RESUMO
A child with anterior uveitis as the sole manifestation of group A streptococcal infection is described. There was a history of a 'viral' upper respiratory tract infection 2 weeks before the onset of uveitis. A post-streptococcal phenomenon was diagnosed on the basis of serial ASO titre (ASOT) monitoring. There are few reports of patients with post-streptococcal uveitis. ASOT monitoring should be included in the work-up of uveitis of undetermined aetiology.
Assuntos
Infecções Estreptocócicas/complicações , Streptococcus pyogenes/imunologia , Streptococcus pyogenes/patogenicidade , Uveíte/diagnóstico , Uveíte/etiologia , Anticorpos Antibacterianos/sangue , Criança , Feminino , Humanos , Infecções Estreptocócicas/imunologia , Infecções Estreptocócicas/microbiologiaRESUMO
Objective The aim of this study was to investigate whether there is a relationship in school aged children between wheezing and pneumonia prior, during, or following the pneumonia episode. Patients-Methods One hundred and three children with community acquired pneumonia who were hospitalised were recruited along with 55 controls. Results During hospitalisation wheezing was audible in 11/103 (10.6%) patients with pneumonia and in none of the controls (p=0.009). Wheezing ever or asthma was elicited in 29/103(28%) patients with pneumonia and in 8/55 (14.5%) of the controls and this difference was not significant. Two years after the hospitalisation with pneumonia, wheezing episodes occurred in 12/103 with pneumonia and 1/55 of the controls (p=0.034). Among those who developed asthma following pneumonia 11/12 also had wheezing prior to pneumonia. Conclusion There is an excess of wheezing prior, during, and after an episode of pneumonia in school aged children and therefore children with pneumonia should be followed up carefully
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Assuntos
Humanos , Masculino , Feminino , Criança , Sons Respiratórios/diagnóstico , Sons Respiratórios/fisiologia , Asma/complicações , Asma/diagnóstico , Pneumonia/complicações , Pneumonia/diagnóstico , Doenças Respiratórias/complicações , Doenças Respiratórias/diagnóstico , Infecções Respiratórias/complicações , Corticosteroides/uso terapêutico , Receptores de Esteroides/uso terapêuticoRESUMO
OBJECTIVE: The aim of this study was to investigate whether there is a relationship in school aged children between wheezing and pneumonia prior, during, or following the pneumonia episode. PATIENTS-METHODS: One hundred and three children with community acquired pneumonia who were hospitalised were recruited along with 55 controls. RESULTS: During hospitalisation wheezing was audible in 11/103 (10.6%) patients with pneumonia and in none of the controls (p=0.009). Wheezing ever or asthma was elicited in 29/103(28%) patients with pneumonia and in 8/55 (14.5%) of the controls and this difference was not significant. Two years after the hospitalisation with pneumonia, wheezing episodes occurred in 12/103 with pneumonia and 1/55 of the controls (p=0.034). Among those who developed asthma following pneumonia 11/12 also had wheezing prior to pneumonia. CONCLUSION: There is an excess of wheezing prior, during, and after an episode of pneumonia in school aged children and therefore children with pneumonia should be followed up carefully.
Assuntos
Infecções Comunitárias Adquiridas/complicações , Pneumonia/complicações , Sons Respiratórios/etiologia , Asma/complicações , Asma/epidemiologia , Criança , Pré-Escolar , Estudos de Coortes , Infecções Comunitárias Adquiridas/epidemiologia , Comorbidade , Feminino , Seguimentos , Grécia/epidemiologia , Hospitalização , Humanos , Lactente , Masculino , Pneumonia/sangue , Pneumonia/diagnóstico por imagem , Pneumonia/epidemiologia , Pneumonia/fisiopatologia , Prevalência , Radiografia , Fatores de Risco , Método Simples-Cego , Fatores Socioeconômicos , Inquéritos e QuestionáriosRESUMO
Bilateral axillary lymphadenitis complicating BCG vaccination in both arms (0.025 ml) in an immunocompetent 13-month-old boy is described. Prompt administration of isoniazid and erythromycin did not prevent suppuration of the affected lymph nodes. It was managed by bilateral surgical excision of the nodes.
