ABSTRACT
La enfermedad de Kawasaki (EK) es una vasculitis aguda de etiología desconocida. Clínicamente, se caracteriza por la presencia de fiebre, conjuntivitis, cambios en las extremidades, exantema, afectación de los labios y la mucosa oral, y linfadenopatía. La hidropesía vesicular se ha descrito en aproximadamente el 10-15% de los pacientes con EK. Esta enfermedad es el proceso febril más frecuentemente asociado a hidropesía vesicular. Es necesario sospechar la EK ante una hidropesía vesicular aguda febril para no demorar la instauración del tratamiento adecuado. Aportamos el caso de un paciente de 8 años de edad, ingresado por presentar fiebre e hidropesía vesicular, en el que se diagnosticó una EK (AU)
Kawasaki disease (KD) is an acute vasculitis of unknown aetiology. Clinically it is characterised by fever, conjunctivitis, changes in the extremities, exanthema, involvement of the lips and oral mucosa and lymphadenopathy. Hydrops of the gallbladder has been described in approximately 10-15% of patients with KD. This disease is the febrile condition most frequently associated with hydrops of the gallbladder. KD must be suspected in the event of acute febrile hydrops of the gallbladder so as to avoid delays in the start of an appropriate treatment. We present the case of an 8-year-old patient admitted for fever and hydrops of the gallbladder, and diagnosed with KD (AU)
Subject(s)
Humans , Male , Child , Mucocutaneous Lymph Node Syndrome/diagnosis , Edema/etiology , Mucocutaneous Lymph Node Syndrome/physiopathology , Edema/diagnosis , Fever/etiology , Mucocutaneous Lymph Node Syndrome/drug therapySubject(s)
Near Drowning/prevention & control , Swimming Pools , Accident Prevention , Child , Humans , Male , SpainABSTRACT
Six newborn infants affected by acute aseptic neonatal meningitis were attended during the months of June and July 1987. Fever, good general physical appearance and no associate focal symptomatology was the onset in five cases, whereas one of them had apnea spells. An increase in total cell count was present in CSF with polymorphonuclears predominance in two cases, being lymphocites more prevalent in the others. Enterovirus were demonstrated as a cause in three of them. After describing clinical facts and evolution, some epidemiological aspects are commented.
Subject(s)
Enterovirus Infections/epidemiology , Meningitis, Viral/epidemiology , Disease Outbreaks , Humans , Infant, Newborn , Meningitis, Viral/microbiology , Spain/epidemiologySubject(s)
Apnea/etiology , Sudden Infant Death/pathology , Apnea/physiopathology , Female , Humans , Infant , Infant, Newborn , Male , Sudden Infant Death/physiopathologyABSTRACT
In addition to analyse fourteen sudden infant death syndrome cases authors review main epidemiologic and morphologic knowledges, pointing out up to date investigations on the fields of biochemistry and ultrastructural morphology.
Subject(s)
Sudden Infant Death/physiopathology , Apgar Score , Body Weight , Female , Humans , Infant , Infant, Newborn , Male , Sudden Infant Death/pathologyABSTRACT
The apneic laryngeal chemoreflex (QRL), elicited by water on the vocal cords and the reflex by mechanical stimulation (MRL) has been compared in dog. The response decrease with naloxone at a 400 micrograms.kg-1, suggesting that the reflex inhibition depends on endogenous opioids of the respiratory centre.
Subject(s)
Apnea/physiopathology , Larynx/physiopathology , Reflex/physiology , Animals , Dogs , Vocal Cords/physiopathologySubject(s)
Botulism/diagnosis , Botulism/complications , Child , Child, Preschool , Female , Humans , MaleABSTRACT
The apneic laryngeal chemoreflex (QRL), elicited by water on the vocal cords and by mechanical stimulation (MRL) has been compared in dog. Both stimuli cause apnea, bradycardia, hypotension and constriction of the glottis. In QRL apnea predominates white in MRL bradycardia is more intense. All the components of the response decrease with naloxone at a 400 micrograms X kg-1 doses, suggesting that the reflex inhibition depends on endogenous opioids located in the respiratory centre.
