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Tumoración submandibular y laterocervical bilateral en un lactante 婴儿下颌下和双侧颈外侧肿瘤
Pediatría Pub Date : 2020-06-09 DOI: 10.14295/RP.V53I2.135
Borja Merelo Nicolás, L. Jimenez, A. M. Ruiz, S. Miguélez
{"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":"35 1","pages":"72-75"},"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}
引用次数: 0
Comportamiento del peso en recién nacidos tratados con nutrición parenteral 肠外营养新生儿的体重行为
Pediatría Pub Date : 2020-03-03 DOI: 10.14295/P.V52I3.141
Ricardo Sánchez-Consuegra, Vanesa Hernández, R. Hernández, Julio Montaño-Bandera
{"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":"29 1","pages":"69-74"},"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}
引用次数: 1
Reporte de caso y revisión de literatura: Enfermedad de orina con olor a jarabe de arce 病例报告和文献综述:枫糖浆尿病
Pediatría Pub Date : 2020-03-01 DOI: 10.14295/RP.V53I1.158
Adolfo Enrique Alvarez Montañez, Sindy Margareth Bermejo Padilla, Sandra Yadira Stapper Páez
{"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":"28 1","pages":"30-35"},"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}
引用次数: 0
Caracterización de la población pediátrica con sospecha o diagnóstico de cáncer atendida en el Hospital Universitario San José de Popayán, Colombia 在哥伦比亚San jose de popayan大学医院治疗的疑似或诊断为癌症的儿科人群的特征
Pediatría Pub Date : 2020-03-01 DOI: 10.14295/RP.V53I1.178
Roberth Ordoñez, L. F. Gaitán, Lina Burbano, Christian Ali Buesaquillo Camayo, José Andrés Calvache España
{"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":"20 1","pages":"14-22"},"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}
引用次数: 0
Rizotomía dorsal selectiva para manejar la espasticidad en niños con parálisis cerebral 选择性背根切开术治疗脑瘫儿童痉挛
Pediatría Pub Date : 2020-03-01 DOI: 10.14295/RP.V53I1.172
S. M. Pizarro
{"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":"11 1","pages":"3-4"},"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}
引用次数: 0
Percepción sobre el rol del fonoaudiólogo en el área de motricidad oral en la unidad de cuidados intensivos neonatal 对新生儿重症监护病房口腔运动领域言语听力学家作用的认知
Pediatría Pub Date : 2020-03-01 DOI: 10.14295/RP.V53I1.161
Jimy Alvarado Meza, Shirley Patricia Guerra Garcés, Danna Carolina Marín Reyes, Leidinys Andrea Ortíz Duarte
{"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":"22 1","pages":"23-29"},"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}
引用次数: 4
Prevalencia de sobrepeso, obesidad y factores de riesgo en una cohorte de escolares en Bogotá, Colombia 哥伦比亚波哥大学童队列中超重、肥胖和危险因素的患病率
Pediatría Pub Date : 2020-03-01 DOI: 10.14295/RP.V53I1.149
Lyda Mayerly Salazar Sánchez, N. Martínez, Leonardo Díaz Palacios, Kelly Estrada Orozco
{"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":"1 1","pages":"5-13"},"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}
引用次数: 1
Secuencia de Prune Belly: a propósito de un caso 李子肚序列:关于一个案例
Pediatría Pub Date : 2020-03-01 DOI: 10.14295/RP.V53I1.139
W. Vidal
{"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":"45 1","pages":"36-39"},"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}
引用次数: 0
Síndrome Nefrótico
Pediatría Pub Date : 2020-02-27 DOI: 10.14295/p.v52i3.137
Gustavo Carvajal-Barrios, Natalia Mejía, Luz Estella González Ch, A. Florez, C. M. Restrepo, R. Gastelbondo
{"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":"28 1","pages":""},"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}
引用次数: 0
Consenso colombiano para el seguimiento de pacientes con Distrofia muscular de Duchenne 哥伦比亚对杜兴肌营养不良患者随访的共识
Pediatría Pub Date : 2020-01-14 DOI: 10.14295/P.V52I3.153
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
{"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":"34 1","pages":"75-84"},"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}
引用次数: 2
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