Borja Merelo Nicolás, L. Jimenez, A. M. Ruiz, S. Miguélez
Background: Deep neck infections are a frequent cause of infection in pediatrics, with potentially serious complications such as airway compromise, mediastinitis or sepsis, if there is a delay in diagnosis or treatment. The most frequent causative agents are Staphylococcus aureus and Streptococcus spp. The treatment consists of specific antibiotics and multidisciplinary management of possible complications. Clinical case: We present the case of a 10-month-old infant with fever and a labial ulcer, associating an important swelling in the laterocervical and bilateral submandibular region; with initial doubts about the airway compromise. Empirical intravenous treatment was started without requiring surgical treatment. The complementary tests showed PCR Influenza type B positive, as the origin of the febrile episode and in the labial sample grew a Staphylococcus aureus, which causes inflammation. He received directed antibiotic treatment and presented a good evolution without complications. Conclusion: Deep neck infections are a diagnostic challenge for pediatricians. Early diagnosis and proper management can prevent potentially serious complications.
{"title":"Tumoración submandibular y laterocervical bilateral en un lactante","authors":"Borja Merelo Nicolás, L. Jimenez, A. M. Ruiz, S. Miguélez","doi":"10.14295/RP.V53I2.135","DOIUrl":"https://doi.org/10.14295/RP.V53I2.135","url":null,"abstract":"Background: Deep neck infections are a frequent cause of infection in pediatrics, with potentially serious complications such as airway compromise, mediastinitis or sepsis, if there is a delay in diagnosis or treatment. The most frequent causative agents are Staphylococcus aureus and Streptococcus spp. The treatment consists of specific antibiotics and multidisciplinary management of possible complications.\u0000Clinical case: We present the case of a 10-month-old infant with fever and a labial ulcer, associating an important swelling in the laterocervical and bilateral submandibular region; with initial doubts about the airway compromise. Empirical intravenous treatment was started without requiring surgical treatment. The complementary tests showed PCR Influenza type B positive, as the origin of the febrile episode and in the labial sample grew a Staphylococcus aureus, which causes inflammation. He received directed antibiotic treatment and presented a good evolution without complications.\u0000Conclusion: Deep neck infections are a diagnostic challenge for pediatricians. Early diagnosis and proper management can prevent potentially serious complications.","PeriodicalId":101003,"journal":{"name":"Pediatría","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89912826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ricardo Sánchez-Consuegra, Vanesa Hernández, R. Hernández, Julio Montaño-Bandera
Background Parenteral nutrition is a nutritional contribution that should improve the short and long term growth and development of neonates, especially premature infants. The early use of parenteral nutrition with adequate amounts of nutrients should prevent the previously considered physiological loss of the weight of sick newborns. Objective To determine the weight behavior in neonates receiving parenteral nutrition. Materials and methods A descriptive and retroactive observational descriptive study in 44 neonates, most of them premature, treated in the intensive care unit of the San Diego General Clinic in Barranquilla, Colombia. The newborns received central or peripheral parenteral nutrition. Data obtained were sex, gestational age, weight at the beginning and end of the use of parenteral nutrition, daily weight, days of parenteral nutrition and underlying pathology. The statistical analysis included measurements of frequencies. Results Of the 44 newborns included, 43 were preterm and 1 full term, with a diagnosis of prematurity and respiratory distress in addition to sepsis and necrotizing enterocolitis. The average at the end of the parenteral nutrition of increase in the basal and final weight of 10 to 15 g / day and differences in the progression of the basal and final weight in newborns. Conclusions The use of parenteral nutrition promotes weight gain in neonates when usedfor more than 3 days.
