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1.
Chemosphere ; 360: 142372, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38768783

RESUMO

The present study demonstrates, for the first time, the feasibility of a two-step process consisting of Electro-Fenton (EF) followed by microalgae to treat highly loaded real food processing wastewater along with resource recovery. In the first step, EF with a carbon felt cathode and Ti/RuO2-IrO2 anode was applied at different current densities (3.16 mA cm-2, 4.74 mA cm-2 and 6.32 mA cm-2) to decrease the amount of organic matter and turbidity and enhance biodegradability. In the second step, the EF effluents were submitted to microalgal treatment for 15 days using a mixed culture dominated by Scenedesmus sp., Chlorosarcinopsis sp., and Coelastrum sp. Results showed that current density impacted the amount of COD removed by EF, achieving the highest COD removal of 77.5% at 6.32 mA cm-2 with >95% and 74.3% of TSS and PO43- removal, respectively. With respect to microalgae, the highest COD removal of 85% was obtained by the culture in the EF effluent treated at 6.32 mA cm-2. Remarkably, not only 85% of the remaining organic matter was removed by microalgae, but also the totality of inorganic N and P compounds, as well as 65% of the Fe catalyst that was left after EF. The removal of inorganic species also demonstrates the high complementarity of both processes, since EF does not have the capacity to remove such compounds, while microalgae do not grow in the raw wastewater. Furthermore, a maximum of 0.8 g L-1 of biomass was produced after cultivation, with an accumulation of 32.2% of carbohydrates and 25.9% of lipids. The implementation of the two processes represents a promising sustainable approach for the management of industrial effluents, incorporating EF in a water and nutrient recycling system to produce biomass that could be valorized into clean fuels.


Assuntos
Biodegradação Ambiental , Microalgas , Eliminação de Resíduos Líquidos , Águas Residuárias , Águas Residuárias/química , Eliminação de Resíduos Líquidos/métodos , Manipulação de Alimentos/métodos , Poluentes Químicos da Água/análise , Ferro/química , Peróxido de Hidrogênio/química , Análise da Demanda Biológica de Oxigênio , Scenedesmus/crescimento & desenvolvimento
2.
Artigo em Inglês | MEDLINE | ID: mdl-37410327

RESUMO

Wastewater treatment and simultaneous production of value-added products with microalgae represent a sustainable alternative. Industrial wastewater, characterized by high C/N molar ratios, can naturally improve the carbohydrate content in microalgae without the need for any external source of carbon while degrading the organic matter, macro-nutrients, and micro-nutrients. This study aimed to understand the treatment, reuse, and valorization mechanisms of real cooling tower wastewater (CWW) from a cement-processing industry mixed with domestic wastewater (DW) to produce microalgal biomass with potential for synthesis of biofuels or other value-added products. For this purpose, three photobioreactors with different hydraulic retention times (HRT) were inoculated simultaneously using the CWW-DW mixture. Macro- and micro-nutrient consumption and accumulation, organic matter removal, algae growth, and carbohydrate content were monitored for 55 days. High COD (> 80%) and macronutrient removals (> 80% of N and P) were achieved in all the photoreactors, with heavy metals below the limits established by local standards. The best results showed maximum algal growth of 1.02 g SSV L-1 and 54% carbohydrate accumulation with a C/N ratio of 31.24 mol mol-1. Additionally, the harvested biomass presented a high Ca and Si content, ranging from 11 to 26% and 2 to 4%, respectively. Remarkably, big flocs were produced during microalgae growth, which enhanced natural settling for easy biomass harvesting. Overall, this process represents a sustainable alternative for CWW treatment and valorization, as well as a green tool for generating carbohydrate-rich biomass with the potential to produce biofuels and fertilizers.

