ABSTRACT
La piomiositis es la infección por bacterias del músculo esquelético, infrecuente pero con una incidencia en aumento, por lo que se debe tener en cuenta a la hora de realizar el diagnóstico diferencial de la impotencia funcional febril en los miembros inferiores en la edad pediátrica. Se presenta el caso de una niña diagnosticada de piomiositis con sacroileítis asociada tratada en nuestro hospital, y se ha realizado una revisión bibliográfica a propósito del tema (AU)
Pyomyositis is the bacterian infection of skeletal muscles, rare in our area, but with an increasing incidence. That is why we should bear in mind it in the differential diagnosis of functional disability in lower limbs with fever in children. We present the case of a child diagnosed of pyomyositis with associated sacroiliitis treated in our hospital and realize a scientific literature review of pyomyositis (AU)
Subject(s)
Humans , Female , Child , Pyomyositis/complications , Sacroiliitis/complications , Diagnosis, Differential , Musculoskeletal DiseasesABSTRACT
La enfermedad de Lyme está causada por Borrelia burgdorferi, espiroqueta transmitida por la picadura de garrapatas del género Ixodes (Ricinus en Europa, Scapularis y Pacificus en Norteamérica y Persulcatus en Eurasia). Puede afectar a la piel, las articulaciones, el sistema nervioso y el corazón. La afectación cardiaca es infrecuente, sobre todo en niños, y son escasos los casos reportados (AU)
Lyme disease is caused by Borrelia burgdorferi, spirochetal bacteria, transmitted to humans by the bite of infected ticks belonging to a few species of the genus Ixodes (Ricinus in Europe, Scapularis and Pacificus in North America and Persulcatus in Eurasia). Disease may involve skin, the joints, central nervous system and the heart. The cardiac affectation is infrequent, especially in children, being limited the published reports (AU)
Subject(s)
Humans , Male , Child , Atrioventricular Block/complications , Atrioventricular Block/diagnosis , Atrioventricular Block/therapy , Lyme Disease/complications , Lyme Disease/diagnosis , Atrioventricular Block/physiopathology , Atrioventricular Block , Lyme Disease , Hyperesthesia/complications , Chest Pain/complications , Chest Pain/diagnosis , Myocarditis/complications , Zoonoses/pathologyABSTRACT
No disponible
Subject(s)
Humans , Male , Child , Atrial Fibrillation/chemically induced , Energy Drinks/adverse effects , Atrial Fibrillation/diagnosis , SportsSubject(s)
Atrial Fibrillation/etiology , Energy Drinks/adverse effects , Adolescent , Eating , Humans , MaleABSTRACT
Introducción: Los bilirrubinómetros transcutáneos actuales han demostrado ser útiles como instrumentos de medida de la ictericia neonatal. En este estudio se evalúa si las medidas de la bilirrubina transcutánea (TCB) se correlacionan con las determinaciones de la bilirrubina sérica (TSB), y si la edad gestacional, peso al nacimiento, raza u horas de vida interfieren en esas medidas. Material y métodos: Estudio transversal, observacional y descriptivo sobre una muestra de 65 determinaciones simultáneas de TCB y de TSB. Resultados: Se obtiene un coeficiente de correlación de 0,923 entre ambos métodos. El análisis de covarianza muestra cómo la edad gestacional, raza y peso parecen no ser contribuidores significativos sobre los valores de la TCB. Conclusiones: Aunque el aparato transcutáneo tiende a infraestimar a la TSB, sobre todo con concentraciones elevadas, es una técnica útil para la medición orientativa de la concentración de la bilirrubina en recién nacidos (AU)
Background: Transcutaneous bilirubinometers provide non-invasive data on newborn jaundice. The aim of this study is to evaluate whether the measurement of transcutaneous bilirubin can be correlated with serum bilirubin, and to find out whether gestational age, weight birth, race or hours of life affect those measurements .Method: Descriptive observational cross-sectional study on a sample of 65 simultaneous measurement of transcutaneous (TcB) and serum bilirubin (TSB). Results: The correlation coefficient between both methods was 0.923. Race, gestational age and birth weight tends to not have any effects on the levels of transcutaneous bilirubin. Conclusion: Although bilirubinometer measurements tend to underestimate serum bilirubin, especially in patients with high levels, it is a useful technique as a screening tool in the evaluation of hyperbilirubinaemia (AU)
Subject(s)
Humans , Male , Female , Infant, Newborn , Jaundice, Neonatal/epidemiology , Hyperbilirubinemia/epidemiology , Bilirubin/analysis , Skin/chemistry , Risk FactorsABSTRACT
BACKGROUND: Transcutaneous bilirubinometers provide non-invasive data on newborn jaundice. The aim of this study is to evaluate whether the measurement of transcutaneous bilirubin can be correlated with serum bilirubin, and to find out whether gestational age, weight birth, race or hours of life affect those measurements. METHOD: Descriptive observational cross-sectional study on a sample of 65 simultaneous measurement of transcutaneous (TcB) and serum bilirubin (TSB). RESULTS: The correlation coefficient between both methods was 0.923. Race, gestational age and birth weight tends to not have any effects on the levels of transcutaneous bilirubin. CONCLUSION: Although bilirubinometer measurements tend to underestimate serum bilirubin, especially in patients with high levels, it is a useful technique as a screening tool in the evaluation of hyperbilirubinaemia.
