerarse la enfermedad de Chagas como diagnóstico diferencial de una patología ocular en los lugares donde la enfermedad es endémica y solicitar una evaluación oftalmológica en los niños con diagnóstico de la enfermedad, en especial aquellos sintomáticos y con antecedente de prematuridad.(AU)
Ophthalmic compromise is infrequent in children with congenital Chagas disease. We present 3 patients under 2 months of age, with ocular involvement, all of them referred to the hospital for ophthalmic evaluation of the premature newborn. The ophthalmic finding was bilateral severe vitreitis (posterior uveitis) related to Chagas disease. They received antiparasitic therapy with a good outcome in all cases. Chagas disease must be considered as differential diagnosis of ocular pathology in those countries where the pathology is endemic, and fundoscopic evaluation must be done in those children with the diagnosis, especially those symptomatic and prematurely born.(AU)
Subject(s)
Female , Humans , Infant , Chagas Disease/congenital , Chagas Disease/complications , Diseases in Twins/congenital , Diseases in Twins/complications , Uveitis/parasitology , Chagas Disease/diagnosis , Chagas Disease/drug therapy , Diseases in Twins/diagnosis , Diseases in Twins/drug therapy , Uveitis/diagnosis , Uveitis/drug therapyABSTRACT
Orbital cellulitis typically occurs in older children, but it can occasionally affect infants and neonates. Staphylococcus aureus is the main pathogen isolated. Outcome depends on an adequate initial approach. We report three neonates with orbital cellulitis caused by community-associated MRSA.
Subject(s)
Methicillin-Resistant Staphylococcus aureus , Orbital Cellulitis/microbiology , Staphylococcal Infections , Community-Acquired Infections/diagnosis , Community-Acquired Infections/drug therapy , Humans , Infant, Newborn , Male , Orbital Cellulitis/diagnosis , Orbital Cellulitis/drug therapy , Staphylococcal Infections/diagnosis , Staphylococcal Infections/drug therapyABSTRACT
La celulitis orbitaria es una patología del niño mayor y raramente compromete al período neonatal. Staphylococcus aureus (SA) es el principal agente etiológico relacionado. El diagnóstico precoz y el tratamiento adecuado mejoran el pronóstico. Se presentan tres recién nacidos con celulitis orbitaria por SA meticilinorresistente de la comunidad (SAMR-CO).
Orbital cellulitis typically occurs in older children, but it can occasionally affect infants and neonates. Staphylococcus aureus is the main pathogen isolated. Outcome depends on an adequate initial approach. We report three neonates with orbital cellulitis caused by community- associated MRSA.
Subject(s)
Humans , Infant, Newborn , Male , Methicillin-Resistant Staphylococcus aureus , Orbital Cellulitis/microbiology , Staphylococcal Infections , Community-Acquired Infections/diagnosis , Community-Acquired Infections/drug therapy , Orbital Cellulitis/diagnosis , Orbital Cellulitis/drug therapy , Staphylococcal Infections/diagnosis , Staphylococcal Infections/drug therapyABSTRACT
La celulitis orbitaria es una patología del niño mayor y raramente compromete al período neonatal. Staphylococcus aureus (SA) es el principal agente etiológico relacionado. El diagnóstico precoz y el tratamiento adecuado mejoran el pronóstico. Se presentan tres recién nacidos con celulitis orbitaria por SA meticilinorresistente de la comunidad (SAMR-CO).(AU)
Orbital cellulitis typically occurs in older children, but it can occasionally affect infants and neonates. Staphylococcus aureus is the main pathogen isolated. Outcome depends on an adequate initial approach. We report three neonates with orbital cellulitis caused by community- associated MRSA.(AU)
Subject(s)
Humans , Infant, Newborn , Male , Methicillin-Resistant Staphylococcus aureus , Orbital Cellulitis/microbiology , Staphylococcal Infections , Community-Acquired Infections/diagnosis , Community-Acquired Infections/drug therapy , Orbital Cellulitis/diagnosis , Orbital Cellulitis/drug therapy , Staphylococcal Infections/diagnosis , Staphylococcal Infections/drug therapyABSTRACT
Orbital cellulitis typically occurs in older children, but it can occasionally affect infants and neonates. Staphylococcus aureus is the main pathogen isolated. Outcome depends on an adequate initial approach. We report three neonates with orbital cellulitis caused by community-associated MRSA.
