ABSTRACT
The acute chest syndrome is a complication of the sickle cell anemia that was define as the onset of chest pain, fever, cough, tachypnea, leukocytosis, and a new infiltrate on chest radiograph. It requires handling with intense hydration, transfusions of packed red blood cells or exchange transfusion, close monitoring, oxygen and ventilatory support either noninvasive or through conventional endotracheal tube. Noninvasive ventilation is a proven treatment option for the management of acute and chronic conditions in children, with fewer side effects than conventional ventilation. Four cases of acute chest syndrome patients who were manage with noninvasive ventilation by facemask on CPAP with pressure support were present. Noninvasive ventilation is an effective ventilation option therapy for the management of acute chest syndrome in children.
ABSTRACT
La varicela es una de las enfermedades exantemáticas más comunes en la infancia, con una elevada tasa de ataque. La gran mayoría de los niños se recupera completamente en una semana; sin embargo, pueden presentarse complicaciones severas, incluso la muerte, de forma particular, en neonatos, adolescentes, adultos, mujeres embarazadas y en personas con inmunodeficiencias adquiridas o congénitas. Se cuenta con una vacuna altamente efectiva desde la década de los noventa, sin embargo pocos países de la región han implementado la vacunación contra varicela en sus programas nacionales de inmunización. Presentamos el caso de una paciente femenina de 5 años con varicela complicada con síndrome de choque tóxico por estreptococo del grupo A.
Chickenpox is one of the most common rash illnesses in childhood, with a high attack rate. The vast majority of children recover completely within a week, but severe complications may occur, even death, particularly in infants, adolescents, adults, pregnant women and people with congenital or acquired immunodeficiency.It has a highly effective vaccine since the nineties; however few countries in the region have implemented varicella vaccination in their national immunization programs.We report the case of a female patient with chickenpox complicated with toxic shock syndrome group A streptococcus.