Subject(s)
Bilirubin/blood , Jaundice, Neonatal/blood , Cross-Sectional Studies , Female , Hematologic Tests/methods , Humans , Infant, Newborn , MaleABSTRACT
Los tumores cardiacos son poco comunes, y los más frecuentes son los rabdomiomas. Su diagnóstico puede realizarse durante la época fetal. La evolución es variable: algunos son asintomáticos y otros se manifiestan por una obstrucción al flujo o en forma de arritmia. Este tipo de tumores puede ser la clave diagnóstica de una esclerosis tuberosa. Dado el amplio espectro en su presentación, mostramos dos casos, uno de diagnóstico prenatal y otro a partir de un hallazgo en la ecocardiografía(AU)
Primary cardiac tumors are not very common. Rhabdomyomas are those most frequently reported during childhood. They can be diagnosed as early as the fetal period. The course varies; in some cases, there are no symptoms, while in others, the diagnosis is based on the presence of an obstruction to the flow or an arrhythmia. Tumors of this type can be the clue to the diagnosis of tuberous sclerosis. Because of the wide variety of presenting features, we describe two cases, one diagnosed prenatally and the other through a finding on echocardiography(AU)
Subject(s)
Humans , Female , Pregnancy , Rhabdomyoma/complications , Heart Neoplasms/complications , Tuberous Sclerosis/complications , Echocardiography , Ultrasonography, Prenatal/methodsABSTRACT
No disponible
Subject(s)
Female , Infant, Newborn , Humans , Histiocytosis, Langerhans-Cell/congenital , Histiocytosis, Langerhans-Cell/diagnosisABSTRACT
OBJECTIVE: Fear of surgery affects recovery in the emotional and behavioral state that leads the child to call the nurse more often or to ingest more sedatives after the operation. The present work evaluated the effects of psychological preparation for surgery during the pre-surgical period on the post-surgical recovery during the hospital stay in order to evaluate the effects that this preparation had on the recovery of the child. PATIENTS AND METHODS: The sample was composed of 60 pediatric patients of both sexes between 7 and 14 years of age admitted for minor scheduled surgery. Fear and five indicators of recovery were evaluated during the post-surgical period (call to the nurse, ingestion of sedatives and liquids, miction and sleep). The children were assigned randomly to one of the following four groups: filmed modeling, coping skills, filmed modeling plus coping skills, and control. RESULTS: The results indicated that the prepared children showed less fear, called the nurses less often, were administered fewer doses of sedatives and slept better after the operation. Analysis of the size of the effect showed that the programs that included coping skills training obtained the most benefits in the post-surgical recovery.
Subject(s)
Convalescence , Preoperative Care , Psychotherapy , Surgical Procedures, Operative/psychology , Adolescent , Child , Female , Humans , Male , Postoperative PeriodABSTRACT
Thirty-eight patients (31 children and 7 adults) with meningococcal infection (sepsis and/or meningitis) were studied. The strain most frequently isolated was B (44.7%), followed by C (31.6%). Of the strains isolated, 52.6% were moderately resistant to penicillin (91.6% if only strain C was considered). No resistance to cephotaxime or chloramphenicol was found. Even though patients with moderately resistant strains treated with penicillin G evolved satisfactorily (minimum inhibitory concentrations 0.12-0.50 microgram/ml), the possible appearance of more resistant strains and/or of strains that produce beta-lactamase leads us to the conclusion that cephotaxime is the treatment of choice until an antibiogram is available.