3.
Environ Technol ; : 1-10, 2022 Oct 30.
Artigo em Inglês | MEDLINE | ID: mdl-36282279

RESUMO

Contaminants from cooling water waste (CWW) generated by industries represent an environmental hazard if discharged into aquatic bodies and soil without treatment. Most treatment strategies are energy-demanding and costly; hence, low-cost and sustainable treatment alternative technologies are needed. The present study proposed cyanobacteria culture as a low-cost biological method to treat cooling water waste (CWW) while simultaneously producing carbohydrates. For this purpose, CWW from a cooling tower was evaluated in different dilutions with domestic wastewater (DW) (DW25% -CWW75%, DW50% -CWW50%, DW25% -CWW75%, DW100%, and CWW100%) (v/v). The CWW provided a high content of inorganic carbon and low content of N and P, which resulted in a high C/N ratio promoting a fast carbohydrate accumulation but low biomass production. In contrast, cultures with higher DW concentrations achieved similar results in 14 days. The best results were obtained with DW25% -CWW75%, achieving up to 52 ± 18% carbohydrate content on day 8, with the highest biomass concentration of 1.7 ± 0.12 g L-1 on day 14. This culture removed >94% of TAN, N-NO3- and P-PO43-, and 84 ± 10.82% of COD. This strategy could be a promising approach to treating CWW and DW from the same industry and producing value-added products and bioenergy.

4.
Sci Total Environ ; 798: 149227, 2021 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-34332386

RESUMO

The production of carbohydrate-enriched biomass from waste streams as a sustainable biofuel precursor is a noteworthy endeavor. This study investigates the long-term microalgae cultivated under low domestic wastewater loads and different hydraulic retention times (HRT) in a semi-continuous photobioreactor. The influence of operational conditions, the microalgae interaction with carbon, nutrients availability, and microbial population in terms of carbohydrate content were elucidated. The results revealed that the operation at similar low nutrients and carbon loads maintained at three different hydraulic retention times (HRT) of 10, 8, and 6 days caused different patterns in nutrients uptake and biomass composition. Particularly, the carbohydrate accumulation was greatly influenced by the unbalance in the N:P ratios than complete depletion of the nutrients. Hence, during the period operated at HRT of 10 d, high nutrients removal efficiencies were observed while gradually increasing carbohydrate content up to 57% in dry cell weight (DCW). Afterward, the decrease to 8 and 6 d of HRT showed lower nutrient consumption with depleted alkalinity, reaching an appreciably high carbohydrate accumulation of up to 46%, and 56%, respectively. The biomass concentration decreased in the order of HRT of 10, 8, and 6 days. This study demonstrated that microalgae adapted to low carbon and nutrient loads could still accumulate high carbohydrate at shorter HRT using domestic wastewater as substrate.


Assuntos
Microalgas , Águas Residuárias , Biomassa , Carboidratos , Nitrogênio/análise , Fotobiorreatores
5.
Sci Total Environ ; 794: 148636, 2021 Nov 10.
Artigo em Inglês | MEDLINE | ID: mdl-34323759

RESUMO

Cyanobacterial biomass has constituted a crucial third and fourth-generation biofuel material, with great potential to synthesize a wide range of metabolites, mainly carbohydrates. Lately, carbohydrate-based biofuels from cyanobacteria, such as bioethanol, biohydrogen, and biobutanol, have attracted attention as a sustainable alternative to petroleum-based products. Cyanobacteria can perform a simple process of saccharification, and extracted carbohydrates can be converted into biofuels with two alternatives; the first one consists of a fermentative process based on bacteria or yeasts, while the second alternative consists of an internal metabolic process of their own in intracellular carbohydrate content, either by the natural or genetic engineered process. This study reviewed carbohydrate-enriched cyanobacterial biomass as feedstock for biofuels. Detailed insights on technical strategies and limitations of cultivation, polysaccharide accumulation strategies for further fermentation process were provided. Advances and challenges in bioethanol, biohydrogen, and biobutanol production by cyanobacteria synthesis and an independent fermentative process are presented. Critical outlook on life-cycle assessment and techno-economical aspects for large-scale application of these technologies were discussed.


