Empleo del dispositivo Airtraq® en paciente con traumatismo facial por arma blanca procedente de zona de conflicto / Use of airtraq in facial injury

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[Validity of a score of clinical parameters as a screening method in acute bacterial diarrhea in childhood]. / Validez de una escala de puntuación de parámetros clínicos como método screening de diarrea aguda bacteriana en la infancia.

We report a prospective study of the cases of acute diarrhea admitted to our pediatric service during one year (n = 172) to elaborate a screening method to identify patients with bacterial diarrhea. A bacterial causative organism was identified in 31.4%. The most common species was Salmonella, followed by Campylobacter. We evaluated the clinical presentation parameters, looking for differences between the group were a bacterial organism was isolated and in the group where it was not. We designated a score valid as a first level screening for bacterial diarrhea. With a score greater than or equal to 7 the sensitivity was 81.5% and the specificity 60.2%. The latter increased to 95% when occult blood in feces was associated with the greater than or equal to 7 score (second screening level). We propose this clinical score as a criterion for the indication of fecal cultures in children with acute gastroenteritis.

[Familial childhood cortical hyperostosis]. / Hiperostosis cortical infantil familiar.

We present three cases of Caffey's disease, which have been observed in a family and a previous one former generation of the same family. A review of the literature upon family cases is carried out (35 families with 143 patients) prevailing the hypothesis of the type of autosomal dominant trait with incomplete penetrance and variable expressivity. HLA system is studied in such a family without common haplotypes being found and therefore the trait does not seem to be linked to genes of this system.

[Visceral and cutaneous leishmaniasis in Huesca. Epidemiologic aspects]. / Leishmaniosis visceral y cutánea en Huesca. Aspectos epidemiológicos.

The authors present a study of twelve children affected with leishmaniasis, observed in the province of Huesca (Spain). Three of the patients presented visceral form and the other nine cutaneous form. The clinical, evolutive and therapeutic aspects of this disease are analyzed, with special reference to the epidemiological aspects, since the incidence has been found to be high in an area in which the disease is not considered endemic.

[Nanism with high values of GH and no generation of somatomedin after hGH (Laron's syndrome). Clinico-biochemical study of 8 cases]. / Nanismo con valores elevados de GH y no generación de somatomedina tras hGH (síndrome de Laron). Estudio clínico-bioquímico de ocho casos.

Eight familial cases with Laron type dwarfism (LTD) are presented. An autosomic recessive transmission seems to be possible with clear predominance in females (6/2). This syndrome first described in Jewish people is probably frequent in our country, with clear historic Jewish antecedents in some of our cases. Some features like prenatal growth deficiency, disproportion between face and calvarium and high levels of inmunoreactive GH distinguish clearly LTD from isolated GH-deficiency. The incapability of hGH to increase low somatomedin activity confirms diagnosis. Moreover low or null nitrogen retention after hGH excludes an inactive GH as a cause of dwarfism.

[Mucolipidosis III. Apropos of a case]. / Mucolipidosis III. A propósito de un caso.

Authors present a case of mucolipidosis III diagnosed in a boy suffering from articular retractions, platyspondylia and a normal mucolysacchariduria. Biochemical characteristics of the lisosomial enzyme, reduced in fibroblasts in culture and increased in biological fluids allow such diagnose. Primary enzyme lack being not yet explained, authors comment upon the hypothesis trying to explain biochemical findings.