Subject(s)
Ampicillin/adverse effects , Drug Hypersensitivity/etiology , Meningitis, Bacterial/etiology , Neisseria meningitidis/pathogenicity , Penicillins/adverse effects , Adolescent , Adult , Aged , Ampicillin/administration & dosage , Ampicillin/therapeutic use , Child , Child, Preschool , Female , Humans , Infant , Male , Meningitis, Bacterial/drug therapy , Middle Aged , Penicillins/administration & dosage , Penicillins/therapeutic use , Retrospective StudiesSubject(s)
Calcinosis/diagnostic imaging , Intervertebral Disc/diagnostic imaging , Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Calcinosis/pathology , Calcinosis/therapy , Child , Female , Humans , Infant, Newborn , Intervertebral Disc/pathology , Radiography , Thoracic Vertebrae/diagnostic imaging , Thoracic Vertebrae/pathology , TractionABSTRACT
A preterm newborn with complete triploidy and serious hyaline membrane disease is reported. Characteristic pattern of malformations (large, posterior fontanelle, low-set malformed ears, hypertelorism, exophthalmos, micrognathia, syndactylies of the third and fourth digits of all extremities, micropenis and cryptorchism), and abnormal hematologic features (decreased number of red blood cells and increased RBC indices) suggested diagnosis which was confirmed by a 69,XXY karyotype. As factors with possible causal responsibility authors remark first-month abdominal radiation and chronic exposure to industrial toxic during pregnancy in the mother and no specific trend toward chromosome rupture in the father, and second trimester pre-eclampsia. No familial previous cases of chromosome anomalies nor congenital malformations were referred. From the review of 56 published reports they conclude that triploidy syndrome has a characteristic and recognizable array of phenotype abnormalities.
Subject(s)
Abnormalities, Multiple/genetics , Polyploidy , Humans , Infant, Newborn , Karyotyping , MaleABSTRACT
A twelve year-old boy who developed, after a period of strenuous physical work, an illness characterized by thickened skin over his right thigh and hemiabdomen, flexion contractures in right wrist and elbow and in right metacarpophalangeal joints without Raynaud's phenomenon or other visceral symptoms is presented. Pertinent laboratory studies showed hypereosinophilia and hypergammaglobulinemia. Deep-fascia biopsy showed typical findings of fasciitis with eosinophilia. Prednisone therapy resulted in sustained improvement. Periarticular osteopenia of the right hand and mast cell infiltration in fascial biopsy are remarkable features. Authors stress striking differences between fasciitis with eosinophilia or Shulman's syndrome and scleroderma. Clinical picture, laboratory changes, typical histology and a usually rapid response to corticosteroids, as well as some autoimmune diseases possibly associated, suggest a different disease and an immunological pathogenesis. From literature review authors conclude that cases of Shulman's syndrome reported in children are very limited and that this disease should by ruled out in every child with thickened skin changes and articular flexion contractures.
Subject(s)
Eosinophilia/pathology , Fasciitis/pathology , Child , Fasciitis/diagnostic imaging , Humans , Male , RadiographyABSTRACT
The clinical picture, biological findings and outcome of acute myositis during recovery from influenza are so characteristic that can clearly cut-off it from other diseases affecting the muscles. Five cases of acute bilateral lower-limb myositis are described. A flu-like illness had begun to wane before the onset of severe leg pain, preventing the children from walking. All had abnormal serum CPK and SGOT levels. Virological studies were performed with negative findings. The pathogenic mechanism is unknown. We though that more aggressive studies are not justified in view of the transient nature of the patient's illness and their complete recovery. We stress the need of recognizing such disease in every child complaining of lower leg pain associated with very painful walking into a epidemiological setting of a "influenza-like" illness. We also have reviewed the published bibliography is considered.
Subject(s)
Influenza, Human/complications , Myositis/etiology , Acute Disease , Adolescent , Child , Female , Humans , Male , Time FactorsABSTRACT
We present two brothers with Wolman's disease under its child form. Adrenal calcification, a diagnostic suspicion sign, was present in the second brother only. Vacuolated cells in bone marrow and intestine villi shown in pathological study, and cholesterol crystals in Kupffer cells were determinative. Acid esterase (0.85 nmol/mg/m) in fibroblast culture in the second brother was pathognomonic (normal values: 30 nmol/mg/m). Enzymatic values in parents were normal. Evolution in both cases was to early death, five and eight months respectively. Enzymatic study in amniotic cells culture over fifteen week of a third bearing was normal.
Subject(s)
Xanthomatosis/genetics , Acetylesterase/analysis , Amniocentesis , Cells, Cultured , Female , Fibroblasts , Humans , Infant , Infant, Newborn , Male , Pedigree , Pregnancy , Syndrome , Xanthomatosis/diagnosis , Xanthomatosis/pathologyABSTRACT
The aim of the present study is to establish the normal patterns of blood pressure and the correlations with chronologic and anthropometric variables (age, body, weight, body height and body surface) in childhood. Blood pressures were taken in 1,310 children (727 male, 583 female) ages 4-14 years employing mercury sphygmomanometer, and taking for assessment of diastolic pressure Korotkoff's fifth phase. Study of single correlations showed significant increase of systolic blood pressure with every variable (p less than 0.001); the more predictable was body weight, and the less one, age. There were not significant relationships between diastolic pressure and any other variable; in the same way, there were not significant differences of blood pressures between both sexes. Multiple correlations established the following predictive order: Body weight, age and height. Authors show empirical and theoretical percentiles of blood pressure in relationship with variables: Age, body height and body weight.
