Boletín médico del Hospital Infantil de México最新文献

筛选
英文 中文
The relationship between the use of digital display devices and headphones and primary headaches in children. 数字显示设备和耳机的使用与儿童原发性头痛的关系。
IF 0.9
Boletín médico del Hospital Infantil de México Pub Date : 2023-01-01 DOI: 10.24875/BMHIM.23000002
Hüseyin Çaksen, Nadire Ş Özçelik, Ahmet S Güven, Ahmet O Kılıç
{"title":"The relationship between the use of digital display devices and headphones and primary headaches in children.","authors":"Hüseyin Çaksen,&nbsp;Nadire Ş Özçelik,&nbsp;Ahmet S Güven,&nbsp;Ahmet O Kılıç","doi":"10.24875/BMHIM.23000002","DOIUrl":"https://doi.org/10.24875/BMHIM.23000002","url":null,"abstract":"<p><strong>Background: </strong>Headache represents the most common neurologic symptom in children. In this study, we investigated the relationship between watching television, listening to music with headphones, smartphone, tablet, and computer use, and primary headaches in children. We aimed to determine whether primary headache in children is associated with excessive use of digital display devices and headphones and whether reducing the use of digital display devices and headphones affects primary headache.</p><p><strong>Methods: </strong>The study included 69 children with primary headaches and 64 with no headaches as a control group. All subjects were evaluated for demographic and headache characteristics and the use of digital display devices and headphones. Our recommendation for patients and families was to decrease the use of digital display devices and headphones, and the headache burden was re-evaluated after one month.</p><p><strong>Results: </strong>Headache frequency was more common in patients who watched television and used smartphones or tablets for more than 6 hours per day. Using a smartphone or tablet for more than 3 hours daily was more common in the study group than the control group. Headache frequency decreased in all patients one month after the digital imaging device and headphones were restricted.</p><p><strong>Conclusions: </strong>Watching television and using a smartphone or tablet strongly associates with primary headaches during childhood.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"80 3","pages":"202-210"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9895612","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
Increased risk of hospitalization and death in Mexican children and adolescents with COVID-19 and comorbidities. 感染COVID-19和合并症的墨西哥儿童和青少年住院和死亡风险增加
IF 0.9
Boletín médico del Hospital Infantil de México Pub Date : 2023-01-01 DOI: 10.24875/BMHIM.22000124
Pablo Méndez-Hernández, Diego R Hernández-Galdamez, Miguel A González-Block, Daniela K Romo-Dueñas, Rosa M Cahuantzi-Tamayo, Omar Texis-Morales, Juan J Medina-Urzúa, Rosalba Cerón-Meza, Irma A Hernández-Vicente, Marivel Lumbreras-Guzmán
{"title":"Increased risk of hospitalization and death in Mexican children and adolescents with COVID-19 and comorbidities.","authors":"Pablo Méndez-Hernández,&nbsp;Diego R Hernández-Galdamez,&nbsp;Miguel A González-Block,&nbsp;Daniela K Romo-Dueñas,&nbsp;Rosa M Cahuantzi-Tamayo,&nbsp;Omar Texis-Morales,&nbsp;Juan J Medina-Urzúa,&nbsp;Rosalba Cerón-Meza,&nbsp;Irma A Hernández-Vicente,&nbsp;Marivel Lumbreras-Guzmán","doi":"10.24875/BMHIM.22000124","DOIUrl":"https://doi.org/10.24875/BMHIM.22000124","url":null,"abstract":"<p><strong>Background: </strong>Although COVID-19 (coronavirus disease 2019) in children is usually mild, they need hospitalization and intensive care in exceptional cases. Adverse outcomes have been observed mainly among children with comorbidities, justifying their vaccination. This study aimed to assess the risk of hospitalization and death in Mexican children and adolescents with COVID-19 and comorbidities.</p><p><strong>Methods: </strong>A cross-sectional study was performed on 366,542 confirmed COVID-19 cases under 18 years, reported by the Mexican Ministry of Health up to July 9, 2022. Logistic regression models were performed.</p><p><strong>Results: </strong>The mean age was 10.98 years, 50.6% were male, and 7.3% reported at least one comorbidity. The percentage of hospitalization and death in COVID-19 patients with and without comorbidities was 3.52%, and 0.20%, respectively; children with comorbidities presented a higher percentage of hospitalization (14.0%) and death (1.9%). The probability of hospitalization was 5.6 times greater in pediatric patients with COVID-19 and comorbidities, and the comorbidities that showed the greatest risk were immunosuppression (odds ratio (OR) 22.06), chronic kidney disease (CKD) (11.36), and cardiovascular diseases (5.66). The probability of death in patients with comorbidities was 11.01 times higher than in those without diseases, and the highest risk was observed in those with CKD (OR 12.57), cardiovascular diseases (6.87), and diabetes (5.83).