Burns in the context of a shared psychotic disorder in a Colombian referral centre: A case report.

INTRODUCTION: Shared paranoid disorder is characterised by the development of psychotic symptoms in people who have a close affective bond with a subject suffering from a mental disorder. This case is the first case of burn injuries reported in the context of this disorder. CASE: We describe a young couple, with a similar pattern of burns caused by contact with a griddle. The injuries are the result of the aggression caused by a relative of one of them, who presented psychotic symptoms, related to the previously undiagnosed spectrum of schizophrenia. CONCLUSIONS: The impact of this condition encompasses social, physical and psychological components, requiring multidisciplinary management and a high index of diagnostic suspicion.

Quemaduras en el contexto de un trastorno psicótico compartido en un centro de referencia colombiano: reporte de caso

Introducción: El trastorno psicótico compartido se caracteriza por la aparición de síntomas psicóticos en personas que tienen un vínculo afectivo estrecho con un sujeto que padece un trastorno mental; este caso es el primer reporte de lesiones por quemaduras en el contexto de este trastorno. Caso: Se trata de una pareja joven, con un patrón similar de quemaduras causadas por el contacto con una plancha. Las lesiones son el resultado de la agresión causada por un familiar de uno de ellos, que presentaba síntomas psicóticos relacionados con el espectro de esquizofrenia no diagnosticado previamente. Conclusiones: El impacto de esta afección abarca los componentes social, físico y psicológico y requiere un tratamiento multidisciplinario y un alto índice de sospecha diagnóstica.

Introduction: Shared paranoid disorder is characterised by the development of psychotic symptoms in people who have a close affective bond with a subject suffering from a mental disorder. This case is the first case of burn injuries reported in the context of this disorder. Case: We describe a young couple, with a similar pattern of burns caused by contact with Paranoid disorders a griddle. The injuries are the result of the aggression caused by a relative of one of them, who presented psychotic symptoms, related to the previously undiagnosed spectrum of schizophrenia. Conclusions: The impact of this condition encompasses social, physical and psychological components, requiring multidisciplinary management and a high index of diagnostic suspicion.

Burns in the Context of a Shared Psychotic Disorder in a Colombian Referral Centre: a Case Report. / Quemaduras en el contexto de un trastorno psicótico compartido en un centro de referencia colombiano: reporte de caso.

INTRODUCTION: Shared paranoid disorder is characterised by the development of psychotic symptoms in people who have a close affective bond with a subject suffering from a mental disorder. This case is the first case of burn injuries reported in the context of this disorder. CASE: We describe a young couple, with a similar pattern of burns caused by contact with a griddle. The injuries are the result of the aggression caused by a relative of one of them, who presented psychotic symptoms, related to the previously undiagnosed spectrum of schizophrenia. CONCLUSIONS: The impact of this condition encompasses social, physical and psychological components, requiring multidisciplinary management and a high index of diagnostic suspicion.

Complicaciones postquirúrgicas en intervenciones correctivas de labio y paladar hendido en pacientes pediátricos de un hospital de tercer nivel en Bucaramanga, Colombia 2013-2016 / Complications following surgical treatment of cleft lip and palate in pediatric patients of a third-level hospital in Bucaramanga, Colombia 2013-2016

Resumen Introducción: las hendiduras orofaciales son las malformaciones congénitas de cabeza y cuello más frecuentes en el mundo, con gran importancia epidemiológica por su alto impacto sobre la calidad de vida de la población. Este impacto está dado en gran parte por la presencia de complicaciones postquirúrgicas, por lo que es importante conocerlas, con el fin de aplicar estrategias de prevención o de corrección temprana. Objetivo: identificar las principales complicaciones posquirúrgicas de la cirugía correctiva de labio hendido, paladar hendido o ambos, en un hospital de tercer nivel en Bucaramanga, Santander, Colombia. Materiales y métodos: estudio observacional descriptivo de corte transversal. Se obtuvo la información de los registros de historias clínicas médicas, de pacientes cuya intervención quirúrgica fue realizada durante el período de enero de 2013 a diciembre de 2016. Resultados: se obtuvieron registros de 55 pacientes. La presentación conjunta de labio y paladar hendido fue la anomalía craneoencefálica más frecuente (70,9%). La complicación más frecuente fue la fístula oronasal (23,9% de pacientes con compromiso del paladar), seguida por la dehiscencia de la herida quirúrgica (3,6%). Se encontró un mayor porcentaje de complicaciones postquirúrgicas en el sexo masculino. Conclusión: la complicación postquirúrgica de corrección de labio y/o paladar hendido más frecuente encontrada en la muestra fue la fístula oronasal. MÉD.UIS. 2018;31(2):25-32.

Abstract Introduction: the orofacial clefts are the most frequent congenital malformations of the head and neck in the world, with great epidemiological importance for their impact on the quality of life of the population. This impact is largely due to the presence of postsurgical complications, which is why it is important to know them, in order to apply prevention strategies or early correction. Objective: to identify the main complications following surgical treatment of cleft lip, cleft palate or both, in a third level hospital in Bucaramanga, Santander, Colombia. Materials and methods: descriptive cross-sectional study. The information was obtained from the medical records of patients whose surgical intervention was performed during the period from january 2013 to december 2016. Results: records of 55 patients were obtained. The joint presentation of cleft lip and palate was the most frequent craniofacial anomaly (70.9%). The most frequent complication was oronasal fistula (23.9% of patients with compromised palate), followed by dehiscence of the surgical wound (3.6%). A higher percentage of postoperative complications was found in the male sex. Conclusion: the postoperative complication of lip and/or cleft palate correction most frequently found in the sample was the oronasal fistula. MÉD.UIS. 2018;31(2):25-32.

