RESUMO
Authors report five cases of toxic methemoglobinaemia. Four of them were observed in newborns and the remaining one in a toddler. Acute gastroenteritis, carrot soup and spinachs were recognized as etiologic factors. Up-dated information about this clinical entity, its gasometric diagnosis, hemoglobin spectrophotometry and treatment with methylene blue is briefly recalled.
Assuntos
Doenças do Recém-Nascido/induzido quimicamente , Metemoglobinemia/induzido quimicamente , Nitritos/efeitos adversos , Verduras/efeitos adversos , Feminino , Gastroenterite/complicações , Humanos , Lactente , Recém-Nascido , Masculino , Metemoglobinemia/metabolismo , OxirreduçãoRESUMO
Authors report results of treatment of 295 cases of CNS infection, of which 220 were bacterial meningitis and 75 viral meningitis. Positive cultures wre obtained in 62% of bacterial meningitis (122 "Neisseria meningitidis", eight "Pneumococci", three "Haemophylus influenzae" type B and three "M. tuberculosis"). Mortality in bacterial meningitis was 9%, and only 2% in viral meningitis. The main epidemiological, clinical and laboratory data are discussed.
Assuntos
Bactérias/isolamento & purificação , Infecções Bacterianas/microbiologia , Meningite Viral/microbiologia , Meningite/microbiologia , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Meningite/mortalidade , Meningite Viral/mortalidade , EspanhaRESUMO
In a General Hospital in San Sebastian, 96 cases of Neisseria meningitidis infections were detected in a two years period. By the use of the disk diffusion method, we found that all causative meningococcal strains but 4 were resistant to sulfonamide (with a 300 microgram sulfadiazine disk, all isolates with a zone diameter of less than 20 mm were considered to be resistant of sulfadiazine, whereas those with zone diameters of greater than 30 mm were considered susceptible). No rifampin nor minocycline-resistant meningococci were isolated. All strains had a disk zone diameter (30 micrograms rifampin and 30 micrograms tetracycline) of greater than 20 mm. The serogroups of meningococcal strains were as follows: group A, 1; group B, 67; group C, 5 and 23 were no typed. Children less than four years of age were most frequently attacked (67,7%). The attack rate was only slightly higher in males than in females (52 and 44).