</p><p><strong>Conclusions: </strong>Pediatric patients with comorbidities presented a higher risk of severe COVID-19. It is suggested that vaccination should be promoted with greater emphasis on pediatric patients with comorbidities.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"80 2","pages":"105-114"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9665191","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
Prurigo solar y su asociación con el HLA-DR4 (DRB1*0407). Prurigo solar及其与HLA-DR4 (DRB1*0407)的关联。
IF 0.9
Boletín médico del Hospital Infantil de México Pub Date : 2023-01-01 DOI: 10.24875/BMHIM.22000102
Mario Magaña, Ana P Landeta-Sa
{"title":"Prurigo solar y su asociación con el HLA-DR4 (DRB1*0407).","authors":"Mario Magaña,&nbsp;Ana P Landeta-Sa","doi":"10.24875/BMHIM.22000102","DOIUrl":"https://doi.org/10.24875/BMHIM.22000102","url":null,"abstract":"","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"80 1","pages":"74-75"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9192796","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
Extrarenal rhabdoid tumor of anterior mediastinal location. 前纵隔位置肾外横纹肌样瘤。
IF 0.9
Boletín médico del Hospital Infantil de México Pub Date : 2023-01-01 DOI: 10.24875/BMHIM.22000035
Raymundo Martínez-Cuevas, Andrea Medellín-Ortega, Enrique E López-Facio, Rosa L Escareño-Zuñiga, Gabriela Alvarado-Jiménez, Cecilia M González-Prado-García, Jesús G Muñiz-Ugarte
{"title":"Extrarenal rhabdoid tumor of anterior mediastinal location.","authors":"Raymundo Martínez-Cuevas,&nbsp;Andrea Medellín-Ortega,&nbsp;Enrique E López-Facio,&nbsp;Rosa L Escareño-Zuñiga,&nbsp;Gabriela Alvarado-Jiménez,&nbsp;Cecilia M González-Prado-García,&nbsp;Jesús G Muñiz-Ugarte","doi":"10.24875/BMHIM.22000035","DOIUrl":"https://doi.org/10.24875/BMHIM.22000035","url":null,"abstract":"<p><strong>Background: </strong>Rhabdoid tumors are malignant neoplasms of low prevalence, aggressive behavior, and high mortality. They were initially described as renal tumors, although tumors with the same histopathological and immunohistochemical characteristics have been discovered in other locations, mainly in the central nervous system. Few cases of mediastinal location have been reported internationally. This work aimed to describe the case of a mediastinal rhabdoid tumor.</p><p><strong>Case report: </strong>We describe the case of an 8-month-old male patient admitted to the pediatric department with dysphonia and laryngeal stridor progressing to severe respiratory distress. Contrast-enhanced computed tomography of the thorax showed a large mass with homogeneous soft tissue density, and smooth and well-defined borders, with suspicion of malignant neoplasm. Due to the oncological emergency compressing the airway, empirical chemotherapy was initiated. Subsequently, the patient underwent incomplete tumor resection due to its invasive nature. The pathology report showed morphology compatible with a rhabdoid tumor, which immunohistochemical and genetic studies corroborated. Chemotherapy and radiotherapy to the mediastinum were administered. However, the patient died three months after the initial treatment due to the aggressive behavior of the tumor.</p><p><strong>Conclusions: </strong>Rhabdoid tumors are aggressive and malignant entities difficult to control and have poor survival. Early diagnosis and aggressive treatment are required, although the 5-year survival does not exceed 40%. It is necessary to analyze and report more similar cases to establish specific treatment guidelines.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"80 1","pages":"63-68"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9491384","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
Antibiotics in the end-of-life phase in pediatric oncological patients with a diagnosis of terminal illness: a dilemma. 诊断为绝症的儿科肿瘤患者生命末期阶段的抗生素:一个困境。
IF 0.9
Boletín médico del Hospital Infantil de México Pub Date : 2023-01-01 DOI: 10.24875/BMHIM.23000039
Jackelyn S Paez-Velasquez, Horacio Márquez-González, Jéssica H Guadarrama-Orozco