Assuntos
Cianobactérias , Microalgas , Biocombustíveis , Biomassa , Carboidratos , Fermentação , Polissacarídeos
6.
Chemosphere ; 283: 131138, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34146871

RESUMO

Bioelectrochemical systems (BES), mainly microbial fuel cells (MEC) and microbial electrolysis cells (MFC), are unique biosystems that use electroactive bacteria (EAB) to produce electrons in the form of electric energy for different applications. BES have attracted increasing attention as a sustainable, low-cost, and neutral-carbon option for energy production, wastewater treatment, and biosynthesis. Complex interactions between EAB and the electrode materials play a crucial role in system performance and scalability. The electron transfer processes from the EAB to the anode surface or from the cathode surface to the EAB have been the object of numerous investigations in BES, and the development of new materials to maximize energy production and overall performance has been a hot topic in the last years. The present review paper discusses the advances on innovative electrode materials for emerging BES, which include MEC coupled to anaerobic digestion (MEC-AD), Microbial Desalination Cells (MDC), plant-MFC (P-MFC), constructed wetlands-MFC (CW-MFC), and microbial electro-Fenton (BEF). Detailed insights on innovative electrode modification strategies to improve the electrode transfer kinetics on each emerging BES are provided. The effect of materials on microbial population is also discussed in this review. Furthermore, the challenges and opportunities for materials scientists and engineers working in BES are presented at the end of this work aiming at scaling up and industrialization of such versatile systems.


Assuntos
Fontes de Energia Bioelétrica , Biofilmes , Eletricidade , Eletrodos , Eletrólise , Águas Residuárias/análise
7.
J Environ Manage ; 284: 112065, 2021 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-33561761

RESUMO

This study aimed to investigate a mixed microalgae culture's capacity to simultaneously remove nutrients and organic matter from industrial effluents while producing carbohydrate-rich biomass. A culture initially dominated by filamentous cyanobacteria Geitlerinema sp. was inoculated in a lab-scale stirred tank photobioreactor, operating at 10, 8, and 6 days hydraulic retention time (HRT). The results show that different HRT led to different inorganic carbon profiles and N:P ratios in the culture, influencing microbial changes, and carbohydrate content. Hence, higher N-NH4+ removal efficiencies were obtained at HRT of 10 d and decreased with decreasing HRT. Whereas, complete depletion of P-PO43- was achieved only at HRT of 8 d and 6 d. Also, the highest COD removal efficiency (60%) was achieved at 6 d of HRT. The maximum accumulation of carbohydrates was achieved at HRT of 8 d, which presented an N:P ratio of 22:1 and carbon availability, recording a constant carbohydrate content of 57% without any additional carbon source. Furthermore, this operational condition reached the best biomass production of 0.033 g L-1d-1 of easy-settling cyanobacteria dominated culture. According to the results, this process presents an alternative to recycling industrial effluents and, at the same time, grow valuable biomass, closing a loop for sustainable economy.


Assuntos
Microalgas , Águas Residuárias , Biomassa , Reatores Biológicos , Carboidratos , Fotobiorreatores
8.
N Biotechnol ; 55: 46-57, 2020 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-31541716

RESUMO

Cyanobacteria are prokaryotic oxygenic phototrophs receiving attention in a wide variety of technological applications such as food and feed supplements and production of valuable polymers. Among these, carbohydrates (e.g. glycogen) and polyhydroxyalkanoates (PHAs) are of increasing interest due to their potential as a biofuel substrate and bioplastics, respectively. However, biofuels and bioplastics from cyanobacteria have seen many years of effort towards commercialization with only limited success. Their main limitation for polymer production is the high cost of the nutrient source; wastewater, as an inexpensive and widely available alternative, may overcome this bottleneck. Though cyanobacteria have demonstrated a capacity to treat wastewater effluents, their cultivation in such a variable environment involves certain challenges of which the chief one is linked to contamination by other species, especially green algae. This would represent a serious drawback during cyanobacterial biomass production and affect further PHA and carbohydrate production. The present study reviews the potential of cyanobacteria to grow in wastewater effluents from different sources. Conditions favoring them in mixed-culture reactors are described, focusing on nutritional and operational aspects. Current advances and future prospects in PHA and carbohydrate production are explored and discussed.


