Síndrome de Kawasaki e infección del tracto urinario por «Pseudomonas aeruginosa»: ¿casualidad o causalidad? / Kawasaki’s syndrome and urinary tract infection by Pseudomonas aeruginosa, coincidence or causality?

La enfermedad de Kawasaki es una vasculitis sistémica que afecta sobre todo a niños de entre 6 meses y 5 años de edad. Su curso es habitualmente autolimitado, pero puede dejar secuelas importantes, sobre todo si no se instaura un tratamiento adecuado. La etiología es desconocida, pero parecen estar implicadas diferentes bacterias a través de la formación de superantígenos, generando una respuesta inflamatoria intensa. En este artículo se presenta una asociación entre el síndrome de Kawasaki y la infección del tracto urinario por Pseudomonas aeruginosa en una niña de 2 años, y se discute la posible relación existente entre ambos(AU)

Kawasaki’s disease is a systemic vasculitis that primarily affects children between 6 months and 5 years old. Its evolution is usually self-limiting but it can leave serious sequelae, especially if an appropriate treatment is not initiated. The etiology is unknown, but different bacteria appear to be involved through the formation of superantigens, causing an intense inflammatory response. This article presents an association between Kawasaki syndrome and urinary tract infection by Pseudomonas aeruginosa in a girl of 2 years old and discusses their possible relationship(AU)

[Family impact of rotavirus gastroenteritis in children under two years]. / Impacto familiar de la gastroenteritis por rotavirus en menores de dos años.

INTRODUCTION: Acute gastroenteritis (AGE) in infants has a significant impact on the quality of life of their parents. MATERIAL AND METHODS: Cross-sectional study on the sociological family impact related to rotavirus AGE in children under 2 years. The study was carried out in 25 hospitals and 5 primary care centres in Spain. Sociodemographic, epidemiological and clinical data were recorded, as well as the symptomatology of AGE and its severity measured by the Clark scale. Stool samples were tested to determine rotavirus positive (RV+) or negative (RV-). The parents were asked to complete a a family impact questionnaire. RESULTS: Stool specimens were tested in 1087 AGE cases (584 RV+ vs 503 RV-). The 99.5 % of parents whose children were RV+ reported more worries vs. the 97.7 % of RV-, and RV+ had a higher importance score (p < 0.05). A higher percentage of RV+ parents and those with a high importance score reported more time dedicated to dehydration treatment (p < 0.05). The 82.5 % vs. 73.9 % had disruption of their household tasks, with more importance scores (p < 0.05). RV+ had a higher percentage and importance score than RV- ones in all aspects of their child's AGE symptoms, except loss of appetite. CONCLUSION: AGE produces important dysfunctional experiences in daily family life. According to parental perceptions, RV+ produces greater worries and dysfunctions in child behaviour.

[Arterial blood pressure in the term neonate in the first month of life]. / Tensión arterial del recién nacido a término en el primer mes de la vida.

Systolic blood pressure was valued by Doppler method, in 162 healthy full-term newborn at 48 hours of live, repeated in 134 in the second week and in 120 at the end of first month. A significant increase of systolic blood pressure along all the period with a strong increment in the first week was observed. Authors studied influences on blood pressure of the variabilities: weight, height, gestational age and heart rate. At 48 hours variability with a rate of correlation, weight was higher at birth (r = 0.324, p less than 0.001). There was not evident and significant relation with gestational age. Systolic blood pressure codes were lower when sleeping than when awake. Empirical percentiles of blood pressure are shown during first month of life.