RESUMO
An antigenic variant of E 11 was the most frequently encountered echovirus in the United States in 1979. Several reports have indicated that infection with this agent was often associated with an overwhelming clinical course in neonates. Our case was in a 5-week-old infant with an E 11 infection complicated by subacute salicylate intoxication. This unfavorable combination resulted in a fulminant and fatal illness simulating Reye's syndrome.
Assuntos
Infecções por Echovirus/complicações , Salicilatos/toxicidade , Diagnóstico Diferencial , Infecções por Echovirus/diagnóstico , Feminino , Humanos , Lactente , Testes de Função Hepática , Síndrome de Reye/diagnósticoAssuntos
Anormalidades Induzidas por Medicamentos/etiologia , Anomalia de Ebstein/induzido quimicamente , Lítio/efeitos adversos , Transtorno Bipolar/tratamento farmacológico , Feminino , Humanos , Recém-Nascido , Carbonato de Lítio , Troca Materno-Fetal , Gravidez , Complicações na Gravidez/tratamento farmacológicoAssuntos
Ampicilina/farmacologia , Haemophilus influenzae/efeitos dos fármacos , Celulite (Flegmão)/etiologia , Criança , Cloranfenicol/uso terapêutico , Coagulação Intravascular Disseminada/etiologia , Epiglote , Feminino , Infecções por Haemophilus/tratamento farmacológico , Humanos , Lactente , Laringite/etiologia , Masculino , Resistência às Penicilinas , Pericardite/etiologia , Sepse/etiologiaRESUMO
Reported is a case of visceral leishmaniasis acquired in Greece by a 3-year-old American child. Untreated, this protozoan infection causes a high mortality. Specific treatment is available, making early recognition of the illness important. This child's infection responded dramatically to a course of sodium antimony gluconate. Repeat bone marrow cultures demonstrated persistent organisms and a second course of treatment was required. Monitoring of his response to therapy suggested that serial bone marrow cultures and the neutrophil response may be sensitive means for following the course of this infection.
