“Calidad de atención en un paciente pediátrico con lesión pulmonar cavitada.”

Abstract

Female patient, 14 years old, single, student, born in Zumbahua, with primary education, catholic religion, with a history of recurrent upper respiratory infections. 2 months ago attends to present unquantified dyspnea and pain in the left side of pleuritic, hemoptysis cough, and thermal rise. Patient in regular conditions Blood Pressure 100 / 40mmHg, heart rate: 124 beats per minute, respiratory rate: 22 breaths per minute, axillary temperature: 38 degrees centigrade, oxygen saturation: 85%. FiO2 21%. Lungs breath sounds decreased left lung base, slight crackles in bilateral predominantly on the left side of moderate intensity bases, transferred to Provincial General Hospital Latacunga, where it is evaluated and diagnosed with pneumonia cavitary Lobar left more left pleural effusion, is hospitalized receiving ceftriaxone and clarithromycin is discharged at 48 hours with moxifloxacin and clarithromycin for 7 days. Patient returns to the Emergency Service at 22 days with persistent pain in the left, increased shortness of breath, fatigue and vomiting. Sputum smears are requested to be negative, it is referred to the Hospital Eugenio Espejo considering Necrotizing pneumonia, will provide a comprehensive assessment and outpatient treatment guide.