[Family impact of rotavirus gastroenteritis in children under two years]. / Impacto familiar de la gastroenteritis por rotavirus en menores de dos años.

INTRODUCTION: Acute gastroenteritis (AGE) in infants has a significant impact on the quality of life of their parents. MATERIAL AND METHODS: Cross-sectional study on the sociological family impact related to rotavirus AGE in children under 2 years. The study was carried out in 25 hospitals and 5 primary care centres in Spain. Sociodemographic, epidemiological and clinical data were recorded, as well as the symptomatology of AGE and its severity measured by the Clark scale. Stool samples were tested to determine rotavirus positive (RV+) or negative (RV-). The parents were asked to complete a a family impact questionnaire. RESULTS: Stool specimens were tested in 1087 AGE cases (584 RV+ vs 503 RV-). The 99.5 % of parents whose children were RV+ reported more worries vs. the 97.7 % of RV-, and RV+ had a higher importance score (p < 0.05). A higher percentage of RV+ parents and those with a high importance score reported more time dedicated to dehydration treatment (p < 0.05). The 82.5 % vs. 73.9 % had disruption of their household tasks, with more importance scores (p < 0.05). RV+ had a higher percentage and importance score than RV- ones in all aspects of their child's AGE symptoms, except loss of appetite. CONCLUSION: AGE produces important dysfunctional experiences in daily family life. According to parental perceptions, RV+ produces greater worries and dysfunctions in child behaviour.

[Orbital zygomycosis (mucormycosis) in a healthy child. Treatment with ketoconazole]. / Zygomycose (mucormycose) orbitale chez un enfant sain. Traitement par le kétoconazole.

A case of orbital zygomycosis, probably mucormycosis, histologically demonstrated was observed in a healthy host. The etiologic agent could not be identified because of the unsuccessful cultures. No clinical antecedent allowed us to suppose that an immunological deficiency statement was present. It seemed that the fungus did not penetrates by the classical nasal and sinusal pathways. The fungus inoculation probably resulted from a subocular traumatism. The ketoconazole treatment, the only one possible in our case, was efficient.

[Zosteriform eruption in a girl during resolution of varicella]. / Erupción zosteriforme en una niña durante una varicela en resolución.

We show the case of a six-years-old little girl with a herpes zoster which appeared while a varicella was resolving. We are discussing the diagnosis difficulties of this process.

[Skin and ungual pigmentation caused by ftorafur]. / Pigmentación cutánea y ungueal por ftorafur.

We report the case of a sixty-seven-years-old male diagnosed of a gastric adenocarcinoma that presented brown pigmentation in the dorsal of his both hands and fingernails while being on treatment with ftorafur, an analogous of 5-fluorouracil. To our knowledge this side effect has not been previously reported for ftorafur.

[Intrathecal synthesis of specific antibodies in Candida albicans meningoencephalitis]. / Synthèse intrathécale d'anticorps spécifiques au cours d'une méningo-encéphalite à Candida albicans.

Titration of IgG, albumin, and specific antibodies, both in serum and CSF, during the course of a Candidal meningoencephalitis allowed to demonstrate intrathecal synthesis of specific IgG antibodies against C. albicans.

Cuerpos extraños en el rectosigma / Foreign bodies in the rectum and sigmoid colon

Se presentan 6 casos de cuerpos extraños en el rectosigma, siendo la vía de entrada la introducción endoanal. Por causa de sus potenciales complicaciones, los cuerpos extraños en el recto y el sigma deben ser considerados como una patología relevante y deben ser tratados de forma expeditiva. A pesar de su poca frecuencia es una posibilidad a tener en cuenta ante un dolor pélvico o anal en un paciente que no admite libremente la introducción del objeto transanal (AU)