Evolución de un paciente con diagnóstico de Tea en una terapia grupal / Evolution of a patient diagnosed of ASD in a therapy group

Presentamos la evolución de un niño con diagnóstico de Trastorno del Espectro Autista en el marco de una terapia grupal mantenida durante tres años en una institución pública de Salud Mental. La principal herramienta terapéutica era el juego. El grupo, al igual que los niños, pasa por distintas fases. A, a pesar de seguir presentando el núcleo de las dificultades de los niños con TEA, ha podido a través de su camino grupal vivir experiencias nuevas en un ambiente sostenedor. Los juegos de alianzas que los diferentes miembros del grupo le han permitido creemos han sido un elemento clave en su evolución (AU)

We report the clinical course of a child diagnosed with ASD as a part of a sustained group therapy during a three year period in a public Mental Health institution. Game was the main therapeutic tool. The group, as children, goes through different phases. In spite of the persistance of the main core of hándicaps in ASD children, he has been able to live new experiences throughout his group pathway in a supportive environment. We believe alliance games given by the different team members have been a key ítem in his clinical course (AU)

Streptococcus bovis bacteraemia revisited: clinical and microbiological correlates in a contemporary series of 59 patients.

OBJECTIVE: To characterise the clinical features, associations and outcome in a contemporary series of patients with Streptococcus bovis bacteraemia (SBB). METHODS: Retrospective analysis of all episodes of SBB at the University Hospital 12 de Octubre (Madrid, Spain) between January 1997 and November 2008 was performed. Patient data were reviewed, focusing on clinical and microbiological associations with the different biotypes of S. bovis. RESULTS: Fifty-nine episodes of SBB were documented in 59 adult patients (30 males; mean age: 70.9 ± 15.0 years). Chronic liver disease was identified in 20 patients (33.9%). Sixteen patients (27.1%) presented infective endocarditis (IE) and 14 (23.7%) had a biliary source of bacteraemia. Thirty-three patients (55.9%) underwent colonic evaluation, adenomatous polyps being the most common finding (21 patients). Malignancy was diagnosed following SBB in 9 cases, including 6 patients with colorectal carcinoma (18.2% of those who underwent colonic evaluation). Of 22 isolates biotyped, 12 were S. bovis biotype I and 10 were S. bovis biotype II. IE was more frequent among patients with S. bovis biotype I (P =0.010), whereas bacteraemia due to biotype II species was more likely to be of biliary origin (P=0.078). CONCLUSIONS: S. bovis biotyping identifies some clinically relevant associations.