背景肠外营养是一种营养贡献，应该改善短期和长期的生长发育的新生儿，特别是早产儿。早期使用营养充足的肠外营养可以防止先前认为的患病新生儿体重的生理损失。目的了解新生儿接受肠外营养后的体重行为。材料与方法对哥伦比亚巴兰基亚圣地亚哥综合诊所重症监护室44例新生儿进行了描述性和回顾性观察性描述性研究，其中大多数为早产儿。新生儿接受中心或外周肠外营养。获得的数据包括性别、胎龄、开始和结束使用肠外营养时的体重、每日体重、肠外营养天数和潜在病理。统计分析包括频率测量。结果44例新生儿中，43例早产，1例足月，除败血症和坏死性小肠结肠炎外，还诊断为早产和呼吸窘迫。平均在肠外营养结束时基础和最终体重增加10 ~ 15 g / d，新生儿基础和最终体重的进展差异。结论:使用肠外营养超过3天可促进新生儿体重增加。
{"title":"Comportamiento del peso en recién nacidos tratados con nutrición parenteral","authors":"Ricardo Sánchez-Consuegra, Vanesa Hernández, R. Hernández, Julio Montaño-Bandera","doi":"10.14295/P.V52I3.141","DOIUrl":"https://doi.org/10.14295/P.V52I3.141","url":null,"abstract":"Background Parenteral nutrition is a nutritional contribution that should improve the short and long term growth and development of neonates, especially premature infants. The early use of parenteral nutrition with adequate amounts of nutrients should prevent the previously considered physiological loss of the weight of sick newborns. \u0000Objective To determine the weight behavior in neonates receiving parenteral nutrition. \u0000Materials and methods A descriptive and retroactive observational descriptive study in 44 neonates, most of them premature, treated in the intensive care unit of the San Diego General Clinic in Barranquilla, Colombia. The newborns received central or peripheral parenteral nutrition. Data obtained were sex, gestational age, weight at the beginning and end of the use of parenteral nutrition, daily weight, days of parenteral nutrition and underlying pathology. The statistical analysis included measurements of frequencies. \u0000Results Of the 44 newborns included, 43 were preterm and 1 full term, with a diagnosis of prematurity and respiratory distress in addition to sepsis and necrotizing enterocolitis. The average at the end of the parenteral nutrition of increase in the basal and final weight of 10 to 15 g / day and differences in the progression of the basal and final weight in newborns. \u0000Conclusions The use of parenteral nutrition promotes weight gain in neonates when usedfor more than 3 days.","PeriodicalId":101003,"journal":{"name":"Pediatría","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83653809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The maple syrup urine disease is known for its smell, which is like honey from the maple tree or like "burned sugar". It is a hereditary disorder of branched–chain amino acidswith different phenotypic expressions. The acute period generates an accumulation of neurotoxins requiring early diagnosis and treatment due to neurological sequelae and fatal outcome.Clinical case: We present the case of a newborn at term pregnancy with an unremarkable story. She was admitted after six days of irritability, poor suction, subjective fever, and emesis. The patient had unfavorable evolution with ventilatory failure, neurological signs, and acidosis. Inborn error of metabolism was suspected, and initial treatment was established in consonance with the clinical suspicion. A report of an increase of branched–chain amino acids confirmed maple syrup urine disease.Conclusions: Presenting this case, we make a non–systematic review of the literature, including pathophysiology, diagnosis, and treatment guidelines, showing current evidence, for metabolic control, avoiding mortality, and significant neurological outcome.
