RESUMO
Fulminant hepatitis is a potentially fatal clinical form of viral hepatitis. The experience at the Infectious Disease Hospital of the I.M.S.S. in Mexico City is presented. Twenty-two children with encephalopathy, grade III or IV managed with exchange transfusion were included. Results between these patients and a similar control group treated conservatively were compared. The mortality rates for the exchange transfusion and the control group were 91 and 100% respectively. A review of the literature revaled great differences in results obtained by several other authors. We conclude that well controled, prospective studies should be done, before the true efficiency of exchange transfusion can be properly evaluated.
Assuntos
Transfusão Total , Hepatite Viral Humana/terapia , Adolescente , Criança , Pré-Escolar , Feminino , Hepatite Viral Humana/mortalidade , Humanos , Lactente , Recém-Nascido , MasculinoRESUMO
The clinical and laboratory characteristics of eleven cases of bacterial meningitis due to Salmonella, are reviewed. Meningitis was more common in children under the age of 13 months. In younger children the symptoms and neurological signs were not evident. Convulsive disorders and neurological coma were the most frequent complications in 4 and 5 cases respectively. The mortality ratio was high, 36% (4 patients) and the neurological sequelae were very important: two patients presented spastic paralytic alterations and other two had hydrocephalia. The main findings in the cerebral spinal fluid were: increased leukocytes and proteins with low glucose determinations; comparing with other purulent meningitis, mononuclear cells were predominant over polymorphonuclear cells in 7 cases (64%). Salmonella was isolated in all cases; Salmonella typhi was recovered in 3 cases; one had group "C" Salmonella and 7 cases Salmonella group "B". These cases were treated with either chloramphenicol or ampicillin.
Assuntos
Meningite/etiologia , Infecções por Salmonella , Adulto , Ampicilina/uso terapêutico , Líquido Cefalorraquidiano/microbiologia , Cloranfenicol/uso terapêutico , Coma/etiologia , Feminino , Humanos , Lactente , Masculino , Meningite/microbiologia , Salmonella/isolamento & purificação , Infecções por Salmonella/microbiologia , Convulsões/etiologiaRESUMO
Se presenta la experiencia del Laboratorio de Analisis Clinicos (Microbiologia) del Hospital de Infectologia, del Centro Medico "La Raza", en los patrones de resistencia obtenidos despues de haber estudiado 5.872 cepas microbianas obtenidas de pacientes atendidos en Hospitales de este Centro Medico. Destacan los elevados patrones de resistencia de la mayoria de las cepas para antimicrobianos de uso muy generalizado como la ampicilina. El grupo de germenes con mayor porcentaje de resistencia son los de la familia Enterobacteriaceae. Se considera de verdadera importancia difundir esta informacion entre el cuerpo medico del Instituto por las repercusiones que el consumo excesivo de estos medicamentos esta ocasionando
Assuntos
Testes de Sensibilidade Microbiana , Resistência Microbiana a MedicamentosRESUMO
En este trabajo se analizam las experiencias de diez anos de trabajo del Laboratorio Clinico del Hospital de Infectologia del Centro Medico La Raza, en el diagnostico etiologico de bacteremia. El objetivo del mismo es mostrar la importancia que tiene para el clinico el hecho de que los laboratorios clinicos dispongan de los medios y tecnicas apropiadas para el cultivo de sangre, para lograr un descubrimiento temprano y oportuno de la presencia de bacteremia, dada su elevada frecuencia y mortalidad en el enfermo hospitalizado; asi como senalar las numerosas situaciones tanto clinicas, como de laboratorio, que pueden alterar sus resultado final y senalar los generos y especies de los microorganismos aislados en 29 886 hemocultivos realizados