ABSTRACT
The Spanish National Consensus (Spanish Society of Pediatric Infectious Diseases, Spanish Association of Primary Care Pediatrics, Spanish Society of Pediatric Outpatient and Primary Care, Spanish Society of Otorhinolaryngology and Cervical-Facial Pathology) on Sinusitis is presented. Rhinosinusitis is a difficult to diagnose and often unrecognised disease. The document discusses the aetiology, the clinical signs and symptoms, and the diagnostic criteria. A proposal for treatment is made based on the epidemiological situation in our country. Oral amoxicillin is the treatment of choice (80mg/kg/day divided every 8hours). Alternative treatment is proposed in special cases and when amoxicillin is not sufficient. The main complications are reviewed.
Subject(s)
Sinusitis/diagnosis , Sinusitis/therapy , Amoxicillin/therapeutic use , Anti-Bacterial Agents/therapeutic use , Child , Clinical Protocols , Humans , Sinusitis/etiologyABSTRACT
A female patient with characteristic phenotype of Wolf's syndrome is reported. Chromosomic studies showed that her mother was carrier of pericentric inversion in number 4 chromosome. Genetic mechanism which explain clinical manifestations is discussed.
Subject(s)
Abnormalities, Multiple/genetics , Chromosome Inversion , Chromosomes, Human, Pair 4 , Abnormalities, Multiple/diagnosis , Adult , Diagnosis, Differential , Female , Heterozygote , Humans , Infant, Newborn , Karyotyping , Syndrome , TrisomyABSTRACT
Authors report a case of familial paroxysmal choreoathetosis produced by movement which improved to very-low doses of carbamazepine. This is a rare neurologic disease with typical pattern of signs and recognition by physician can save expensive explorations to patient. Good responses to anticonvulsant drugs are rebounded.