Infection in burn patients in a referral center in Colombia.

INTRODUCTION: Worldwide, burns are responsible for more than 300,000 deaths annually; infection is a major cause of morbidity and mortality in these patients. Early identification and treatment of infection improves outcome. Toward this end it's necessary to identify the institutions flora and organisms that most frequently produces infection. OBJECTIVES: To characterize infections developed by burn patients hospitalized at the University Hospital of Santander (HUS). METHODOLOGY: Burn patients hospitalized in the HUS from January 1 to December 2014 were followed. Medical information regarding infections, laboratory and pathology reports were obtained. Statistical analysis with measures of central tendency, proportions, global and specific incidence density plus overall and specific incidence was obtained. For the microbiological profile proportions were established. RESULTS: 402 burn patients were included, 234 (58.2%) men and 168 (41.8%) women, aged between 6 days and 83 years, median 12.5 years. The burn agents include scald (52.5%), fire (10.0%), gasoline (9.2%), electricity (7.5%), among others. Burn area ranged from 1% to 80% TBS. Cumulative mortality was 1.5%. 27.8% of burned patients had one or more infections. Identified infections include folliculitis (27.0%), urinary tract infection (19.0%), infection of the burn wound (10.4%), pneumonia (8.6%), Central venous catheter (7.4%), bloodstream infection (7.4%) and skin grafts infection (4.3%) among others. Bacteria were responsible for 88.5% of the cases and fungi 11.5%. The most frequently isolated germs were P. aeruginosa, A. baumannii, E. coli, S. aureus and K. pneumoniae. Most gram-negative bacteria were sensitive to Amikacin, gram positive bacteria were sensitive to multiple antibiotics. CONCLUSION: Burns is a severe trauma that occurs in adult and pediatric patients, has several causative agents and can compromise the patient's life. The burned patient is at risk for a variety of infections. According to the type of infection it is possible to infer the most common causative organisms and their antibiotic sensitivity/resistance which allow a directed early empiric treatment.

Caracterización de las quemaduras por sustancias químicas en el Hospital Universitario de Santander, Bucaramanga, Colombia, entre 2009 y 2014 / Characterization of chemical burns at the Hospital Universitario de Santander, Bucaramanga, Colombia, between 2009 and 2014

las quemaduras por sustancias químicas son consideradas lesiones graves por su alto potencial de causar daño local y sistémico,representan entre el 2,4% y el 10,7% de los pacientes admitidos en las unidades de quemados, con una mortalidad asociada del 30%.La literatura disponible en latinoamérica es escasa. Objetivo: el objetivo del estudio es determinar las características clínicas y epidemiológicas de los pacientes con quemadurasquímicas atendidos en la Unidad de Quemados del Hospital Universitario de Santander, Bucaramanga, Colombia. Materiales y métodos: se realizó un estudio de tipo observacional,descriptivo, retrospectivo, en el cual se incluyeron los pacientes que presentaron quemaduras por agentes químicos entre el 1 de enero de 2009 hasta 31 de diciembre de 2014; se incluyeron 29 pacientes. Resultados: las quemaduras químicas representaron el 1,5% de todas las quemaduras;predominio en el género masculino 17 casos;todas con una profundidad grado II y III; las extensiones no superaron el 25% de la superficie corporal total; el sitio anatómico más comprometido fue el miembro superior; hubo mayor asociación con accidentes de tipo laboralcon 16 casos; los ácidos como el principal agente químico implicado con 17 casos y 5 lesiones por agresión; 19 ameritaron manejo quirúrgico. Conclusiones: las quemaduras por sustancias químicas representan un porcentaje pequeño pero significativo de las quemaduras, existiendo una clara asociación a situaciones accidentales por falta de capacitación en la manipulación adecuada de sustancias químicas, lo que plantea la necesidad de tomar medidas de prevención primaria...

Chemical Burns are serious injuriesdue to their high potential to cause local andsystemic damage. They represent between 2.4%and 10.7% of the patients admitted to burn units,and have an associated mortality of 30%. Theavailable literature on Latin America is scarce.Objective: the main objective of the study is todetermine the epidemiological and clinicalcharacteristics of patients with chemical burnstreated at Hospital Universitario de Santander burnunit, in Bucaramanga, Colombia. Methods: thiswas an observational, descriptive, andretrospective study, which included patients whopresented with burns by chemical agents betweenJanuary 1, 2009 to December 31, 2014; 29patients were included. Results: chemical burnsaccounted for 1.5% of all burns; 17 cases weremale gender; all were II and III degree burns; totalbody surface did not exceed 25%. The mostaffected site was the upper limb; there was agreater association with work related accidentswith 16 cases; acids were the principal chemicalagent involved with 17 cases and there wasencountered 5 injuries by assault; 19 patientsrequired surgical intervention. Conclusions:chemical burns represent a small but significantpercentage of burns, there is a clear association toaccidental situations due to lack of training in theproper handling of chemicals, raising the need forprimary prevention measures...