Assuntos
Cianobactérias/crescimento & desenvolvimento , Cianobactérias/metabolismo , Polímeros/metabolismo , Águas Residuárias/microbiologia , Fotobiorreatores/microbiologia , Poluentes Químicos da Água/análise , Purificação da Água
9.
Sci Total Environ ; 653: 485-495, 2019 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-30414578

RESUMO

In this work, a strategy based on photo-sequencing batch operation was used to select cyanobacteria over unsettled green algae in a wastewater treatment system, evaluating for the first time the effect of hydraulic regimes on nutritional dynamics and microorganisms' competition. During 30 days of operation, an initial microalgae mixed consortia dominated by the green microalgae Scenedesmus sp. was cultivated in two different photo-sequencing batch reactors operated at hydraulic retention time (HRT) of 6 days (PSBR6) and 4 days (PSBR4) at a theoretical solids retention time (SRT) of 10 d. Both reactors were compared with a semi-continuous reactor (SC10) operated at 10 d of HRT and 10 days of SRT (used as a control). The results indicated that PSBR6 and PSBR4 decreased Scenedesmus sp. population by 88% and 48%, respectively. However, only PSBR6 provided suitable conditions to select cyanobacteria from an initial green algae dominated culture. These conditions included volumetric loads of 11.72 mg TN L-1 d-1, 2.04 mg TP L-1 d-1 and 53.31 mg TOC L-1 d-1. The remaining nutrients in the culture led also to a phosphorus limiting N:P ratio (34:1) that improved the increase of cyanobacteria from an initial 2% until 70% of the total population. In addition, PSBR6 reached a biomass production of 0.12 g L-1 d-1, while removing TN, TP and TOC by 58%, 83% and 85%, respectively. Conversely, the application of higher nutrients loads caused by lower HRT (PSBR4) led to an increase of only 13% of cyanobacteria while SC10 remained with the same biomass composition during all the experimental time. Thus, this study showed that the dominance of cyanobacteria in microalgal-based wastewater treatment systems can be controlled by the operational and nutritional conditions. This knowledge could contribute to control microalgae contamination from up-scaling cyanobacterial biomass production in wastewater treatment systems.


Assuntos
Reatores Biológicos/microbiologia , Cianobactérias/fisiologia , Scenedesmus/fisiologia , Eliminação de Resíduos Líquidos/métodos , Águas Residuárias/análise , Microalgas/fisiologia , Consórcios Microbianos/fisiologia
10.
N Biotechnol ; 42: 1-11, 2018 May 25.
Artigo em Inglês | MEDLINE | ID: mdl-29306000

RESUMO

In the present study, different photoperiods and nutritional conditions were applied to a mixed wastewater-borne cyanobacterial culture in order to enhance the intracellular accumulation of polyhydroxybutyrates (PHBs) and carbohydrates. Two different experimental set-ups were used. In the first, the culture was permanently exposed to illumination, while in the second it was submitted to light/dark alternation (12 h cycles). In both cases, two different nutritional regimes were also evaluated, N-limitation and P-limitation. Results showed that the highest PHB concentration (104 mg L-1) was achieved under P limited conditions and permanent illumination, whereas the highest carbohydrate concentration (838 mg L-1) was obtained under N limited condition and light/dark alternation. With regard to bioplastics and biofuel generation, this study demonstrates that the accumulation of PHBs (bioplastics) and carbohydrates (potential biofuel substrate) is favored in wastewater-borne cyanobacteria under conditions where nutrients are limited.