{"title":"Antibiotics in the end-of-life phase in pediatric oncological patients with a diagnosis of terminal illness: a dilemma.","authors":"Jackelyn S Paez-Velasquez, Horacio Márquez-González, Jéssica H Guadarrama-Orozco","doi":"10.24875/BMHIM.23000039","DOIUrl":"10.24875/BMHIM.23000039","url":null,"abstract":"<p><strong>Background: </strong>Pediatric cancer patients in the final phase of life receive antibiotics empirically. The decision to start, maintain, or stop the antibiotic administration as part of care at this stage is a dilemma.</p><p><strong>Methods: </strong>We conducted a retrospective, descriptive, cross-sectional study including cancer patients in the final phase of life, hospitalized during the last 5 to 7 days of life. We included demographic variables, diagnoses, days of hospitalization, cultures, antibiotics used, prevalent symptoms in the last week of life, and principal diagnosis at the time of death, and performed descriptive statistics and a chord diagram.</p><p><strong>Results: </strong>Twenty-two patients were included; 18 (81.81%) received antibiotic treatment. The mean age was 8.75 years. The predominant pathologies were central nervous system tumors in seven patients (31.81%). Of the total, 18 (81.81%) had an infectious diagnosis reported as bloodstream infection, followed by pneumonia in three (13.63%). The main cause of death was respiratory failure (40.9%). Of the 18 patients with an infectious diagnosis, 16 (88.88%) received empiric therapy. Predominant factors for antibiotic use were more than 7 days of hospitalization (75%), ICU admission (100%), invasive devices (88.8%), and aminergic support (100%). The predominant symptoms were dyspnea (68.18%), pain (50%), and fever (40.9%), which persisted in nine (60%), two (18.18%), and five (55.5%) patients, respectively.</p><p><strong>Conclusions: </strong>The lack of guidelines for antibiotic administration leads to excessive and potentially unnecessary use, which can lead to discomfort, prolonged hospitalization, bacterial resistance, excessive cost, and suffering without symptom control.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"80 5","pages":"279-287"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107590216","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
Bowel obstruction related to hydrogel beads. 与水凝胶珠有关的肠梗阻。
IF 0.9
Boletín médico del Hospital Infantil de México Pub Date : 2023-01-01 DOI: 10.24875/BMHIM.22000137
Paulina M Zurita-Martínez, Diana A Guerrero-Reséndiz, Horacio Silva-Ramírez, Carlos Alcántara-Noguez, Luz A Lechuga-Mendoza, Diana C Jiménez-Arrieta, Isabel Vera-López, Alejandra P Torres-Hinojosa
{"title":"Bowel obstruction related to hydrogel beads.","authors":"Paulina M Zurita-Martínez,&nbsp;Diana A Guerrero-Reséndiz,&nbsp;Horacio Silva-Ramírez,&nbsp;Carlos Alcántara-Noguez,&nbsp;Luz A Lechuga-Mendoza,&nbsp;Diana C Jiménez-Arrieta,&nbsp;Isabel Vera-López,&nbsp;Alejandra P Torres-Hinojosa","doi":"10.24875/BMHIM.22000137","DOIUrl":"https://doi.org/10.24875/BMHIM.22000137","url":null,"abstract":"<p><strong>Background: </strong>Bowel obstruction due to accidental ingestion of foreign objects occurs rarely in children because 80 to 90% of the objects can pass freely through the gastrointestinal tract.</p><p><strong>Case report: </strong>We report a case of a 14-month-old infant who presented bowel obstruction caused by the ingestion of hydrogel beads (sodium polyacrylate). Hydrogel beads are used as sensory and didactic toys that can increase their initial size 200 to 400 times by liquid absorption. An abdominal X-ray was perfomed in anteroposterior supine projection, where a round filling defect at the loop of the right flank was detected; this came to our attention because hydrogel beads are usually radiolucent. The diagnosis was established by abdominal ultrasound where free intraperitoneal fluid was reported with data of small bowel pseudo-obstruction by foreign objects. Conservative treatment was prescribed, finding persistence of increased abdominal perimeter, so an enterotomy was performed for their removal; finding impacted hydrogel beads 30 centimeters from the ileocecal valve.</p><p><strong>Conclusions: </strong>Hydrogel beads are dangerous for the pediatric population. The evolution of the patient was favorable thanks to the knowledge of the foreign objects ingested. The expectant behavior that had to be executed, stands out because we had no knowledge as to the maximum size of the hydrogel in the gastrointestinal tract.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"80 Supl 1","pages":"64-68"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9890406","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
