Tuberculosis abdominal en la edad pediátrica: a propósito de un caso / Abdominal tuberculosis in children: About a paediatric observation

La tuberculosis abdominal es infrecuente en niños. Puede afectar al tracto digestivo del esófago hasta el colon. Se caracteriza por síntomas inespecíficos y es similar a otras enfermedades digestivas inflamatorias. La microbiología, la endoscopia y la histopatología son los pilares de la exploración, aunque algunas veces pueden ser no contributivas, lo que hace difícil el diagnóstico. En este trabajo presentamos el caso de un niño con tuberculosis abdominal. Se detallan los principales hallazgos clínicos y paraclínicos de esta enfermedad y una revisión breve de la literatura

Abdominal tuberculosis is uncommon in children. It may affects the digestive tract from the oesophagus until the colon. It is characterised by unspecific symptoms and resembles other digestive inflammatory diseases. Microbiology, endoscopy and histopathology are the foundations of the exploration although sometimes they may not contribute to an accurate diagnosis. In this article, we present the case of a boy with abdominal tuberculosis. The main clinical and paraclinical findings are reported and a brief review of the literature is presented

Gastroenteritis eosinofílica en un lactante, manifestada por una hematemesis grave / Eosinophilic gastroenteritis in an infant revealed by a severe upper digestive bleeding

La gastroenteritis eosinofílica representa una patología emergente y pertenece a un espectro reconocido de enfermedades digestivas eosinofílicas. Puede aparecer a cualquier edad y con sintomatología diversa. Su diagnóstico positivo es histológico, aunque no hay una definición precisa. Presentamos un caso atípico de un lactante de 2 meses de edad con una gastroenteritis eosinofílica manifestada por una hemorragia digestiva grave

Eosinophilic gastroenteritis is an emergent disease and belongs to a group of eosinfilic digestive illness. It is characterized by various unspecific symptoms. Histological study confirms the diagnostic even if there is not until now a clear definition about histological criteria. We present an infant of 2 months with eosinophilic gastroenteritis revealed by a severe digestive bleeding

Impact of preoperative and intraoperative factors in cataract surgery.

BACKGROUND: Cataract surgery is the most common procedure in ophthalmology. However the surgical outcome depends on various factors. The impact of preoperative and intraoperative factors on the surgical procedure were investigated. PATIENTS AND METHODS: Prospective consecutive study of eyes that underwent cataract surgery. The studied parameters included: age, body mass index (BMI), medical history, type of anaesthesia, preoperative patient's anxiety level (scale from 0 to 10), spherical equivalent (SE), keratometry, axial length (AL), time and percentage of ultrasounds (US), intraoperative complications, duration of surgery. The eyes were separated into two groups: the "no complication group" and the "complication group". RESULTS: 529 eyes were included. Age averaged 75.5 years old (44; 100), mean BMI (kg/m2) was 26.3 (13.7; 45.2), patients had cardiovascular history in 61.05% of cases, the type of anaesthesia used was topical in 93.4%, subtenon in 4.7% and general in 1.9% of cases. Mean preoperative anxiety was 4.04 (0; 10), mean preoperative SE was -0.12 (-10; 7.5), mean keratometry (diopters) was 43.88 (39.5; 49), mean AL (mm) was 23.29 (20.91; 29.78), mean time of US (minutes) was 1.89 (0.08; 9.2), mean percentage of US was 10.5 (2; 30) and mean surgical duration (minutes) was 17.15 (5; 50). There was a statistically significant difference (p < 0.0001 in all cases) between both groups in the preoperative anxiety, the time of US and the duration of surgery. The "complication group" had higher scores in all cases as well as more proportion of patients with cardiovascular history. There was no statistically significant difference between both groups for the BMI, SE, AL, keratometry and percentage of US. CONCLUSIONS: The preoperative anxiety level and a cardiovascular medical history together with a prolonged time of US and a longer surgical duration seem to provide more complications during the surgery. The BMI, SE, AL and keratometry did not influence the surgical procedure.