RESUMEN
Dengue fever (DF) is endemic and occasionally epidemic in many tropical and subtropical areas inhabited by the mosquito vector Aedes aegypti. Infection with Dengue may present with varied clinical manifestations. Significant morbidity and mortality can result if early recognition and monitoring of its severe forms (DHF and DSS) is not done and if appropriate medical intervention is delayed. This article reviews several critical points in the basic evaluation and management of dengue in the pediatric age group and present our current approach in the form of a therapeutic algorithm.
Asunto(s)
Dengue , Factores de Edad , Algoritmos , Niño , Cuidados Críticos , Dengue/diagnóstico , Dengue/terapia , Humanos , Factores de TiempoAsunto(s)
Lactatos/sangre , Pediatría , Acidosis Láctica/diagnóstico , Acidosis Láctica/mortalidad , Enfermedad Aguda , Adolescente , Niño , Preescolar , Femenino , Humanos , Concentración de Iones de Hidrógeno , Lactante , Recién Nacido , Unidades de Cuidado Intensivo Pediátrico , Lactatos/metabolismo , Ácido Láctico , Masculino , Oxígeno/sangre , PronósticoAsunto(s)
Infecciones Bacterianas/diagnóstico , Crup/diagnóstico , Laringitis/diagnóstico , Síndrome de Dificultad Respiratoria/etiología , Traqueítis/diagnóstico , Obstrucción de las Vías Aéreas/etiología , Infecciones Bacterianas/complicaciones , Crup/complicaciones , Diagnóstico Diferencial , Femenino , Humanos , Lactante , Laringitis/complicaciones , Infecciones Estafilocócicas/complicaciones , Infecciones Estafilocócicas/diagnóstico , Traqueítis/complicaciones , Virosis/diagnósticoRESUMEN
Infection-associated hemophagocytic syndrome is a rare, potentially fatal complication of systemic infection. It occurs most often in immunocompromised patients associated with a viral infection but the spectrum of conditions have been broadened to include virtually every type of infectious pathogen, malignancy and immunosuppressive therapy. We present three pediatric patients with a similar clinical history of pancytopenia, hepatosplenomegaly, and acute liver failure, and discuss the autopsy findings.
Asunto(s)
Humanos , Masculino , Femenino , Lactante , Infecciones/complicaciones , Linfohistiocitosis Hemofagocítica , Autopsia , Biopsia , Bazo/patología , Enfermedad Crítica , Linfohistiocitosis Hemofagocítica , Médula Ósea/patología , Síndrome , Factores de TiempoRESUMEN
We present the case of an eighteen day old baby boy hospitalized with an abdominal mass, renal insufficiency and jaundice. Multiple radiographic, radionuclear and surgical interventions were required to diagnose renohepaticopancreatic dysplasia, also known as Ivemark II syndrome. In spite of aggressive intensive care support, the patient developed multisystemic organ failure and died. Clinical presentation and autopsy findings are presented.