RESUMO
Acute respiratory viral infections pose a significant healthcare burden on the pediatric population globally, but data on the dissemination pattern in the community due to the COVID-19 pandemic are scarce. We conducted a two-year prospective multicenter study in Catalonia (Spain) that examined the prevalence and coinfection dynamics of respiratory viruses among 1276 pediatric patients from different age groups attending primary care. Coinfection analysis demonstrated complex patterns and revealed a coinfection rate of 23.8% for SARS-CoV-2, often in association with rhinovirus or influenza A. This study provides valuable data to understand post-pandemic viral interactions, which is imperative for public health interventions.
RESUMO
La infección por Pantoea agglomerans es muy rara de forma global y particularmente en Pediatría. La mayoría de las infecciones que causa son nosocomiales en pacientes inmunodeprimidos. Se han descrito infecciones articulares tras punción con espinas vegetales dando lugar a artritis, sinovitis u osteítis; meningitis o septicemia neonatal tras la contaminación de la nutrición parenteral o transfusiones de hematíes; infecciones de orina o respiratorias y peritonitis. En inmunocompetentes las infecciones son excepcionales, por lo que se aconseja realizar estudio de inmunidad, como en nuestro caso. El germen es muy resistente a antibióticos betalactámicos y para erradicarlo suele ser necesario tratar según antibiograma
Pantoea agglomerans infections are very rare globally and particularly in Pediatrics. Most of them are nosocomial and affect immnunosuppresed patients. Articular infections have been described after puncture with plant thorns giving rise to arthritis, synovitis or osteitis; they also can cause meningitis or neonatal septicemia after contamination of parenteral nutrition or red blood cell transfusions; urinary or respiratory infections, and peritonitis. In immunocompetent patients the infections are exceptional, so it is advisable to perform an immunity study, as in our case. The germ is very resistant to beta-lactam antibiotics and to eradicate it, it is usually necessary to treat according to antibiogram
Assuntos
Humanos , Feminino , Criança , Infecções Urinárias/microbiologia , Pantoea/isolamento & purificação , Infecções por Enterobacteriaceae/diagnóstico , Hospedeiro Imunocomprometido/imunologia , Pantoea/patogenicidade , Disuria/etiologiaRESUMO
La varicela es una enfermedad de distribución universal. La vacunación universal ha disminuido la incidencia de varicela en los últimos años. El herpes zóster en los vacunados es posible, pero su incidencia es entre 4 y 12 veces menor que entre los no vacunados. En la infancia, el herpes zóster suele ser leve, autolimitado, bien tolerado y habitualmente solo requiere tratamiento sintomático. Se presenta un caso de herpes zóster en una niña vacunada cinco meses antes, con buena evolución
Chickenpox is a disease of universal distribution. Universal vaccination has decreased the incidence of varicella in recent years. Herpes zoster after vaccination is possible but its incidence is between 4 to 12 times lower than among the unvaccinated. In childhood, herpes zoster is usually mild, self-limiting, well tolerated and usually only requires symptomatic treatment. We present a case of herpes zoster in a child vaccinated five months earlier, with good evolution
