Estafilococia en Edad Pediátrica

Abstract

Staphylococcus aureus (SA) is a bacterium frequently involved in infections of varying severity and location. Epidemiological changes have been observed, and it has been found further dissemination at the community level and increased isolation in pediatric patients. Initially associated with skin infections and soft tissues, increasing episodes of invasive disease are described. Misuse of antibiotics has dramatically increased resistance to them in most of the world, resulting in the emergence of organisms with more complex mechanisms of resistance, which is a public health problem of growing importance. Furthermore, the importance of Staphylococcus aureus, is the ability to produce intermittent colonizations; which can progress to infection with varying degrees of severity. This case describes a female patient 10 years old, born and resident in the city of Puyo, no history of importance that after physical activity have severe pain at right shoulder accompanied by unquantified thermal rise, swelling and redness in area deltoid ipsilateral member, is valued at General Hospital Puyo and painting is listed as synovitis right shoulder and cellulite, apply plaster cast, analgesia home is sent, however persists thermal rise and concerns increased pain level right shoulder so it is removed immobilization, admission is decided and antibiotic therapy begins with oxacillin and cefazolin for two days, plus gentamicin is added emo infectious. On the third day patient has dry cough, shortness of breath, tachypnea, saturating 75% to ambient air; so it is transferred Hospital IESS Ambato, Home health third level is valued by UCI and started antibiotic therapy with vancomycin, the patient remains with signs of respiratory distress and fifth day of hospitalization pleural effusion is identified bilateral As placed chest tube drains the 360cc and 320cc right side to the left side. In its seventh day of hospitalization chest tubes are removed, has decreased signs of hemodynamically stable respiratory distress, so their egress to the pediatric decided, on the tenth day cough is evident in large quantities and thermal spikes reappear without giving to antipyretics, left pleural effusion is evident, proceed to drain 35 cc of liquid blood count and persistence sero thermal rise more spill is rotated to linezolid, is completed 14 days and was discharged in good condition.