{"title":"Reporte de caso y revisión de literatura: Enfermedad de orina con olor a jarabe de arce","authors":"Adolfo Enrique Alvarez Montañez, Sindy Margareth Bermejo Padilla, Sandra Yadira Stapper Páez","doi":"10.14295/RP.V53I1.158","DOIUrl":"https://doi.org/10.14295/RP.V53I1.158","url":null,"abstract":"Background: The maple syrup urine disease is known for its smell, which is like honey from the maple tree or like \"burned sugar\". It is a hereditary disorder of branched–chain amino acidswith different phenotypic expressions. The acute period generates an accumulation of neurotoxins requiring early diagnosis and treatment due to neurological sequelae and fatal outcome.Clinical case: We present the case of a newborn at term pregnancy with an unremarkable story. She was admitted after six days of irritability, poor suction, subjective fever, and emesis. The patient had unfavorable evolution with ventilatory failure, neurological signs, and acidosis. Inborn error of metabolism was suspected, and initial treatment was established in consonance with the clinical suspicion. A report of an increase of branched–chain amino acids confirmed maple syrup urine disease.Conclusions: Presenting this case, we make a non–systematic review of the literature, including pathophysiology, diagnosis, and treatment guidelines, showing current evidence, for metabolic control, avoiding mortality, and significant neurological outcome.","PeriodicalId":101003,"journal":{"name":"Pediatría","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83606976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Roberth Ordoñez, L. F. Gaitán, Lina Burbano, Christian Ali Buesaquillo Camayo, José Andrés Calvache España
Introduction: cancer is a significant cause of morbidity and mortality in the country. Hospital cancer registries provide essential information regarding the behavior of malignant neoplasms treated in health care institutions.Objective: To describe the sociodemographic and clinical characteristics of patients under 18 years of age diagnosed with suspicion or diagnosis of cancer, treated at the San Jose de Popayan University Hospital for four years (2013 al 2017).Methods: observational study based on routine data of cancer. All patients under 18 years of age were included. They were recruited and selected based on the summary of the hospitalization (recorded at least one diagnosis of categories C and D (Neoplasms C00 through D048) of the ICD10 manual). An instrument that included sociodemographic, clinical, and follow-up variables were applied to each record.Results: Out of 450 original files, 359 (86%) were excluded, and 56 patients were selected. The most frequent neoplasms in this population were hematologic with 42%, and the headache was the most frequent reason for consultation (23%). The majority of patients come from rural areas (68%) and have a subsidized health affiliation regime (79%). Around 82% of the patients were referred to other institutions. The majority of patients treated at the HUSJ during their last hospitalization were patients with tumors of the central nervous system.Conclusions: the pediatric population treated in the HUSJ with a diagnosis of cancer is very low, and the majority of patients are referred to other health institutions.
导言:癌症是该国发病率和死亡率的重要原因。医院癌症登记处提供了有关在医疗机构治疗的恶性肿瘤行为的基本信息。目的:描述在San Jose de Popayan大学医院治疗四年(2013 - 2017)的18岁以下疑似或诊断为癌症的患者的社会人口学和临床特征。方法:以肿瘤常规资料为基础进行观察性研究。所有年龄在18岁以下的患者均被纳入。他们的招募和选择是基于住院总结(记录至少一个ICD10手册C和D类诊断(肿瘤C00至D048))。包括社会人口学、临床和随访变量的工具应用于每个记录。结果:450份原始文献中，359份(86%)被排除，56例患者入选。该人群中最常见的肿瘤是血液学(42%)，头痛是最常见的就诊原因(23%)。大多数患者来自农村地区(68%)，并享受医疗补助制度(79%)。约82%的患者被转介到其他机构。在最后一次住院期间在HUSJ治疗的大多数患者是患有中枢神经系统肿瘤的患者。结论:在HUSJ治疗的诊断为癌症的儿科人群非常低，大多数患者被转诊到其他卫生机构。
