RESUMEN
In order to assess and characterize adynamic ileus (AI) complicating acute diarrhoea (AD) in infants, 802 consecutive admissions were studied. Diagnosis was suspected in 23 patients with abdominal distension and confirmed by radiological study in 16 whose age range was 14 ds to 6 mo. Of these late patients, 9/16 were malnourished. Age was less than, but nutritional status similar to that of all patients admitted with ADD. Vomiting (14/16), silent or almost silent abdomen (10/16), protracted course of diarrhoea (9/16) and increased gastric content (6/16) were the most common clinical findings in addition to abdominal distension and X Ray films suggestive of AI (inclusion criteria). Lack of constipation was a relevant finding. Treatment included temporal discontinuance of oral feedings, intravenous fluids administration, nasogastric and rectal tube and antibiotics. Lethality rate was 4/16. Duration of AI was an average of 2 days in survivors and 4 days in the remainder infants. It is concluded that AI is an infrequent complication of AD (0.19% of cases), which should be suspected in infants less that 6 mo old with diarrhoea and abdominal distension.
Asunto(s)
Diarrea Infantil/complicaciones , Seudoobstrucción Intestinal/etiología , Enfermedad Aguda , Diarrea Infantil/diagnóstico por imagen , Diarrea Infantil/terapia , Femenino , Hospitalización , Humanos , Lactante , Recién Nacido , Seudoobstrucción Intestinal/diagnóstico por imagen , Seudoobstrucción Intestinal/terapia , Masculino , Estado Nutricional , Estudios Prospectivos , RadiografíaRESUMEN
A hospital acquired case of human cryptosporidiosis is reported in a pediatric patient with prolonged diarrhea, whose previous investigation was negative for the agent. Cryptosporidium was isolated from feces in coincidence with admission, to the same hospital room, of an additional patient with acute diarrhea in whom infection by the same agent had been demonstrated. Infant to infant transmission in hospital wards is thus a possibility.
Asunto(s)
Infección Hospitalaria/transmisión , Criptosporidiosis/transmisión , Parasitosis Intestinales/transmisión , Criptosporidiosis/complicaciones , Diarrea Infantil/etiología , Humanos , Lactante , Parasitosis Intestinales/complicaciones , MasculinoAsunto(s)
Fluidoterapia , Glucosa/administración & dosificación , Atención Domiciliaria de Salud , Padres/educación , Adulto , Femenino , Humanos , Madres , SolucionesAsunto(s)
Diarrea Infantil/etiología , Infecciones por Reoviridae , Reoviridae/aislamiento & purificación , Rotavirus/aislamiento & purificación , Diarrea Infantil/complicaciones , Diarrea Infantil/microbiología , Carbohidratos de la Dieta/metabolismo , Heces/microbiología , Femenino , Humanos , Lactante , Recién Nacido , Síndromes de Malabsorción/etiología , Masculino , Infecciones por Reoviridae/microbiologíaAsunto(s)
Diarrea Infantil/etiología , Heces/citología , Leucocitos/citología , Enfermedad Aguda , Infecciones Bacterianas/complicaciones , Disentería Bacilar/diagnóstico , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Pronóstico , Salmonella/aislamiento & purificación , Shigella/aislamiento & purificaciónRESUMEN
Eleven infants with severe protracted diarrhea were studied. All of them were treated with cholestyramine, 2 g/kg/day in three or four doses. Feces became normal in two to four days in ten out of eleven infants. Tolerance to cholestyramine was good. Fat balance was performed in five patients showing steatorrhea in all of them, ranging from 15 to 42%. Reduction in resin doses was followed by normal fat excretion. Three infants died. One of them did not show improvement with cholestyramine therapy and developed Salmonella typhimurium sepsis. The other two, even though they normalized their stools, died because of Salmonella typhimurium and bacteroides sepsis respectively.