Sindrome de Marshall Smith

Abstract

The case analyzed is a male patient 1 year 3 months old, born in Latacunga and living in Salcedo (address Mulliquindil Santa Ana neighborhood of San Isidro), blood type: 0RH +, with antenatal history: get iron, acid folate and calcium; complications during pregnancy hyperemesis gravidarum, no exposure to teratogens, no bleeding, no threat of loss, prenatal five normal controls, echoes: 4 uncomplicated. Native Background: product exploits the fourth born by Caesarean section at 40 weeks of gestation in Latacunga General Hospital, unplanned; Anthropometry: weight 3260, Height: 52 cm, crying immediately, complete immunizations according to age schedule of the Ministry of Public Health. Postnatal Background: After birth they administered oxygen so happened two days in the service of neonatology at 3 weeks go control where low weight for height is evident and admitted to the hospital in Latacunga for 18 days, which increases are evident the mother eyeballs concerns that already had from birth, also blue sclera, there is a total closure of palpebral fissure for which need to be assessed by ophthalmology patient is discharged with reference to hospital IESS Latacunga, which is entered this nursing home Patient remains hospitalized for 14 days with a diagnosis of pneumonia, Marshall Smith Syndrome, Protein Calorie Malnutrition and acute diarrheal disease during the days of hospitalization, he conducted examinations and subsequent to his clinic received analgesia and antibiotic treatment and monitoring to improve Lifestyle.