{"title":"Caracterización de la población pediátrica con sospecha o diagnóstico de cáncer atendida en el Hospital Universitario San José de Popayán, Colombia","authors":"Roberth Ordoñez, L. F. Gaitán, Lina Burbano, Christian Ali Buesaquillo Camayo, José Andrés Calvache España","doi":"10.14295/RP.V53I1.178","DOIUrl":"https://doi.org/10.14295/RP.V53I1.178","url":null,"abstract":"Introduction: cancer is a significant cause of morbidity and mortality in the country. Hospital cancer registries provide essential information regarding the behavior of malignant neoplasms treated in health care institutions.Objective: To describe the sociodemographic and clinical characteristics of patients under 18 years of age diagnosed with suspicion or diagnosis of cancer, treated at the San Jose de Popayan University Hospital for four years (2013 al 2017).Methods: observational study based on routine data of cancer. All patients under 18 years of age were included. They were recruited and selected based on the summary of the hospitalization (recorded at least one diagnosis of categories C and D (Neoplasms C00 through D048) of the ICD10 manual). An instrument that included sociodemographic, clinical, and follow-up variables were applied to each record.Results: Out of 450 original files, 359 (86%) were excluded, and 56 patients were selected. The most frequent neoplasms in this population were hematologic with 42%, and the headache was the most frequent reason for consultation (23%). The majority of patients come from rural areas (68%) and have a subsidized health affiliation regime (79%). Around 82% of the patients were referred to other institutions. The majority of patients treated at the HUSJ during their last hospitalization were patients with tumors of the central nervous system.Conclusions: the pediatric population treated in the HUSJ with a diagnosis of cancer is very low, and the majority of patients are referred to other health institutions.","PeriodicalId":101003,"journal":{"name":"Pediatría","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89819472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sr. Editor:La paralisis cerebral (PC) es la discapacidad fisica infantil mas frecuente. Tradicionalmente, los ninos con hipertonia que no eran ambulatorios fueron considerados candidatos para la terapia de baclofeno intratecal para mitigar las molestias, mientras que la rizotomia dorsal selectiva (SDR) se reservaba para ninos ambulatorios para mejorar la marcha. En la actualidad, el tratamiento quirurgico de SDR esta cobrando importancia debido a que se esta comprobando que ofrece a todos los ninos afectados buenas oportunidades para mejorar la calidad de vida (1).
{"title":"Rizotomía dorsal selectiva para manejar la espasticidad en niños con parálisis cerebral","authors":"S. M. Pizarro","doi":"10.14295/RP.V53I1.172","DOIUrl":"https://doi.org/10.14295/RP.V53I1.172","url":null,"abstract":"Sr. Editor:La paralisis cerebral (PC) es la discapacidad fisica infantil mas frecuente. Tradicionalmente, los ninos con hipertonia que no eran ambulatorios fueron considerados candidatos para la terapia de baclofeno intratecal para mitigar las molestias, mientras que la rizotomia dorsal selectiva (SDR) se reservaba para ninos ambulatorios para mejorar la marcha. En la actualidad, el tratamiento quirurgico de SDR esta cobrando importancia debido a que se esta comprobando que ofrece a todos los ninos afectados buenas oportunidades para mejorar la calidad de vida (1).","PeriodicalId":101003,"journal":{"name":"Pediatría","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78551278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jimy Alvarado Meza, Shirley Patricia Guerra Garcés, Danna Carolina Marín Reyes, Leidinys Andrea Ortíz Duarte
Introduction: The therapeutic interventions of the speech therapy professional in the neonatal intensive care unit defines procedures for the evaluation, diagnosis, and treatment of stomatognathic or orofacial functions. The interdisciplinary team of these units, in general, does not have the participation of the speech therapist, being supplied by other professionals who do not have an adequate therapeutic technique and do not have the skills for these procedures.Methods: Applied research with random sampling. The study population sample corresponds to medical personnel linked to a neonatal intensive care unit. The nature of the study is quantitative, non-experimental, cross-sectional. For data collection, a Likert-type survey was used. Statistical analysis based on Chi-Square.Results: The results highlight the necessity of a better knowledge of the work of the speech therapist in the unit.Conclusion: It was possible to identify the need and importance of the role of a speech therapist in the interdisciplinary team. It was determined that general practitioners and nutritionists are the least aware of this professional's work in the unit.