Assuntos
Carboidratos/biossíntese , Cianobactérias/crescimento & desenvolvimento , Hidroxibutiratos/metabolismo , Poliésteres/metabolismo
11.
Bioresour Technol ; 247: 513-519, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28972904

RESUMO

In this study, microalgae digestate and secondary effluent were used to grow microalgae in a tertiary wastewater treatment, and then, the biomass was co-digested for biogas generation. A 30L closed-photobioreactor was used for microalgae cultivation. The biomass, mainly composed by Scenedesmus sp., reached and maintained a concentration of 1.1gTSS/L during 30days. A complete removal of N-NH4+ and P-PO43- and high nitrates and organic matter removals were achieved (58% N-NO3- and 70% COD) with 8d of HRT. The potential biogas production of the cultivated microalgae was determined in batch tests. To improve their biodegradability, a novel method combining their co-digestion with activated sludge after a simultaneous autohydrolysis co-pretreatment was evaluated. After the co-pretreatment, the methane yield increased by 130%. Thus, integrating microalgae tertiary treatment into activated sludge systems is a promising and feasible solution to recover energy and nutrients from waste, improving wastewater treatment plants sustainability.


Assuntos
Microalgas , Águas Residuárias , Anaerobiose , Biocombustíveis , Biomassa , Metano , Esgotos
12.
Sci Total Environ ; 587-588: 157-167, 2017 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-28238436

RESUMO

The main objective of this study was to select and grow wastewater-borne cyanobacteria in a closed photobioreactor (PBR) inoculated with a mixed consortium of microalgae. The 30L PBR was fed with a mixture of urban secondary effluent and digestate, and operated in semi-continuous mode. Based on the nutrients variation of the influent, three different periods were distinguished during one year of operation. Results showed that total inorganic nitrogen (TIN), inorganic phosphorus concentration (PO43-), phosphorus volumetric load (LV-P) and carbon limited/non-limited conditions leaded to different species composition, nutrients removal and biomass production in the culture. High TIN/PO43- concentrations in the influent (36mg N L-1/3mg P L-1), carbon limitation and an average LV-P of 0.35mg P L-1d-1 were negatively related to cyanobacteria dominance and nutrients removal. On the contrary, cyanobacteria predominance over green algae and the highest microbial biomass production (averaging 0.084g Volatile Suspended Solids (VSS) L-1d-1) were reached under TIN/PO43- concentrations of 21mg N L-1/2mg P L-1, no carbon limitation and an average LV-P of 0.23mg P-PO43- L-1d-1. However, although cyanobacteria predominance was also favored with a LV-P 0.15mg L-1d-1, biomass production was negatively affected due to a P limitation in the culture, resulting in a biomass production of 0.0.39g VSS L-1d-1. This study shows that the dominance of cyanobacteria in a microalgal cyanobacterial community in an agitated PBR using wastewater as nutrient source can be obtained and maintained for 234days. These data can also be applied in future biotechnology applications to optimize and enhance the production of added value products by cyanobacteria in wastewater treatment systems.


Assuntos
Cianobactérias/crescimento & desenvolvimento , Fotobiorreatores/microbiologia , Eliminação de Resíduos Líquidos/métodos
13.
Rev Alerg Mex ; 63(3): 316-9, 2016.
Artigo em Espanhol | MEDLINE | ID: mdl-27560920

RESUMO

BACKGROUND: The presence of allergic mucin in allergic fungal sinusitis (AFS) is a manifestation that identifies it as a hypersensitivity process. AFS has a phenomenon of cross-reactivity to IgE-bound proteins having at least two shared epitopes. CLINICAL REPORT: A 13-year-old male with nasal obstructive symptoms of three years of evolution. An obstructive mass was identified in the sinuses through physical examination and CT. In endoscopic surgery, the left nostril polyp was identified with the macroscopic appearance of allergic mucin; the polyp was resected. Final histopathological examination using periodic acid-Schiff and Grocott's methenamine silver staining indicated Aspergillus. Two weeks after surgery, percutaneous tests showed sensitization to Alternaria, Helminthosporium sativum, and Deramatophagoides farianae with negativity to Aspergillus fumigatus. CONCLUSIONS: The absence of significant titers of specific IgE antibodies to Aspergillus fumigatus was the evidence that the hypersensitivity response was triggered by a pathogen other than that isolated in histopathological study, which coupled with positive tests for other fungi may be explained by the cross-reactivity phenomenon in a phenomenon of likely hypersensitivity.


