RESUMO
Twenty one cases of appendiceal peritonitis in children are reviewed. An antibiotic (sodium cefoxitine) has been used during the post-operative course to decrease the risk of suppurative complications. Cultures obtained from peritoneal exudate yielded "E. coli" and "Bacteroides" sp. as the most commonly isolated bacteria. External drainage was placed as a rutine and the percentage of suppurative complications was 14%. No patient showed evidence of adverse reactions to the antibiotic and the mortality of the serie was zero. Obtained results allow to state that cefoxitine is effective in the management of appendiceal peritonitis in children.
Assuntos
Apendicite/complicações , Cefoxitina/uso terapêutico , Peritonite/tratamento farmacológico , Apendicite/cirurgia , Líquido Ascítico/microbiologia , Criança , Drenagem , Humanos , Peritonite/etiologia , Complicações Pós-Operatórias/prevenção & controle , Ruptura EspontâneaRESUMO
We present a case of a child with important phenotypic abnormalities (retinoblastoma, hypoplasia of the thumbs and genital), as well as craneofacial and evident psychomotor retardation. The chromosomal study showed a interstitial delection of the long arms of a chromosome from D group. We try to correlate karyotypes and phenotype, telling about difficulties that this relation means insisting about the importance of knowing more cases of chromosome 13 delection. We also think that subbands analysis represents an important factor in this correlation.
Assuntos
Anormalidades Múltiplas/genética , Aberrações Cromossômicas/genética , Deleção Cromossômica , Cromossomos Humanos 13-15/ultraestrutura , Aberrações Cromossômicas/patologia , Transtornos Cromossômicos , Neoplasias Oculares/genética , Humanos , Lactente , Deficiência Intelectual/genética , Masculino , Retinoblastoma/genética , Polegar/anormalidadesRESUMO
A newborn with aplasia cutis congenita is presented. The lesions involved the scalp and were symmetrical in trunk and lower extremities. Histologically there was a slightly epidermal flattening with disappearance of dermal papillae, and absence of elastic fibers and epidermal appendages. There was no evidence of either associated anomalies or familiar history of skin defects. The lesions, treated locally with antiseptics and antibiotics, healed with scarring in two-three months, and one year later were covered by a thin layer of skin devoid of hair in scalp.
