Key words: Duodenal diaphragm. Duodenal benign stenosis. Palabras clave: Diafragma duodenal. Estenosis duodenal benigna. Title: Estenosis Pilórica y Hernia Hiatal, Author: mario migliorati, Name: o del ligamento frénico-esofágico – muy laxo) Adquirida a cualquier edad por esfuerzo . Title: Estenosis Pilórica y Hernia Hiatal, Author: mario migliorati, Name: Estenosis Pilórica y Hernia Forma adquirida (9,8 años promedio).
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Afebrile pneumonia whooping cough syndrome in infants at Hospital Universitario del Valle, Cali, Afebrile pneumonia syndrome in infants, also called infant pneumonitis, pneumonia caused by atypical pathogens or whooping cough syndrome is a major cause of severe lower respiratory infection in young infants, both in developing countries and in developed countries. To describe sdquirida with afebrile pneumonia syndrome.
Through a cross-sectional study, we reviewed the medical records of children diagnosed with afebrile pneumonia treated at Hospital Universitario del Valle, a reference center in southwestern Colombia, between June and December We evaluated children with this entity, noting a stationary presentation: June-August and November- December.
The most common findings: These data support the hypothesis that most of these patients acquired the disease by airway, possibly caused by viral infection and did not require the indiscriminate use of macrolides. Acute respiratory infection ARI is the most common disease in humans. Infection adquitida the lower airways, mainly pneumonia, in ranked third in the world as cause of adquiriad, considering all ages and the leading cause of mortality in children younger than arquirida years of age In Colombia, pneumonia in wstenosis 16th as cause of disease burden, considering all ages and fourth place in children between 0 and 4 years of age 4.
Afebril pneumonia in infants can cause severe respiratory distress, with atelectasis, apnea, hypoxic encephalopathy, seizures, and mortality, mainly in children under six months of age, premature infants, and infants whose mothers were very young 5, 6. A pilorjca of children with this syndrome, acquired through the birth canal of infected mothers or carriers of Chlamydia trachomatis, Ureaplasma urealyticum, and Cytomegalovirus 7.
Another group, acquired by airborne respiratory syncytial virus, adenovirus, para-influenza, Mycoplasma pneumoniae, and hominis, without ruling out the possibility of Bordetella pertussis or parapertussis 7,8. No tests were performed in these children to determine the causal agent and all were initiated in empirical treatment with macrolides to cover C.
Given the aforementioned, it was decided by this study to describe children with afebrile pneumonia syndrome whooping coughwho attended a reference center, Hospital Universitario del Valle. Through a cross-sectional study, we reviewed the medical records of children admitted to the emergency department at Hospital Universitario del Valle, between June and Decembera reference center in southwestern Colombia, with the following inclusion criteria: We excluded patients with incomplete or lost medical histories.
Information was collected aduqirida maternal age and origin, prenatal care, the place and way of the child’s birth, gestational age, birth weight, breastfeeding, immunization status, neonatal hospitalization, estenoais, and age at admission, symptoms, signs, diagnosis, treatment, and complications. A description of the study population was performed.
Discrete variables were described with absolute and relative frequency distributions. Finally, we compared measurements between those who required or did not require intensive care unit by using relative frequencies, chi 2 test, and for the means, the student t test.
Una causa infrecuente de obstrucción intestinal en el adulto: diafragmas duodenales
In keeping with the scientific, technical, and administrative standards for Health Research, Resolution No. In the 7-year period assessed, children were admitted with a diagnosis of afebrile pneumonia in infants, noting that from 3 to 6 cases per year between andit increased to 17 to 34 cases per year after With a greater number of admissions during the months of June to August in the first half of the year and during November-December in the second half.
Two of the children of mothers who reported syphilis during pregnancy were in the nursery at Hospital Universitario, one with Rh incompatibility and neonatal sepsis and the other with serological result of two dilutions and treated for 10 days.