Antecedentes: La presencia de mucina alérgica en la rinosinusitis alérgica fúngica (RAF) es una manifestación que la identifica como un proceso de hipersensibilidad. En la RAF existe un fenómeno de reactividad cruzada entre proteínas unidas a IgE que tienen al menos dos epítopes compartidos. Caso clínico: Varón de 13 años de edad con síntomas obstructivos nasales de tres años de evolución. Por exploración física y tomografía se identificó masa obstructiva en los senos paranasales. En la cirugía endoscópica, en la fosa nasal izquierda se identificó pólipo con aspecto macroscópico de mucina alérgica; el pólipo fue resecado. El examen histopatológico final mediante tinciones con ácido peryódico de Schiff y metenamina plata de Grocott indicó Aspergillus. Dos semanas después de la cirugía, las pruebas percutáneas mostraron sensibilización a Alternaria alternata, Helminthosporium sativum y Deramatophagoides farianae, con negatividad a Aspergillus fumigatus. Conclusiones: La ausencia de títulos significativos de anticuerpos IgE específicos para Aspergillus fumigatus constituyó la evidencia de que la respuesta de hipersensibilidad fue desencadenada por un patógeno distinto del aislado en el estudio histopatológico, que aunada a las pruebas positivas para otros hongos puede explicarse por el fenómeno de reactividad cruzada en un probable fenómeno de hipersensibilidad.


Assuntos
Reações Cruzadas/imunologia , Hipersensibilidade/imunologia , Imunoglobulina E/imunologia , Sinusite/imunologia , Adolescente , Alternaria/imunologia , Animais , Aspergillus fumigatus/imunologia , Dermatophagoides farinae/imunologia , Helminthosporium/imunologia , Humanos , Masculino
14.
Rev Alerg Mex ; 63(2): 143-53, 2016.
Artigo em Espanhol | MEDLINE | ID: mdl-27174757

RESUMO

BACKGROUND: As part of the etiology of respiratory allergy we have genetics, prenatal factors and sensitivity to various airborne allergens, between these fungi are found. Relationship has been found between sensitization to fungal in skin tests and allergy pathogenesis and aggravation. There is a few literature in Mexico and in the north of the country it is lacking regarding this problem. OBJECTIVE: Assess the prevalence of sensitization to fungi in patients with respiratory allergy in skin tests to airborne allergens; determine the most prevalent fungus and prevalence of sensitization to each species of fungus per year, to assess the prevalence of sensitization to fungi by years. MATERIAL AND METHOD: Cross-sectional, observational and descriptive study conducted from 1 January 2010 to 31 December 2014 in patients treated at the Regional Center of Allergy and Clinical Immunology (Monterrey, Mexico) where we reviewed a database with patients whom performed skin tests, sensitization to 6 species of fungi were evaluated. We performed tables of data capture and statistical analysis. RESULTS: 4880 patients had respiratory allergy, a 17.1% prevalence of sensitization to fungal skin tests was determined. The fungus specie most prevalent was Alternaria alternata with 5.5%. The year range with the highest prevalence of sensitization was 0-10 years with a 6.7. CONCLUSIONS: The prevalence of fungi sensitization was higher than the global prevalence found, but lower than the prevalence found in other researches in Mexico.