{"title":"Percepción sobre el rol del fonoaudiólogo en el área de motricidad oral en la unidad de cuidados intensivos neonatal","authors":"Jimy Alvarado Meza, Shirley Patricia Guerra Garcés, Danna Carolina Marín Reyes, Leidinys Andrea Ortíz Duarte","doi":"10.14295/RP.V53I1.161","DOIUrl":"https://doi.org/10.14295/RP.V53I1.161","url":null,"abstract":"Introduction: The therapeutic interventions of the speech therapy professional in the neonatal intensive care unit defines procedures for the evaluation, diagnosis, and treatment of stomatognathic or orofacial functions. The interdisciplinary team of these units, in general, does not have the participation of the speech therapist, being supplied by other professionals who do not have an adequate therapeutic technique and do not have the skills for these procedures.Methods: Applied research with random sampling. The study population sample corresponds to medical personnel linked to a neonatal intensive care unit. The nature of the study is quantitative, non-experimental, cross-sectional. For data collection, a Likert-type survey was used. Statistical analysis based on Chi-Square.Results: The results highlight the necessity of a better knowledge of the work of the speech therapist in the unit.Conclusion: It was possible to identify the need and importance of the role of a speech therapist in the interdisciplinary team. It was determined that general practitioners and nutritionists are the least aware of this professional's work in the unit.","PeriodicalId":101003,"journal":{"name":"Pediatría","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90505466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lyda Mayerly Salazar Sánchez, N. Martínez, Leonardo Díaz Palacios, Kelly Estrada Orozco
Introduction: Obesity in children and adolescents is a public health problem that can go unnoticed if it is not clinically characterized early in primary care centers.Objective: To determine the prevalence of overweigh and obesity among children from 5 to 10 years, who attended to the outpatient pediatrics service at one Primary Care Center in Bogota, between 2017 and 2018.Methodology: Cross–sectional study. All 5 to 10 years old patients, attending to the outpatient pediatrics service at Clinicentro Calle 80, were included. Strict–consecutive inclusion was performed. Participants were weighted and sized; standard deviations of BMI were calculated. A survey evaluating possibly associated risk factors to overweight and obesity was fulfilled.Results: Three hundred patients were included. 148 (49,33%) were girls and 152 (50,66%) boys. The mean age was 7 years. Seventy percent had an adequate weight to the age, 14,86% and 7,43% of girls and 12,5% and 5,25% of boys had overweighed and obesity, respectively.Conclusion: High obesity prevalence was found. Considering the relevant medical consequences that overweigh and obesity has over the pediatric population, adulthood and its economic implications, this finding has remarkable clinical implications. Design and implementation of public strategies which aim is to impact on nutrition quality and physical activity since early ages, must represent one of the most important criteria during development of childhood health policies in Colombia.
{"title":"Prevalencia de sobrepeso, obesidad y factores de riesgo en una cohorte de escolares en Bogotá, Colombia","authors":"Lyda Mayerly Salazar Sánchez, N. Martínez, Leonardo Díaz Palacios, Kelly Estrada Orozco","doi":"10.14295/RP.V53I1.149","DOIUrl":"https://doi.org/10.14295/RP.V53I1.149","url":null,"abstract":"Introduction: Obesity in children and adolescents is a public health problem that can go unnoticed if it is not clinically characterized early in primary care centers.Objective: To determine the prevalence of overweigh and obesity among children from 5 to 10 years, who attended to the outpatient pediatrics service at one Primary Care Center in Bogota, between 2017 and 2018.Methodology: Cross–sectional study. All 5 to 10 years old patients, attending to the outpatient pediatrics service at Clinicentro Calle 80, were included. Strict–consecutive inclusion was performed. Participants were weighted and sized; standard deviations of BMI were calculated. A survey evaluating possibly associated risk factors to overweight and obesity was fulfilled.Results: Three hundred patients were included. 