Assuntos
Políticas Editoriais , Consentimento Livre e Esclarecido , Sujeitos da Pesquisa , Pesquisa , Beneficência , Compreensão , Termos de Consentimento , Diversidade Cultural , Revelação , Revisão Ética , Teoria Ética , Comitês de Ética em Pesquisa , Humanos , Internacionalidade , Autonomia Pessoal , Pessoas , Medição de Risco , Populações VulneráveisRESUMO
A rare case of snake bite poisoning presenting as disseminated intravascular coagulation is presented. It is important to consider this entity in the differential diagnosis of children presenting with acute bleeding disorders in the West Indian islands where Bothrops atrox is present, namely, in Trinidad, St. Lucia and Martinique.
Assuntos
Coagulação Intravascular Disseminada/etiologia , Mordeduras de Serpentes/complicações , Criança , Coagulação Intravascular Disseminada/diagnóstico , Humanos , MasculinoRESUMO
The occurrence of the first seven cases of visceral larva migrans in Trinidad and Tobago is described. All cases occurred in children of the same family. The ELISA test was used to confirm the clinical diagnosis.
PIP: Visceral larva migrans is a syndrome caused by the extraintestinal migration of larval nematodes of wild and domestic animals through human tissues. Most cases occur in children under 5 years of age, with the common dog round worm apparently being the primary causative agent. This paper describes the occurrence of the first 7 cases of visceral larva migrans in Trinidad and Tobago. Cases occurred among siblings in the same family and were confirmed using the ELISA test. A mentally retarded 10-year old East Indian male was admitted to the Port of Spain General Hospital with a strong history of pica, recurrent wheezing, and epilepsy. Five siblings and one cousin were found living under extremely unsanitary conditions and in dire poverty. All had pica and Toxocara canis eggs were found in the dirt surrounding the dwelling. These eggs are most probably the common source of infection. Infection with Toxocara species is probably far more common than reported in Trinidad, given the large stray dog population and areas of primitive sanitary conditions. ELISA tests could be used to reveal additional infections in the country.
Assuntos
Características da Família , Larva Migrans Visceral/epidemiologia , Tipagem e Reações Cruzadas Sanguíneas , Criança , Pré-Escolar , Ensaio de Imunoadsorção Enzimática/normas , Eosinofilia/etiologia , Feminino , Hepatomegalia , Humanos , Larva Migrans Visceral/sangue , Larva Migrans Visceral/complicações , Masculino , Pica/complicações , Sensibilidade e Especificidade , Conglomerados Espaço-Temporais , Trinidad e Tobago/epidemiologiaRESUMO
Coconut water was evaluated as a home glucose electrolyte solution for well-nourished children with mild diarrhoea. We describe the chemical composition of coconut water by type and age of coconut (Cocos nucifera). Our results suggest that young coconut water can be used, together with early refeeding, as a home glucose electrolyte oral rehydration solution in the early stages of mild diarrhoeal disease, despite not having a balanced electrolyte composition. However, it should not be used in patients with severe cholera, or in patients who are dehydrated and/or in whom renal function is impaired.
Assuntos
Cocos , Diarreia Infantil/terapia , Soluções para Reidratação/uso terapêutico , Nitrogênio da Ureia Sanguínea , Peso Corporal , Pré-Escolar , Diarreia Infantil/sangue , Diarreia Infantil/fisiopatologia , Hematócrito , Humanos , Lactente , Potássio/sangue , Soluções para Reidratação/química , Sódio/sangue , Trinidad e TobagoAssuntos
Hemoglobina E/genética , Adulto , Criança , Pré-Escolar , Família , Feminino , Homozigoto , Humanos , Índia/etnologia , Recém-Nascido , Masculino , Trinidad e TobagoRESUMO
The first twenty-one cases of Paediatric Acquired Immunodeficiency Syndrome (PAIDS) in Trinidad and Tobago were studied. An overwhelming majority of patients were of African descent. Most of the children presented within the first year of life, the average time between presentation and death was 4 1/2 months, and the majority presented with either diarrhoea or pneumonia or failure to thrive, common conditions in the West Indies. Fever lasting longer than two weeks as well as hepatomegaly were clues which led to a definitive diagnosis.
Assuntos
Síndrome da Imunodeficiência Adquirida/epidemiologia , Sorodiagnóstico da AIDS , Pré-Escolar , Feminino , Humanos , Incidência , Lactente , Recém-Nascido , Masculino , Estudos Retrospectivos , Trinidad e Tobago/epidemiologiaRESUMO
The first twenty-one cases of Paediatric Acquired Immunodeficiency Syndrome (PAIDS) in Trinidad and Tobago were studied. An overwhelmingmajority of patients were of African descent. Most of the children presented within the first year of life, the average time between presentation and death was and a half months, and the majority presented with either diarrhoea or pneumonia or failure to thrive, common conditions in the West Indies. Fever lasting longer than two weeks as well as hepatomegaly were clues which led to a definite diagnosis
Assuntos
Humanos , Lactente , Pré-Escolar , Masculino , Feminino , Síndrome da Imunodeficiência Adquirida/epidemiologia , Diarreia/etiologia , Insuficiência de Crescimento/etiologia , Hepatomegalia/etiologia , Síndrome da Imunodeficiência Adquirida/mortalidadeRESUMO
Two apparently healthy children from the same family were found to have moderate to heavy Blastocystis hominis in their stool samples whilst being investigated for intestinal symptoms: sporadic, painless, rectal bleeding in one and persistent diarrhoea in the other. After treatment with metronidazole, they had no further signs, and stool samples became negative. Eighteen months later, both were asymptomatic, and stool samples continued to be negative for the parasite.
Assuntos
Enteropatias Parasitárias/epidemiologia , Infecções por Protozoários/epidemiologia , Criança , Família , Fezes/parasitologia , Feminino , Humanos , Enteropatias Parasitárias/tratamento farmacológico , Enteropatias Parasitárias/parasitologia , Masculino , Metronidazol/uso terapêutico , Infecções por Protozoários/tratamento farmacológico , Infecções por Protozoários/parasitologia , Índias Ocidentais/epidemiologiaRESUMO
Two apparently healthy children from the same family were found to have moderate to heavy Blastocystis hominis in their stool samples whilst being investigated for intestinal symptoms: sporadic, painless, rectal bleeding in one and persistent diarrhoea in the other. After treatment with metronidazole, they had no further signs, and stool samples became negative. Eighteen months later, both were asymptomatic, and stool samples continued to be negative for the parasite