Antecedentes: la prevalencia de rinosinusitis crónica en pacientes adultos con inmunodeficiencia común variable (IDCV) es de 52%. Los pacientes con esta enfermedad tienen mayor frecuencia de rinosinusitis crónica, enfermedad inflamatoria que afecta a la mucosa de uno o más senos paranasales y la cavidad nasal. Objetivo: identificar los microorganismos de secreción del meato medio obtenida por endoscopia asociados con rinosinusitis crónica en pacientes adultos con inmunodeficiencia común variable (IDCV). Material y método: estudio descriptivo, transversal, que incluyó a pacientes adultos con inmunodeficiencia común variable, de quienes se obtuvo una muestra vía endoscópica de secreción del meato medio de ambas fosas nasales, que se envió a cultivo para bacterias aerobias, anaerobias y hongos. Se obtuvo consentimiento informado de todos los pacientes. Resultados: se estudiaron 29 pacientes: 18 mujeres y 11 hombres, con edad promedio de 40±13 años. Los resultados obtenidos fueron: 2 muestras de pacientes no tuvieron desarrollo microbiano, 24 tuvieron desarrollo de bacterias aerobias, en 3 casos hubo crecimiento fúngico sin desarrollo de bacterias anaerobias. Conclusiones: nuestros resultados muestran que los microorganismos asociados con rinosinusitis crónica en pacientes adultos con inmunodeficiencia común variable más comunes son: Moraxella catarrhalis, Staphylococcus, Sphingomonas paucimobilis y Citrobacter koseri; los agentes micóticos asociados fueron: Candida albicans y Aspergillus fumigatus.


Assuntos
Fungos/imunologia , Hipersensibilidade Respiratória/imunologia , Alérgenos/imunologia , Alternaria/imunologia , Criança , Pré-Escolar , Estudos Transversais , Humanos , Lactente , Recém-Nascido , México/epidemiologia , Prevalência , Hipersensibilidade Respiratória/epidemiologia , Hipersensibilidade Respiratória/microbiologia , Testes Cutâneos/estatística & dados numéricos
15.
Bol. méd. Hosp. Infant. Méx ; 70(3): 230-233, may.-jun. 2013. ilus
Artigo em Espanhol | LILACS | ID: lil-701242

RESUMO

Introducción. Los pediatras consideran la úlcera vulvar como una patología poco común. Sin embargo, los médicos que se especializan en la atención de adolescentes y niñas con patología vulvar consideran las úlceras vulvares como un motivo de consulta frecuente. Caso clínico. Se trató de un paciente femenino de 15 años con cuadro de fiebre y dolor faríngeo diagnosticado como faringitis bacteriana. Recibió tratamiento con trimetoprima-sulfametoxazol. Dos días después cursó con aparición de placas hiperpigmentadas de centro ampolloso, que evolucionaron a una úlcera de aproximadamente 4 cm de diámetro. Inicialmente se consideró un origen infeccioso de la lesión y se manejó con fluconazol tópico; posteriormente, amoxicilina clavulanato. No presentó mejoría y, tras la valoración por el dermatólogo, se diagnosticó eritema pigmentado fijo con base en la morfología de lesión inicial. Recibió tratamiento con betametasona y loratadina oral, así como hidrocortisona tópica al 1%. Evolucionó con resolución de las lesiones. Conclusiones. En la práctica del pediatra es trascendental conservar en mente no solo la patología de origen infeccioso y venéreo en las pacientes adolescentes con úlcera vulvar, sino también las reacciones de alergia a fármacos.


Background. Pediatricians consider vulvar ulcer as an uncommon pathology. However, clinicians specialized in the care of young girls and teenagers with vulvar pathology actually consider vulvar ulcer not to be an infrequent primary complaint. Case report. We report the case of a 15-year-old girl who presented fever and sore throat for which she was treated with trimethoprim-sulfamethoxazol. Two days after taking the drug she presented hyperpigmented patches with a bullous center that developed into an ulcer of ~4 cm in diameter. First considered infectious in origin, she received treatment with topical fluconazol and afterwards with amoxicillin clavulanate without any improvement. She was then assessed by a dermatologist, and the diagnosis of fixed drug eruption was established on the basis of the initial morphology of the lesion. She was treated with betamethasone and loratadine as well as topical 1% hydrocortisone. The lesions evolved to complete resolution. Conclusions. In pediatric practice, it is important for the pediatrician to consider not only infectious and venereal causes in teenage girls with vulvar ulcer, but also allergic drug reactions.

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