ABSTRACT
Os autores descrevem três casos de atelectasias cronicas do lobo inferior esquerdo que evoluiram com infecçöes e destruiçäo lobar, necessitando ressecçäo cirurgica. As atelectasias de duas das crianças nao foram reconhecidas e tratadas na fase aguda, o que pode ter influido na evoluçäo desfavorável destes casos. Os autores ressaltam a dificuldade no diagnostico clinico e radiografico da atelectasia cronica do lobo inferior esquerdo e a eventual necessidade de terapeutica cirurgica
Subject(s)
Humans , Child , Male , Chronic Disease , Cough/etiology , Pulmonary Atelectasis/surgery , Clinical Evolution , PneumonectomyABSTRACT
The authors report a case of Parinaud syndrome (conjunctivitis with pre-auricular satellite adenitis) caused by Bartonella henselae, the etiologic agent of Cat Scratch Disease. The etiologic assessment of this case was performed by serum indirect immunofluorescence reaction and allowed for a better therapeutics and follow up, avoiding ineffective antibiotics and surgical interventions.
Subject(s)
Bartonella henselae , Cat-Scratch Disease/complications , Conjunctivitis, Bacterial/microbiology , Ocular Motility Disorders/etiology , Animals , Cat-Scratch Disease/microbiology , Cats , Child , Follow-Up Studies , Humans , MaleABSTRACT
82 febrile young infants were studied, prospectively, at the Emergency Service in Hospital Universitário-University of São Paulo. All the children were kept at the Emergency ward for 24 hours. Clinical and laboratory investigations were performed and when necessary, administration of antibiotic agents were started. 18 infants exhibited potentially severe bacterial infections (21.9%). Several important disorders were recognized in 40 infants (48.8%). All infants were followed until the end of the febrile episode: 20 children as inpatients and 62 as outpatients. 38 infants received antibiotic therapy (46.3%). Evolution was satisfactory in all patients. The authors detected in young febrile infants potentially dangerous clinical conditions that need close observation, laboratorial investigation and frequently antimicrobial therapy. The observation period at the Emergency ward was important to allow these procedures and to decide about hospitalization need.
ABSTRACT
Os autores descrevem três casos de infecçäo causada por Parvovirus em escolares com apresentaçäo clínica atípica. Aspectos relativos ao exantema, enfartamento ganglionar, hepatomegalia, e outros comemorativos foram distintos do observado no eritema infeccioso classicamente descrito. Os autores ressaltam a dificuldade no diagnóstico e o significado dos achados frente as recentes descriçöes de quadros graves causados por Parvovirus
Subject(s)
Humans , Male , Female , Child, Preschool , Child , Erythema Infectiosum , Exanthema/etiology , Parvoviridae Infections/diagnosis , Enzyme-Linked Immunosorbent Assay , Polymerase Chain ReactionABSTRACT
Os autores analisaram 19 casos de criancas asmaticas que apresentavam crises espaticas severas apesar da utilizacao domiciliar de aerosol de salbutamol. Os pacientes eram seguidos em ambulatorio especializado. Foram avaliadas as tecnicas de utilizacao do inalador, constatando-se 32 erros. Na continuidade do trabalho foi acoplado espacador ao aerosol e realizado treinamento breve. A avaliacao subsequente da tecnica inalatoria observou apenas 1 erro em todo o grupo.