148 (49,33%) were girls and 152 (50,66%) boys. The mean age was 7 years. Seventy percent had an adequate weight to the age, 14,86% and 7,43% of girls and 12,5% and 5,25% of boys had overweighed and obesity, respectively.Conclusion: High obesity prevalence was found. Considering the relevant medical consequences that overweigh and obesity has over the pediatric population, adulthood and its economic implications, this finding has remarkable clinical implications. Design and implementation of public strategies which aim is to impact on nutrition quality and physical activity since early ages, must represent one of the most important criteria during development of childhood health policies in Colombia.","PeriodicalId":101003,"journal":{"name":"Pediatría","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88289321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The Prune-Belly sequence is a genetic disorder characterized by a triad that includes: weak abdominal wall musculature, urogenital anomalies, and bilateral cryptorchidism. Associated malformations usually accompany it. The surgical approach should be reserved for those patients with severe complications.Clinical case: We present a male neonate with agenesis of the abdominal wall musculature, multicystic renal dysplasia, and bilateral cryptorchidism, which is transferred from a primary hospital in eastern Ecuador and attended in conservative management during his hospitalization.Conclusions: The approach to SPB must be multidisciplinary due to its frequent association with other malformations. Prenatal diagnosis plays a fundamental role in the early detection of severe anomalies.
{"title":"Secuencia de Prune Belly: a propósito de un caso","authors":"W. Vidal","doi":"10.14295/RP.V53I1.139","DOIUrl":"https://doi.org/10.14295/RP.V53I1.139","url":null,"abstract":"Background: The Prune-Belly sequence is a genetic disorder characterized by a triad that includes: weak abdominal wall musculature, urogenital anomalies, and bilateral cryptorchidism. Associated malformations usually accompany it. The surgical approach should be reserved for those patients with severe complications.Clinical case: We present a male neonate with agenesis of the abdominal wall musculature, multicystic renal dysplasia, and bilateral cryptorchidism, which is transferred from a primary hospital in eastern Ecuador and attended in conservative management during his hospitalization.Conclusions: The approach to SPB must be multidisciplinary due to its frequent association with other malformations. Prenatal diagnosis plays a fundamental role in the early detection of severe anomalies.","PeriodicalId":101003,"journal":{"name":"Pediatría","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82741284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gustavo Carvajal-Barrios, Natalia Mejía, Luz Estella González Ch, A. Florez, C. M. Restrepo, R. Gastelbondo
El síndrome nefrótico (SN) es la manifestación más frecuente de las glomerulopatías primarias no inflamatorias en niños y se caracteriza proteinuria masiva con hipoalbuminemia profunda, con hiperlipidemia y edema secundarios.El SN de etiología primaria entre 15 al 30% de causa de enfermedad renal crónica terminal (ERCT) en Colombia. Dadas las diferencias en el tratamiento instaurado entre pediatras y nefrólogos pediatras, en las dosis y la duración del primer tratamiento, la presencia de efectos adversos asociados a la inmunosupresión, así como los resultados finales, según el centro médico y el recurso humano disponible, se ha realizado esta revisión en un intento de ampliar el conocimiento de la enfermedad, unificando los avances genéticos que han caracterizado el pronóstico así como las nuevas opciones terapéuticas en el manejo de los pacientes difíciles.
