RESUMO
Se presenta el caso de un niño de cuatro años con fiebre, adenopatías y faringoamigdalitis con exantema escarlatiniforme. Se trató con amoxicilina/ácido clavulánico y evolucionó favorablemente. Se aisló Staphylococcus aureus en la faringe y dos semanas después presentó descamación en dedo de guante. Parece tratarse de una forma abortada del síndrome de escaldadura estafilocócica (AU)
We report the case of a four years old child with fever, adenopathies, pharyngitis and scarlet micropapular exanthema. He was treated with amoxicillin/clavulanic acid and he had a favourable outcome. Staphylococcus aureus was isolated from his throat. Two weeks later he presented exfoliation. It seems to be an abortive form of Staphylococcal Scalded Skin Syndrome (AU)
Assuntos
Humanos , Masculino , Criança , Escarlatina/complicações , Escarlatina/diagnóstico , Escarlatina/tratamento farmacológico , Síndrome da Pele Escaldada Estafilocócica/complicações , Síndrome da Pele Escaldada Estafilocócica/diagnóstico , Síndrome da Pele Escaldada Estafilocócica/tratamento farmacológico , Tonsilite/complicações , Diagnóstico Diferencial , Escarlatina/microbiologia , Escarlatina/fisiopatologia , Síndrome da Pele Escaldada Estafilocócica/fisiopatologia , Febre/complicações , Staphylococcus aureus/isolamento & purificação , Combinação Amoxicilina e Clavulanato de Potássio/uso terapêutico , Osteomielite/complicaçõesRESUMO
UNLABELLED: Four cases of newborn infants presenting congestive heart failure in the first two weeks of life with the clinical suspicion of cerebral arteriovenous fistula which was subsequently confirmed by cerebral echography or TAC and, after death, by necropsy, are described. Only one patient survived, the one treated surgically. CONCLUSION: It is necessary to carry out urgent diagnosis with an early surgical operation, the only possibility of survival for these children.