[Sepsis due to community-acquired methicillin-resistant Staphylococcus aureus in southern Brazil]. / Sepse por Staphylococus aureus resistente à meticilina adquirida na comunidade no sul do Brasil.

Methicillin-resistant Staphylococcus aureus was initially described as a typical microorganism acquired in nosocomial infections. However, over recent years, community-acquired methicillin-resistant Staphylococcus aureus has been a cause of skin and soft-tissue infections. Serious infections such as pneumonia and sepsis can also occur. This report describes a case of sepsis in a child that was complicated by pneumonia secondary to soft tissue lesions that were due to community-acquired methicillin-resistant Staphylococcus aureus in southern Brazil. The patient was attended at the Emergency Unit with a history of injury caused by lower-limb trauma that evolved to cellulitis, pneumonia and sepsis.

Sepse por Staphylococus aureus resistente à meticilina adquirida na comunidade no sul do Brasil / Sepsis due to community-acquired methicillin-resistant Staphylococcus aureus in southern Brazil

Staphylococcus aureus resistente à meticilina foi inicialmente descrito como um típico microrganismo adquirido em infecções nosocomiais. No entanto, nos últimos anos Staphylococcus aureus resistente à meticilina adquirido na comunidade é causa de infecções de pele e tecidos moles, mas infecções graves como pneumonia e sepse podem ocorrer. Este relato descreve um caso de sepse em criança, complicado com pneumonia secundária a lesão em partes moles por Staphylococcus aureus resistente à meticilina adquirido na comunidade no Sul do Brasil. O paciente foi atendido em Unidade de Emergência com história de ferimento provocado por trauma em membro inferior que evoluiu para celulite, pneumonia e sepse.

Methicillin-resistant Staphylococcus aureus was initially described as a typical microorganism acquired in nosocomial infections. However, over recent years, community-acquired methicillin-resistant Staphylococcus aureus has been a cause of skin and soft-tissue infections. Serious infections such as pneumonia and sepsis can also occur. This report describes a case of sepsis in a child that was complicated by pneumonia secondary to soft tissue lesions that were due to community-acquired methicillin-resistant Staphylococcus aureus in southern Brazil. The patient was attended at the Emergency Unit with a history of injury caused by lower-limb trauma that evolved to cellulitis, pneumonia and sepsis.

Pneumonia estafilocócica complicada com pneumopericárdio: apresentação de um caso / Staphylococcal pneumonia complicated with pneumopericardium: one case presentation

Os autores apresentam o caso de um paciente do sexo masculino, com 17 anos de idade, que apresentou pneumonia causada por Staphylococcus aureus e suas complicações - entre elas uma extremamente rara, o pneumopericárdio. O paciente evoluiu bem, com alta hospitalar após drenagem do pneumotórax e antibioticoterapia. São apresentados os aspectos clínicos e radiológicos relevantes, assim como uma sucinta revisão da literatura sobre o assunto

[Inhaled nitric oxide: one modality in the treatment of ARDS]. / Oxido nítrico inhalado: una modalidad en el tratamiento del SIRPA.

We describe a patient with acute respiratory distress syndrome (ARDS), refractory to treatment with conventional mechanical ventilation. The hemodynamic parameters showed severe pulmonary hypertension with increased intrapulmonary shunt. Inhaled nitric oxide was administered and we observed a diminishing in pulmonary hypertension and intrapulmonary shunt with an important increase of oxygen exchange. We reviewed the literature and make a suggestion concerning use of inhaled nitric oxide in patients with ARDS.

Oxido nítrico inhalado: una modalidad en el tratamiento de SIRPA / Inhaled nitric oxide: a modality in the treatment of adult respiratory distress syndrome (ARDS)

Presentamos el caso de un paciente con síndrome de insuficiencia respiratoria progresiva del adulto (SIRPA) refractario a manejo ventilatorio convencional, el cual dentro de sus parámetros hemodinámicos mostraba hipertensión pulmonar grave e incremento del cortocircuito intrapulmonar. Se manejó con oxido nítrico inhalado con lo cual presentó mejoría en la hipertensión pulmonar, cortocircuito intrapulmonar e intercambio gaseoso. Se revisa la literatura recomendaciones en relación al uso de oxido nítrico en el paciente con SIRPA

Pneumatoceles gigantes: relato de caso / Giant pneumatoceles: report of a case

As pneumatoceles geralmente apresentam evoluçäo benigna. Relatamos um caso incomum de menino que apresentou pneumonia e derrame pleural esquerdo aos três meses de idade. Aos dois anos, teve episódio semelhante com o aparecimento de pneumatoceles. Evoluiu com sibilância e aumento das pneumatoceles, além de varicela, infecçäo urinária, abcessos hepáticos e toxocaríase. Aos três anos, foi internado com pneumonia, pneumoceles gigantes bilaterais, mal asmático e suspeita de imunodeficiência. Foi realizada a drenagem de uma das pneumatoceles na tentativa de melhorar a expansibilidade pulmonar, mas näo houve melhora do quadro restritivo. Evoluiu com septicemia e insuficiência ventilatória, necessitando de ventilaçäo mecânica...

Miliary pattern in neonatal pneumonia.

We have seen 10 newborn babies who developed respiratory distress and whose chest radiographs showed a miliary nodular pattern of disease. Of these infants only 3 had blood cultures that were positive for staphylococcus aureus. Of the remaining 7, 2 had conjunctivitis from which Staphylococcus aureus was cultured, 4 had negative cultures and 1 did not have a blood culture done. All patients were diagnosed as having bacterial pneumonia and appeared to respond favourably to antibiotic therapy. The pulmonary abnormalities resolved. The children were clinically well in less than 3 weeks. The author suggests that the miliary pattern is one of the radiological patterns of neonatal pneumonia possibly produced by hematogenous bacterial dissemination.

Neumopericardio como complicación de neumonía estafilocóccica: informe de 2 enfermos / Pneumopericardium in Sthaphylococcal pneumonia: report of 2 cases

Los autores presentan el caso de dos pacientes que tuvieron neumopericardio como complicación de una neumonía estafilocóccica. Uno de ellos fue una Niña de una año que evolucionó a la muerte y el otro de 17 año que tuvo una evolución favorable. Discutem los mecanismos fisiopatológicos de la llegada del aiere al saco pericardico, los hallazgos clínicos y muestran los aspectos radiológicos que observaron, haciendo notar la rareza de esta complicación en las neumonías estafilocóccica