RESUMO
No disponible
Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Suporte Ventilatório Interativo/instrumentação , Suporte Ventilatório Interativo/métodos , Suporte Ventilatório Interativo , Taxa Respiratória/fisiologia , Respiração Artificial/instrumentação , Respiração Artificial/métodos , Respiração Artificial , Ventiladores Mecânicos , Recém-NascidoRESUMO
Three cases of children admitted to the Pediatric Intensive Medicine Unit in the months of February to March 2004 with the diagnosis of streptococcal toxic shock syndrome are presented. Two were under 2 years of age and the initial symptoms suggested viriasis. They evolved towards septic shock with early multiorganic failure and then death due to massive hemoptysis, ventricular fibrillation due to hyperkaliemia. Streptococcus pyogenes with serotypes M1T1 was isolated in all the cases and the patients had the clinical criteria of streptococcal toxic shock syndrome. Their course was unfavorable in spite of the resuscitation steps, early antibiotic treatment and artificial support of the different organic failures. We stress the rareness of the cases, early age, its appearance in a short period of time, its sudden onset and the null response to treatment initiated.
Assuntos
Choque Séptico/microbiologia , Streptococcus pyogenes/isolamento & purificação , Antibacterianos/uso terapêutico , Broncopneumonia/complicações , Broncopneumonia/microbiologia , Criança , Terapia Combinada , Evolução Fatal , Hemoptise/etiologia , Humanos , Hipopotassemia/etiologia , Lactente , Masculino , Insuficiência de Múltiplos Órgãos/etiologia , Faringite/complicações , Faringite/microbiologia , Choque Séptico/complicações , Choque Séptico/diagnóstico , Choque Séptico/terapia , Falha de Tratamento , Fibrilação Ventricular/etiologiaRESUMO
Se presentan tres casos de niños ingresados en la Unidad de Medicina Intensiva Pediátrica en los meses de febrero a marzo del año 2004, con el diagnóstico de síndrome de shock tóxico estreptocócico. Dos de los pacientes eran menores de 2 años y los síntomas iniciales eran sugerentes de viriasis. Su evolución fue hacia el shock séptico con fracaso multiorgánico (FMO) precoz y posterior fallecimiento por hemoptisis masiva, fibrilación ventricular por hiperkaliemia y FMO. En todos los casos se aisló Streptococcus pyogenes serotipos M1T1 y los pacientes cumplieron los criterios clínicos de síndrome de shock tóxico estreptocócico. La evolución fue desfavorable a pesar de las medidas de resucitación, el tratamiento antibiótico precoz y el soporte artificial de los distintos fallos orgánicos. Destacamos lo excepcional de los casos, la edad precoz, su aparición en un período corto de tiempo, su instauración fulminante y la nula respuesta al tratamiento instaurado
Three cases of children admitted to the Pediatric Intensive Medicine Unit in the months of February to March 2004 with the diagnosis of streptococcal toxic shock syndrome are presented. Two were under 2 years of age and the initial symptoms suggested viriasis. They evolved towards septic shock with early multiorganic failure and then death due to massive hemoptysis, ventricular fibrillation due to hyperkaliemia. Streptococcus pyogenes with serotypes M1T1 was isolated in all the cases and the patients had the clinical criteria of streptococcal toxic shock syndrome. Their course was unfavorable in spite of the resuscitation steps, early antibiotic treatment and artificial support of the different organic failures. We stress the rareness of the cases, early age, its appearance in a short period of time, its sudden onset and the null response to treatment initiated
Assuntos
Masculino , Lactente , Criança , Humanos , Choque Séptico/diagnóstico , Infecções Estreptocócicas/complicações , Streptococcus pyogenes/patogenicidade , Insuficiência de Múltiplos Órgãos/etiologia , Antibacterianos/uso terapêuticoRESUMO
Cardiac hydatid cyst is an uncommon disease, especially in children. The interventricular septum region is the most frequent localization. The cysts usually involve other organs making the etiologic diagnosis easier. Our young patient presented a single hydatid cyst. The etiologic diagnosis was difficult due to the negativity of the serologic tests and there were no other organs affected. Surgical ablation of the cyst was performed and histopathological analysis achieved.
