RESUMO
We report a 28-day-old female infant with pertussis presenting as severe acute bronchiolitis with cyanosis. On admission, the patient's symptoms were similar to those of acute bronchiolitis. However, occasional apneic episodes with cyanosis and peripheral lymphocytosis suggested neonatal pertussis and prompted us to examine the presence of Bordetella pertussis using loop-mediated isothermal amplification (LAMP) based on the insertion sequence IS481. LAMP of the nasopharyngeal and intratracheal aspirates was positive for B. pertussis and a diagnosis of neonatal pertussis was made. As the clinical features of pertussis in neonates and early infancy are not characteristic, LAMP is a useful tool for rapid diagnosis of B. pertussis infection.
Assuntos
Bordetella pertussis/isolamento & purificação , Bronquiolite/diagnóstico , DNA Bacteriano/isolamento & purificação , Doenças do Recém-Nascido/diagnóstico , Coqueluche/diagnóstico , Doença Aguda , Antibacterianos/uso terapêutico , Bordetella pertussis/genética , Bronquiolite/tratamento farmacológico , Bronquiolite/microbiologia , Claritromicina/uso terapêutico , DNA Bacteriano/genética , Diagnóstico Diferencial , Feminino , Humanos , Recém-Nascido , Doenças do Recém-Nascido/tratamento farmacológico , Doenças do Recém-Nascido/microbiologia , Técnicas de Amplificação de Ácido Nucleico/métodos , Piperacilina/uso terapêutico , Coqueluche/tratamento farmacológico , Coqueluche/microbiologiaRESUMO
In this research, we wanted to clarify how gender images are different or invariant and related to parents, attributes, and the attitude of controlling life (locus of control) in two cultural contexts, Japan and Finland. For this purpose, students' ideal gender images, consisting of ideal mother, female, father and male images, and parents' similarity to the four ideal gender images were studied in 135 Japanese and 119 Finnish university students. Major findings were (a) Japanese students' ideal gender images were more stereotypic than those of Finnish students; (b) students' ideal mother image and parents' similarity to the ideal mother image were related only to their sex, which supports Jung's theory; (c) students socially learned other ideal gender images, but these did not fit with expectation from social learning theory; (d) Japanese students' mothers are models or examples of gender images, but Finnish male students did not seem to base their ideal gender images on their parents. Implication of measures was discussed.