Erupción variceliforme de Kaposi; descripción de dos casos / Kaposi Varicelliform Erupción; description of two cases

La erupción variceliforme de Kaposi o eccema herpético es una erupción vesicular causada, habitualmente, por la extensión de un virus (normalmente, el virus herpes simple tipo I o VHS-1) en pacientes con enfermedades subyacentes de la piel o alteración de la barrera epidérmica, principalmente dermatitis atópica. Es un proceso más o menos grave, que requiere un diagnóstico precoz y que responde bien al tratamiento (AU)

Kaposi's varicelliform eruption or Eczema herpeticum is an extensive vesicular rash commonly caused by the spread of a virus (usually herpes simplex virus type 1 or HSV-1) in patients with underlying diseases of the skin or epidermal barrier disruption, mainly atopic dermtitis. It is a more or less serious process, which requires an early diagnosis and which responds well to treatment (AU)

Hidatidosis con afectación multiorgánica / Hydatic cyst with multiorgan involvement

La hidatidosis es una de las más importantes parasitosis zoonóticas de los países mediterráneos y de Sudamérica, en los que constituye un importante problema de salud. El contagio humano ocurre fundamentalmente en la infancia, por mecanismos de transmisión fecal-oral, al ingerir los huevos del parásito. En general, los pacientes permanecen asintomáticos durante mucho tiempo, debido al crecimiento lento de los quistes que pueden afectar a cualquier órgano de la anatomía, aunque se localizan en la mayoría de los casos en hígado y pulmón. Su diagnóstico se realiza fundamentalmente por técnicas de imagen y su tratamiento sigue siendo eminentemente quirúrgico (AU)

Hydatidosis is one of the most important zoonotic parasitic diseases of Mediterranean and South American countries where they constitute a significant health problem. The human contagion happens fundamentally in the infancy, by faecal-oral transmission, because of parasite´s eggs ingestion. In general the patients remain asymptomatic for a long time, due to the sluggish growth of the cysts that can concern any organ of the anatomy, though they are located in the majority of the cases in liver and lung. Its diagnosis is realized essentially by image techniques and its treatment continues being eminently surgical (AU)

Síndrome confusional agudo por intoxicación con colirio ciclopéjico en un niño / Acute confusional syndrome due to intoxication with cyclopegic eyedrops in a child

El ciclopentano se usa comúnmente como ciclopléjico y midriático. La aparición de efectos secundarios derivados de su acción anticolinérgica es poco probable. Se han descrito cuadros confusionales, con alteraciones del comportamiento, alucinaciones visuales y auditivas y clínica cerebelosa como manifestaciones típicas de dosis tóxicas. Presentamos el caso de un niño con un síndrome confusional agudo secundario a la administración oftálmica de ciclopentolato a dosis elevadas

Cyclopentolate is a commonly used cuclopegic and mydriatic. Side effect though uncommon can occur and produce symptoms of anticholinergic toxicity. The toxicity includes inappropriate behaviour, changes in emotional attitude, hallucinations both visual and auditory and cerebellar sings. Rarely generalized seizures can occur. We report a case of a child with acute confusional state following the administration of cyclopentolate drops at elevate doses

[Neuropaediatric care in the Hospital General Universitario de Guadalajara]. / Asistencia neuropediátrica en el Hospital General Universitario de Guadalajara.

INTRODUCTION AND AIMS: Influenced by medical, scientific and social advances, the changes that have taken place in the needs of the population have given rise to a growing demand for health care in neuropaediatric pathology. The aim of this study was to determine the neuropaediatric health care requirements at the Hospital General Universitario de Guadalajara, a secondary care hospital that is a reference centre for the province of Guadalajara. PATIENTS AND METHODS: We studied the children up to the age of 10 years with a neurological pathology attended at the Hospital General Universitario de Guadalajara over an 8-year period, since the Neuropaediatric unit was opened on 1 July 1992. RESULTS: In all 1,236 children were evaluated, which represents 8.45% of all the children below the age of 10 in the province of Guadalajara, with an average of 154.5 new patients per year. There was a predominance of males, 56.4%, and a high percentage of very young children: 26.05% under the age of 1 year and 50.56% under the age of 3. There has been a progressive increase in the number of Neuropaediatric outpatients, which in the year 2000 accounted for 20% of first visits and 16% of the total number (first and successive) of Paediatric outpatients. 12.94% of the patients in our series had also been examined in different tertiary care hospitals. CONCLUSIONS: There is a very high demand for neuropaediatric care in Guadalajara and it is growing in a significant and progressive manner. We suggest it would be advisable to have a tertiary reference hospital available to help cope with this situation.

Asistencia neuropediátrica en el Hospital General Universitario de Guadalajara / Neuropaediatric care in the Hospital General Universitario de Guadalajara

Introducción y objetivo. La necesidad de asistencia en patología neuropediátrica aumenta con los cambios experimentados por las necesidades de la población, determinados por los avances médicos, científicos y sociales. El objetivo de este trabajo ha sido conocer las necesidades de actuación neuropediátrica en el Hospital General Universitario de Guadalajara, un hospital de nivel II, centro de referencia para la provincia de Guadalajara. Pacientes y métodos. Se han estudiado los niños de hasta 10 años con patología neurológica en el Hospital General Universitario de Guadalajara durante un período de 8 años, desde la apertura de la consulta de Neuropediatría, el 1 de julio de 1992. Resultados. Se han evaluado 1.236 niños, cifra que constituye el 8,45 por ciento de los niños de hasta 10 años de la provincia de Guadalajara, con una media de 154,5 pacientes nuevos por año. Ha habido un predominio de varones (56,4 por ciento) y un alto porcentaje de niños de corta edad, (26,05 por ciento menores de un año y 50,56 por ciento menores de 3 años). Se ha apreciado un incremento progresivo de la consulta externa de Neuropediatría, que ha llegado en el año 2000 a representar el 20 por ciento de las primeras visitas y el 16 por ciento del total (primeras y sucesivas) de consultas externas de Pediatría. El 12,94 por ciento de los pacientes de nuestra serie ha sido valorado además en diversos hospitales terciarios. Conclusiones. Existe una elevada demanda de actuación neuropediátrica en Guadalajara, que se incrementa de forma significativa y progresiva. Sería deseable la existencia de un hospital de referencia terciario (AU)

Introduction and aims. Influenced by medical, scientific and social advances, the changes that have taken place in the needs of the population have given rise to a growing demand for health care in neuropaediatric pathology. The aim of this study was to determine the neuropaediatric health care requirements at the Hospital General Universitario de Guadalajara, a secondary care hospital that is a reference centre for the province of Guadalajara. Patients and methods. We studied the children up to the age of 10 years with a neurological pathology attended at the Hospital General Universitario de Guadalajara over an 8-year period, since the Neuropaediatric unit was opened on 1 July 1992. Results. In all 1,236 children were evaluated, which represents 8.45% of all the children below the age of 10 in the province of Guadalajara, with an average of 154.5 new patients per year. There was a predominance of males, 56.4%, and a high percentage of very young children: 26.05% under the age of 1 year and 50.56% under the age of 3. There has been a progressive increase in the number of Neuropaediatric outpatients, which in the year 2000 accounted for 20% of first visits and 16% of the total number (first and successive) of Paediatric outpatients. 12.94% of the patients in our series had also been examined in different tertiary care hospitals. Conclusions. There is a very high demand for neuropaediatric care in Guadalajara and it is growing in a significant and progressive manner. We suggest it would be advisable to have a tertiary reference hospital available to help cope with this situation (AU)