Boletín médico del Hospital Infantil de México
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Bol Med Hosp Infant Mex · Mar 2017
Case Reports[Orbital cellulitis complicated by subperiosteal abscess due to Streptococcus pyogenes infection].
Orbital cellulitis is an infectious disease that is very common in pediatric patients, in which severe complications may develop. Etiological agents related to this disease are Haemophilus influenzae B, Staphylococcus aureus, Streptococcus pneumoniae and Moraxella catarrhalis, which correspond to 95% of cases. Moreover, Streptococcus beta hemolytic and anaerobic microorganisms may also be present corresponding to < 5% of the cases. We present an uncommon case of cellulitis complicated by sub-periosteal abscess caused by Streptococcus pyogenes (Group A beta hemolytic streptococcus). ⋯ Due to the implementation of vaccination schemes against H. influenza and S. pneumoniae since the 90s, the cases by these pathogens have decreased, causing new bacteria to take place as the cause of the infection. The importance of considering S. pyogenes as an etiology of orbital cellulitis is the rapid progression to abscess formation, and the few cases described in the literature.
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Bol Med Hosp Infant Mex · Jul 2016
[Child abuse: its knowledge, attention and diffusion in three pediatric hospitals in Mexico].
Child abuse (CA) was observed in Mexico since the early 60's through isolated publications from clinical cases and where manifestations of physical injury or sexual abuse predominated. Since the 90's, the Clinic for Integral Care of the Abused Child was established at the National Institute of Pediatrics (CAINM-INP, for its Spanish acronym), which actions were addressed to the care, teaching and research on this topic. This approach was replicated in two hospital centers in the country: the Clinic for Integral Care of the Abused Children at Children's Specialty Care Hospital of Chihuahua and the Pediatric Service of the General Hospital of Mexicali. The main objective of this work was to present to the medical community, paramedics, and other professionals who interact with the pediatric population and society, the efforts that have been made in Mexico to address this legal, medical, and social pathology in a logical manner, and always aimed at protecting victims and their families.
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Bol Med Hosp Infant Mex · Dec 1993
Comparative Study[The validity of the index of pediatric mortality risk (PRISM) in a pediatric intensive care unit].
With the purpose to compare the observed and expected mortality rates (based on the PRISM score) in the Pediatric Intensive Care Unit (PICU) of the "Hospital para el Niño Poblano", a prospective study of 92 patients admitted from August to December of 1992 was made. More than five percent of mortality risk was observed among 60.2% of the patients at the PICU admittance. ⋯ We observed that seven of ten patients who died with less than 50% mortality risk, had inotropic treatment previously to PICU admittance, there was no haemodynamic alterations in these patients at the PICU admittance, and the PRISM score was low. We suggest that the PRISM score should be interpreted with caution in those patients whose treatment may change the physiologic variables included in the PRISM score.
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Bol Med Hosp Infant Mex · Nov 1993
[Oral rehydration therapy: an analysis of its results and impact on the hospitalization and mortality of children with diarrhea].
We present results of four years in oral rehydration therapy (ORT) in the Hospital Infantil del Estado de Sonora. There was 10.2 consults by diarrhoea for day. Children lower of one year old received oral rehydration therapy in 86.8%, were included 11% of prolonged diarrhoea and 32.3% of children with malnutrition. ⋯ Were observed reduction in hospitalization, rate of 19.2% in 1986 to 38.4% in 1989. The diarrheal mortality decreased in the Urgence Department in 42% and in the Infectology Department in 54%. We considered these results as satisfactory, but are susceptible to better when we diffuse more the oral rehydration therapy in own region.
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Bol Med Hosp Infant Mex · Aug 1993
[Validity of a scale of vital prognosis in multiorgan failure syndrome: experience at a pediatric ICU].
In order to evaluate the utility of modified score index for multiple organ failure syndrome (MOFS) detection, we studied 31 critically ill pediatric patients at University Hospital of Puebla. They had a critical illness and they were successfully animated and developed two or more organ failure other than initial lesion. ⋯ Were assessed that scale for know its predictive value and results were significant: sensitivity 81%, specificity 30% and accuracy, 54.5%. Finally we recommended caution to use anyone score system in evaluating MOFS.