Ciencias de la Salud
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Item Osteomielitis con Paraclinica Normal Secundaria A Celulitis(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-11-01) Martínez Molina, José Andrés; Altamirano Villacreces, Rosa AmaliaDra.A case of osteomyelitis secondary to cellulite which was diagnosed with radiographic images and presenting normal paraclinical described. The clinical course of a patient of 9 years old with a history of filing a cellulite treated with intravenous antibiotics in hospital and you are discharged after referral summarized. In the control outpatient the patient without any symptoms and physical examination without producing any signs suggesting infection or inflammation, he underwent plain radiography where images compatible with osteomyelitis was evident, so hospitalization is decided, then which laboratory tests were within normal parameters requested. This being important imaging tests for early diagnosis, so that radiography remains the first step in the study of patients with clinical suspicion of musculoskeletal infection. You can just express findings from the 10th day of osteomyelitis and thus reduce the likelihood of complications.Item Retinoblastoma más Desnutrición en Paciente Pediátrico(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-10-01) Panimboza Guamán, Inés Paulina; Nájera Rodríguez, Cecilia Isabel Dra.This paper aims to document and analyze the vital and chronic risk to suffer from retinoblastoma, common in less industrialized countries economically poor and in rural areas, the etiology is not known but the possible influence of genetic, nutritional factors is postulated and environmental. There are two forms of the disease: hereditary and sporadic. The first is rarer, with an autosomal dominant inheritance pattern, commonly seen in young children and may be bilateral. The sporadic form is unilateral and the mutation found only in the neoplastic cells. 2 forms affect weight and height, interfering with the growth of children in early stages of development. Then the case of a 7 months old, born and resident in the Canton Arajuno located in a rural area of the province of Pastaza, born at home, the product of the second pregnancy without prenatal checkups, family history is as follows: 3 year old sibling diagnosed with retinoblastoma treatment, the patient is taken by her mother to Sub health center thermal rise unquantified where prescribe antipyretic (Paracetamol) without finding improvement also redness of right eye output yellowish discharge, edema palpebral, hyporexia and general decay so goes the Hospital General Puyo where we value: Ophthalmologist and pediatrician, decide to enter the area of Pediatrics with diagnosis of pre-septal cellulitis versus orbital cellulitis right eye more Malnutrition Grade II, perform laboratory tests and suspicion of ocular neoplastic disease: Computed tomography (CT) is paranasal sinuses and orbit ultrasound eye finding echogenic mass with irregular contours, measures 19 mm in length that moves the eyeball medially, these findings justify performing CT multidetector simple orbits and contrasted it suggests describing and right diagnosis of retinoblastoma. The patient remained hospitalized for nine days in treatment with antibiotics (Tobramycin, Ampicillin + Sulbactam, Metronidazole) for 7 days and its nutritional treatment for malnourished and at recommended doses required for age. The clinical course of acute infectious process was favorable but limited response capacity of retinoblastoma transfer to more complex Hospital decided, getting outpatient appointment for Ophthalmology at Children's Hospital Baca Ortiz.Item Estafilococia en Edad Pediátrica(2016-10-01) Ruiz Chávez, Paúl Josué; Alulema Velasco, César Augusto Dr. Esp.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.