{"title":"Síndrome Nefrótico","authors":"Gustavo Carvajal-Barrios, Natalia Mejía, Luz Estella González Ch, A. Florez, C. M. Restrepo, R. Gastelbondo","doi":"10.14295/p.v52i3.137","DOIUrl":"https://doi.org/10.14295/p.v52i3.137","url":null,"abstract":"El síndrome nefrótico (SN) es la manifestación más frecuente de las glomerulopatías primarias no inflamatorias en niños y se caracteriza proteinuria masiva con hipoalbuminemia profunda, con hiperlipidemia y edema secundarios.El SN de etiología primaria entre 15 al 30% de causa de enfermedad renal crónica terminal (ERCT) en Colombia. Dadas las diferencias en el tratamiento instaurado entre pediatras y nefrólogos pediatras, en las dosis y la duración del primer tratamiento, la presencia de efectos adversos asociados a la inmunosupresión, así como los resultados finales, según el centro médico y el recurso humano disponible, se ha realizado esta revisión en un intento de ampliar el conocimiento de la enfermedad, unificando los avances genéticos que han caracterizado el pronóstico así como las nuevas opciones terapéuticas en el manejo de los pacientes difíciles. \u0000 \u0000 \u0000 \u0000 ","PeriodicalId":101003,"journal":{"name":"Pediatría","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74390849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maritza Muñoz Rivas, Sandra Milena Castellar Leones, Edicson Ruiz Ospina, D. M. Chaustre Ruíz, Rogelio Eduardo Camacho Echeverri, Maria Eugenia Miño Arango, B. D. Rodríguez, Lina Marcela Tavera Saldaña, Pilar Guerrero, M. Piñeros, Dagoberto Nicanor Cabrera Hémer, J. Prieto, Asid Rodríguez, M. Gómez, C. Rivera, Marcela Gálvez, Gustavo Adolfo Contreras García, Sandra Marcela López Ospina, Lina Mora, L. J. Moreno, Jose Maria Satizabal Soto, Diana Pilar Soto Peña, Manuel Huertas Quiñoñes, Jenny Jurado, Sergio Nossa, Ximena Palacios, Pilar Guarnizo, Luz Helena Castaño, Mary García
Duchenne muscular dystrophy (DMD) is the most common myopathy in children, X-linked recessive disease, caused by mutations in the DMD gene (Xp21.2). It is characterized by progressive muscular atrophy and weakness, with consequent musculoskeletal, respiratory and cardiac complications, among others. Considering the high prevalence of this condition (Worldwide prevalence 0.5 per 10,000 men) (1,2) and the importance of multidisciplinary management for the timely diagnosis and proper management of patients, an interdisciplinary consensus of experts is made to propose recommendations for the diagnosis and follow up of Colombian patients with DMD.
{"title":"Consenso colombiano para el seguimiento de pacientes con Distrofia muscular de Duchenne","authors":"Maritza Muñoz Rivas, Sandra Milena Castellar Leones, Edicson Ruiz Ospina, D. M. Chaustre Ruíz, Rogelio Eduardo Camacho Echeverri, Maria Eugenia Miño Arango, B. D. Rodríguez, Lina Marcela Tavera Saldaña, Pilar Guerrero, M. Piñeros, Dagoberto Nicanor Cabrera Hémer, J. Prieto, Asid Rodríguez, M. Gómez, C. Rivera, Marcela Gálvez, Gustavo Adolfo Contreras García, Sandra Marcela López Ospina, Lina Mora, L. J. Moreno, Jose Maria Satizabal Soto, Diana Pilar Soto Peña, Manuel Huertas Quiñoñes, Jenny Jurado, Sergio Nossa, Ximena Palacios, Pilar Guarnizo, Luz Helena Castaño, Mary García","doi":"10.14295/P.V52I3.153","DOIUrl":"https://doi.org/10.14295/P.V52I3.153","url":null,"abstract":"Duchenne muscular dystrophy (DMD) is the most common myopathy in children, X-linked recessive disease, caused by mutations in the DMD gene (Xp21.2). It is characterized by progressive muscular atrophy and weakness, with consequent musculoskeletal, respiratory and cardiac complications, among others. Considering the high prevalence of this condition (Worldwide prevalence 0.5 per 10,000 men) (1,2) and the importance of multidisciplinary management for the timely diagnosis and proper management of patients, an interdisciplinary consensus of experts is made to propose recommendations for the diagnosis and follow up of Colombian patients with DMD.","PeriodicalId":101003,"journal":{"name":"Pediatría","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82480550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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