Fibrodysplasia ossificans progressiva in a 3-year-old female patient. 进行性骨化性纤维发育不良1例3岁女性患者。
IF 0.9
Boletín médico del Hospital Infantil de México Pub Date : 2023-01-01 DOI: 10.24875/BMHIM.22000039
Cecilia Moreira, Gabriel Dapueto, Gabriel Peluffo, Alejandra Vomero, Alejandra Tapié, Soledad Rodríguez, Victor Raggio, Rodrigo Suárez, Gustavo Giachetto, Loreley García
{"title":"Fibrodysplasia ossificans progressiva in a 3-year-old female patient.","authors":"Cecilia Moreira,&nbsp;Gabriel Dapueto,&nbsp;Gabriel Peluffo,&nbsp;Alejandra Vomero,&nbsp;Alejandra Tapié,&nbsp;Soledad Rodríguez,&nbsp;Victor Raggio,&nbsp;Rodrigo Suárez,&nbsp;Gustavo Giachetto,&nbsp;Loreley García","doi":"10.24875/BMHIM.22000039","DOIUrl":"https://doi.org/10.24875/BMHIM.22000039","url":null,"abstract":"<p><strong>Background: </strong>Fibrodysplasia ossificans progressiva (FOP) is a rare autosomal dominant disease affecting connective tissue, primarily caused by de novo mutations of the ACVR1 gene. FOP is a disease with congenital malformations of the toes and heterotopic ossification in characteristic patterns that progresses with flare-ups and remissions. Cumulative damage results in disability and, eventually, death. This report aimed to describe a case of FOP to highlight the importance of early diagnosis of this rare condition.</p><p><strong>Case report: </strong>We describe the case of a 3-year-old female diagnosed with congenital hallux valgus, who initially presented with soft tissue tumors, predominantly in the neck and chest, with partial remission. Multiple diagnostic tests were performed, including biopsies and magnetic resonance imaging, with nonspecific results. We observed ossification of the biceps brachii muscle during evolution. The molecular genetic study found a heterozygous ACVR1 gene mutation that confirmed FOP.</p><p><strong>Conclusions: </strong>Knowledge of this rare disease by pediatricians is critical for an early diagnosis and for avoiding unnecessary invasive procedures that may promote disease progression. In case of clinical suspicion, performing an early molecular study is suggested to detect ACVR1 gene mutations. The treatment of FOP is symptomatic and focused on maintaining physical function and family support.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"80 1","pages":"69-73"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9139178","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
First report of pediatric ehrlichiosis in Mexico. 墨西哥首例小儿埃利希体病报告。
IF 0.9
Boletín médico del Hospital Infantil de México Pub Date : 2023-01-01 DOI: 10.24875/BMHIM.22000056
Daniela Cisneros-Saldaña, Luis E Osuna-Álvarez, José I Castillo-Bejarano, Abiel H Mascareñas-de Los Santos, Denisse N Vaquera-Aparicio, Samantha Pérez-Cavazos
{"title":"First report of pediatric ehrlichiosis in Mexico.","authors":"Daniela Cisneros-Saldaña,&nbsp;Luis E Osuna-Álvarez,&nbsp;José I Castillo-Bejarano,&nbsp;Abiel H Mascareñas-de Los Santos,&nbsp;Denisse N Vaquera-Aparicio,&nbsp;Samantha Pérez-Cavazos","doi":"10.24875/BMHIM.22000056","DOIUrl":"https://doi.org/10.24875/BMHIM.22000056","url":null,"abstract":"<p><strong>Background: </strong>Ehrlichia chaffeensis is responsible for most cases of human ehrlichiosis, an acute febrile tick-borne disease. This clinical entity is more commonly reported in adults from the United States. Therefore, it is of special interest to characterize this disease in children, given that very few cases in children have been reported outside of this country.</p><p><strong>Case report: </strong>We describe the case of a 15-year-old female from northeastern Mexico with a five-day history of myalgias, arthralgias, fever, abdominal pain, rash, and somnolence. The possibility of tick-borne disease was suspected considering that she lived with three tick-infested dogs that had recently died and a neighbor with similar symptoms who deteriorated rapidly and died a week earlier. Ehrlichia spp. was detected in blood samples by polymerase chain reaction. The patient completed a seven-day course of doxycycline and was discharged with complete resolution of symptoms.</p><p><strong>Conclusions: </strong>This case is the first report of ehrlichiosis in a pediatric patient in Mexico, illustrating the importance of considering tick-borne diseases as a differential diagnosis in patients with rash, fever, and altered level of consciousness. This initial clinical presentation may be indistinct from other conditions such as dengue, meningococcemia, and multisystem inflammatory syndrome in children (MIS-C), among others.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"80 Supl 1","pages":"12-22"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9883897","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
