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Kompass Neumología
La neumonía necrotizante es una complicación grave pero poco frecuente de la neumonía en niños. P... more La neumonía necrotizante es una complicación grave pero poco frecuente de la neumonía en niños. Presentamos el caso de una niña de 20 meses de edad con dificultad respiratoria, que más adelante se diagnosticó como neumonía necrotizante. En este artículo subrayamos el papel de estudios de imagen como la radiografía torácica, la TC torácica y la ultrasonografía pulmonar para el diagnóstico, y la importancia de la terapia intravenosa con antibióticos para un mejor resultado.
Case Reports in Pediatrics, 2020
Necrotizing pneumonia is a rare, serious complication of pneumonia in children. We present a case... more Necrotizing pneumonia is a rare, serious complication of pneumonia in children. We present a case of a 20-month-old girl presenting with respiratory distress which later be diagnosed with necrotizing pneumonia. In this paper, we highlight the role of imaging such as chest X-ray, chest CT, and lung ultrasonography for diagnosis and the importance of intravenous antibiotic therapy for better outcome.
Introduction: Hypoxia and hypoperfussion is often found in neonates in an intensive care unit, h... more Introduction: Hypoxia and hypoperfussion is often found in neonates in an intensive care unit, however the clinical manifestations can only be found after cellular hypoxia and tissue perfussion disorder occur. Objective: The study aims to find the ability of hyperlactatemia status as a prognostic parameter for infants in Neonatal Intensive Care Unit Level IIIA. Methods : The research was a cohort prospective study using bivariat and multivariat analysis in NICU of Dr. Wahidin Sudirohusodo Hospital from June 2012 to April 2013. The analysis of the lactate level on samples that met the inclusion and exclusion criterias was done immediately after the neonates get into the NICU level IIIA. The capliary lactate level was measured using hand held analyser. The samples were distributed into groups of hyperlactatemia and without hyperlactatemia followed by outcome observation (death or good recovery). The number of subjects were 102 patients consisted of 69 males and 33 females. Resu...
Journal of Clinical Tuberculosis and Other Mycobacterial Diseases
Journal of Inherited Metabolic Disease, 2000
The aetiology of hypergalactosaemia in 100 neonates detected by screening using the Paigen method... more The aetiology of hypergalactosaemia in 100 neonates detected by screening using the Paigen method is discussed. Hypergalactosaemia was transient in 94 cases and persistent in 6. The aetiology among transient cases was unknown in 55, delayed closure of the ductus venosus in 19, heterozygous UDP-galactose 4-epimerase (GALE) deficiency in 16, and heterozygous galactose-1-phosphate uridyltransferase (GALT) deficiency in 6. The aetiology among persistent cases was hepatic haemangioendothelioma with portovenous shunting in 2, and patent ductus venosus with hypoplasia of the intrahepatic portal vein, citrin deficiency, homozygous GALE deficiency, and heterozygous GALE deficiency in one patient each. The abnormalities of the portal system were identified ultrasonographically at the initial consultation and measurements of the total bile acid and a-fetoprotein concentrations were helpful in resolving the differential diagnosis. The causes of hypergalactosaemia varied, but a major cause was portosystemic shunt. Evaluation of patients with hypergalactosaemia should not be limited to enzymatic analysis, but should also include hepatic imaging, especially ultrasonography. Additionally, determination of total bile acids and a-fetoprotein is helpful in identifying the aetiology of hypergalactosaemia in infants. Hypergalactosaemia identified by neonatal mass screening has several aetiologies, including portosystemic shunt (Gitzelmann et al 1992; Maisawa et al 1992; Matsumoto
Kompass Neumología
La neumonía necrotizante es una complicación grave pero poco frecuente de la neumonía en niños. P... more La neumonía necrotizante es una complicación grave pero poco frecuente de la neumonía en niños. Presentamos el caso de una niña de 20 meses de edad con dificultad respiratoria, que más adelante se diagnosticó como neumonía necrotizante. En este artículo subrayamos el papel de estudios de imagen como la radiografía torácica, la TC torácica y la ultrasonografía pulmonar para el diagnóstico, y la importancia de la terapia intravenosa con antibióticos para un mejor resultado.
Case Reports in Pediatrics, 2020
Necrotizing pneumonia is a rare, serious complication of pneumonia in children. We present a case... more Necrotizing pneumonia is a rare, serious complication of pneumonia in children. We present a case of a 20-month-old girl presenting with respiratory distress which later be diagnosed with necrotizing pneumonia. In this paper, we highlight the role of imaging such as chest X-ray, chest CT, and lung ultrasonography for diagnosis and the importance of intravenous antibiotic therapy for better outcome.
Introduction: Hypoxia and hypoperfussion is often found in neonates in an intensive care unit, h... more Introduction: Hypoxia and hypoperfussion is often found in neonates in an intensive care unit, however the clinical manifestations can only be found after cellular hypoxia and tissue perfussion disorder occur. Objective: The study aims to find the ability of hyperlactatemia status as a prognostic parameter for infants in Neonatal Intensive Care Unit Level IIIA. Methods : The research was a cohort prospective study using bivariat and multivariat analysis in NICU of Dr. Wahidin Sudirohusodo Hospital from June 2012 to April 2013. The analysis of the lactate level on samples that met the inclusion and exclusion criterias was done immediately after the neonates get into the NICU level IIIA. The capliary lactate level was measured using hand held analyser. The samples were distributed into groups of hyperlactatemia and without hyperlactatemia followed by outcome observation (death or good recovery). The number of subjects were 102 patients consisted of 69 males and 33 females. Resu...
Journal of Clinical Tuberculosis and Other Mycobacterial Diseases
Journal of Inherited Metabolic Disease, 2000
The aetiology of hypergalactosaemia in 100 neonates detected by screening using the Paigen method... more The aetiology of hypergalactosaemia in 100 neonates detected by screening using the Paigen method is discussed. Hypergalactosaemia was transient in 94 cases and persistent in 6. The aetiology among transient cases was unknown in 55, delayed closure of the ductus venosus in 19, heterozygous UDP-galactose 4-epimerase (GALE) deficiency in 16, and heterozygous galactose-1-phosphate uridyltransferase (GALT) deficiency in 6. The aetiology among persistent cases was hepatic haemangioendothelioma with portovenous shunting in 2, and patent ductus venosus with hypoplasia of the intrahepatic portal vein, citrin deficiency, homozygous GALE deficiency, and heterozygous GALE deficiency in one patient each. The abnormalities of the portal system were identified ultrasonographically at the initial consultation and measurements of the total bile acid and a-fetoprotein concentrations were helpful in resolving the differential diagnosis. The causes of hypergalactosaemia varied, but a major cause was portosystemic shunt. Evaluation of patients with hypergalactosaemia should not be limited to enzymatic analysis, but should also include hepatic imaging, especially ultrasonography. Additionally, determination of total bile acids and a-fetoprotein is helpful in identifying the aetiology of hypergalactosaemia in infants. Hypergalactosaemia identified by neonatal mass screening has several aetiologies, including portosystemic shunt (Gitzelmann et al 1992; Maisawa et al 1992; Matsumoto