Subject(s)
Methicillin-Resistant Staphylococcus aureus , Orbital Cellulitis/microbiology , Staphylococcal Infections , Community-Acquired Infections/diagnosis , Community-Acquired Infections/drug therapy , Humans , Infant, Newborn , Male , Orbital Cellulitis/diagnosis , Orbital Cellulitis/drug therapy , Staphylococcal Infections/diagnosis , Staphylococcal Infections/drug therapyABSTRACT
Ophthalmic compromise is infrequent in children with congenital Chagas disease. We present 3 patients under 2 months of age, with ocular involvement, all of them referred to the hospital for ophthalmic evaluation of the premature newborn. The ophthalmic finding was bilateral severe vitreitis (posterior uveitis) related to Chagas disease. They received antiparasitic therapy with a good outcome in all cases. Chagas disease must be considered as differential diagnosis of ocular pathology in those countries where the pathology is endemic, and fundoscopic evaluation must be done in those children with the diagnosis, especially those symptomatic and prematurely born.
Subject(s)
Chagas Disease/congenital , Chagas Disease/complications , Diseases in Twins/congenital , Diseases in Twins/complications , Uveitis/parasitology , Chagas Disease/diagnosis , Chagas Disease/drug therapy , Diseases in Twins/diagnosis , Diseases in Twins/drug therapy , Female , Humans , Infant , Uveitis/diagnosis , Uveitis/drug therapyABSTRACT
Orbital cellulitis typically occurs in older children, but it can occasionally affect infants and neonates. Staphylococcus aureus is the main pathogen isolated. Outcome depends on an adequate initial approach. We report three neonates with orbital cellulitis caused by community-associated MRSA.
Subject(s)
Methicillin-Resistant Staphylococcus aureus , Orbital Cellulitis/microbiology , Staphylococcal Infections , Community-Acquired Infections/microbiology , Humans , Infant, Newborn , MaleABSTRACT
La celulitis orbitaria es una patología del niño mayor y raramente compromete al período neonatal. Staphylococcus aureus(SA) es el principal agente etiológico relacionado. El diagnóstico precoz y el tratamiento adecuado mejoran el pronóstico.Se presentan tres recién nacidos con celulitis orbitaria por SAmeticilinorresistente de la comunidad (SAMR-CO)
Subject(s)
Humans , Male , Female , Infant, Newborn , Infant, Newborn , Methicillin Resistance , Orbital Cellulitis , Staphylococcus aureusABSTRACT
La celulitis orbitaria es una patología del niño mayor y raramente compromete al período neonatal. Staphylococcus aureus(SA) es el principal agente etiológico relacionado. El diagnóstico precoz y el tratamiento adecuado mejoran el pronóstico.Se presentan tres recién nacidos con celulitis orbitaria por SAmeticilinorresistente de la comunidad (SAMR-CO) (AU)
Subject(s)
Humans , Male , Female , Infant, Newborn , Orbital Cellulitis , Infant, Newborn , Staphylococcus aureus , Methicillin ResistanceABSTRACT
La celulitis orbitaria es una patología del niño mayor y raramente compromete al período neonatal. Staphylococcus aureus(SA) es el principal agente etiológico relacionado. El diagnóstico precoz y el tratamiento adecuado mejoran el pronóstico.Se presentan tres recién nacidos con celulitis orbitaria por SAmeticilinorresistente de la comunidad (SAMR-CO) (AU)