The most common neonatal diagnoses were: The present illness had an average seven-day evolution, median of six days, ranging between one and 30 days SD 6with the most common symptoms: The average age at admission was six months, median of three months, ranging from one to months SD Vital signs at admission were: During the initial physical examination, the most frequent findings were: Only one medical story showed the result of immunofluorescence, in a nasopharyngeal swab sample, which was negative.
No results were found of culture or serum antibody titers in the other children. The average stay was four days, median one day, ranging between one and 28 days SD 6. One of the findings in this group of children was the stationary presentation of afebrile pneumonia, with two peaks of higher admissions: This finding is consistent with those reported by Franco, G. Another result was that the clinical diagnosis was made according to data reported in the literature: A retrospective study of 8 patients with afebrile pneumonia in infants whooping cough syndromediagnosed by direct immunofluorescence, showed a median age of three months, ranging from 10 days to 19 months, all with respiratory distress, half with spasmodic cough, emetic; with the radiological findings of diffuse reticular infiltrates, air trapping, and excellent response to oral erythromycin In a report of diagnosis and treatment of childhood pneumonia, Velasco, MV et al.
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Only one mother of these nine children was a minor, eight attended prenatal care, none reported vaginosis during pregnancy, four children were born by caesarean section and five were admitted between June and July. Of 11 mothers who reported vaginosis during pregnancy, eight were treated, only two were minors, 10 attended prenatal care, all with birth by vaginal delivery and none of the children developed conjunctivitis.
As for the etiological diagnosis in this group of children, only one revealed the result of immunofluorescence in nasopharyngeal secretion, which was negative. Some authors recommended early identification of the germ in children with this disease, which allows programming management at the hospital or at home, taking preventive measures of isolation and avoiding the indiscriminate use of antibiotics In the report of 10 children with severe respiratory infection in Bogota, all wheezing and without fever, one in whom pneumonia by C.
Other authors recommend that the combination of clinical and radiological parameters, positive for this entity, allows initiating empirical therapy with macrolides, without the etiologic agent 5, 19, When the etiologic agent is C.
These data support the hypothesis that most of the patients reviewed, acquired the disease by airway, possibly caused by viral infection and did not require antibiotics such as macrolides. These features become markers of severity, implying more care in the pediatric emergency department to the child with them. The weaknesses of this study are that it was descriptive, cross-sectional, limited to a population that attending a referral center, and the information was obtained from the medical records of the institution, which have shown missing data.
The strength of the study is the number of patients evaluated with this entity. This descriptive study provides insight into the epidemiology of the disease and the need to modify the local guides.
Meaning of “estenosis” in the Spanish dictionary
It is recommended to conduct a prospective study, taking nasopharyngeal swab of each patient admitted with this diagnosis to determine the etiologic agent and define its appropriate management. Etsenosis burden of disease: Where and why are 10 million children dying every year? Carga de la enfermedad en Colombia. Outbreaks of Pertussis associated with hospitals – Kentucky, Pennsylvania, and Oregon, American Academy of Pediatrics.
Chlamydial antibodies in children with lower respiratory disease. Pediatr Infect Dis J ; Rev Chil Pediatr ; Viral and chlamydial etiology of acute infections of the lower respiratory esteosis in Colombian children. Pediatr Infect Dis J aquirida 7: Acta Med Colomb ; Services on Demand Article.
English pdf Article in xml format Article references How to cite this article Automatic translation Send this article by e-mail. METHODS Through a cross-sectional study, we reviewed the medical records of children admitted to the emergency department at Hospital Universitario del Valle, between June and Decembera reference center in southwestern Colombia, with the following inclusion criteria: RESULTS In the 7-year period assessed, children were admitted with a diagnosis of afebrile pneumonia in infants, noting that from 3 to 6 cases per year between andit increased to 17 to 34 cases per year after Neumonitis viral un problema semestral.
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