Juvenile scoliosis as the first manifestation of syringomyelia associated with Chiari malformation type I. 青少年脊柱侧凸为脊髓空洞伴型Chiari畸形的首发表现。
IF 0.9
Boletín médico del Hospital Infantil de México Pub Date : 2023-01-01 DOI: 10.24875/BMHIME.M23000069
Julieta Bitler, Clara Ceriani Cernadas, Nicolas A Montivero, Alfredo Eymann
{"title":"Juvenile scoliosis as the first manifestation of syringomyelia associated with Chiari malformation type I.","authors":"Julieta Bitler,&nbsp;Clara Ceriani Cernadas,&nbsp;Nicolas A Montivero,&nbsp;Alfredo Eymann","doi":"10.24875/BMHIME.M23000069","DOIUrl":"https://doi.org/10.24875/BMHIME.M23000069","url":null,"abstract":"BACKGROUND Scoliosis is a spinal deformity that usually manifests as a structural curve determining a variable deformity of the trunk. According to some published series, 4 to 26% of scoliosis initially classified as idiopathic show neurological alterations when studied with nuclear magnetic resonance, such as syringomyelia and Chiari malformation, among the most frequent. Chiari malformations are characterized by descending herniation of the cerebellar tonsils, brainstem, and IV ventricle into the spinal canal. CASE REPORT We present the case of a patient whose first symptomatic manifestation was early-onset scoliosis. The overlapping of some physical examination signs, such as postural lateralization and scoliosis, reinforced the active suspicion of neuroaxis alterations. CONCLUSIONS Early childhood-onset scoliosis should raise a high degree of suspicion for association with neuro-spinal diseases. Although the frequency of Chiari malformation is low, its early approach could reduce the progression of associated comorbidities. An early detection could change the prognosis of the disease.","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"80 Supl 1","pages":"28-32"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9890407","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
Congenital pulmonary malformations in children in a pediatric hospital in Peru, 2010-2020. 2010-2020年,秘鲁一家儿科医院的儿童先天性肺畸形。
IF 0.9
Boletín médico del Hospital Infantil de México Pub Date : 2023-01-01 DOI: 10.24875/BMHIM.23000055
Héctor Nuñez-Paucar, Noé Atamari-Anahui, Carlos Valera-Moreno
{"title":"Congenital pulmonary malformations in children in a pediatric hospital in Peru, 2010-2020.","authors":"Héctor Nuñez-Paucar,&nbsp;Noé Atamari-Anahui,&nbsp;Carlos Valera-Moreno","doi":"10.24875/BMHIM.23000055","DOIUrl":"10.24875/BMHIM.23000055","url":null,"abstract":"<p><strong>Background: </strong>Congenital pulmonary malformations (CPMs) are rare in children. This study aimed to describe the clinical, imaging characteristics, and treatment of patients with this pathology.</p><p><strong>Methods: </strong>We conducted a descriptive and retrospective study with data from patients with CPMs diagnosed at Instituto Nacional de Salud del Niño-Breña (Lima-Peru), from January 2010 to December 2020. We described CPM clinical and imaging characteristics, type and treatment.</p><p><strong>Results: </strong>The sample was formed of 70 patients. The median age was 29 months (range 15 days-14 years) and the male/female ratio was 1.4. The chest tomography found parenchymal involvement in 50 (71.4%) cases and mixed involvement (parenchymal and vascular) in 18 (25.7%) cases. Congenital malformation of the pulmonary airway was present in 39 (55.7%) cases, followed by bronchogenic cyst in 10 (14.3%), intralobar pulmonary sequestration in 9 (12.9%), and extralobar pulmonary sequestration in 7 (10%). Lobectomy was performed in 61 (87.1%) cases, cystectomy in 5 (7.1%), segmentectomy in 2 (2.9%), and embolization in 2 (2.9%). The most frequent post-operative complication was pneumonia, found in 9 (12.9%) cases. The median hospital stay was 26 days. No patient died during hospitalization.</p><p><strong>Conclusions: </strong>In our institution, the most frequent CPM was congenital malformation of the pulmonary airway, and lobectomy was the most frequently performed surgical procedure. CPMs represent a diverse group of disorders of lung development with varied imaging patterns and clinical manifestations.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"80 4","pages":"235-241"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10295575","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
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信