RESUMEN
Simple renal cysts are infrequently diagnosed in children. Technique improvements in pediatric uroradiology lead to more frequent recognition. Authors review urographic and ultrasound studies of five simple renal cysts in children, between two days and seven years, seen during the last five years.
Asunto(s)
Enfermedades Renales Quísticas/patología , Niño , Preescolar , Femenino , Humanos , Lactante , Recién Nacido , Enfermedades Renales Quísticas/diagnóstico por imagen , Masculino , Radiografía , UltrasonografíaRESUMEN
We present 5 patients with ectopic pelvic kidneys who underwent surgery for associated disorders. In addition, the kidneys were repositioned to a higher location where they are less likely to interfere with vaginal delivery at a later date. Ectopic kidneys are mobile, and the vessels and ureters have sufficient length to allow for their repositioning.
Asunto(s)
Riñón/anomalías , Preescolar , Femenino , Humanos , Lactante , Riñón/cirugía , Masculino , MétodosRESUMEN
Review of 102 admissions of children (one month to seven years of age) with bacterial meningitis is presented. 46 of the patients (45%) had been treated previously with one or more antibiotics. Previous treatment made culture of CSF negative in a statistically significant (p less than 0.001) number of cases, mainly in meningococcal meningitis. There were no significant differences in the levels of CSF glucose, proteins and WBC's between both groups. A decrease of the percentage PMN/lymphocytes was found in the CSF of the partially treated group. In 7 out of 102 no more than two CSF pathological findings were present. In 5 or 7 CSF cultures were positive. In the other two there were pathological changes in CSF even with correct dosage of previous antibiotics. In 4 patients with positive cultures and little changes in CSF on admission, LP after 48 hours of correct treatment showed an increase in the alterations of CSF. This could mean that previous low dosage antibiotic treatment should not modify CSF findings enough not to make correct diagnosis.