RESUMEN
We report a case of chronic nonspecific constrictive pericarditis with myocardial involvement in a 19-month-old infant. The patient underwent total pericardiectomy and had irreversible hemodynamic instability. Constrictive pericarditis is rare in childhood. It may follow several processes, most frequently an infectious disease. The natural course of the disease consists of progressive myocardial dysfunction with atrioventricular valvular involvement. When diagnosis is established early in the course of the disease and treatment started immediately, the evolution is favorable in most instances.
Asunto(s)
Pericarditis Constrictiva/complicaciones , Resultado Fatal , Femenino , Humanos , Lactante , Pericarditis Constrictiva/diagnóstico por imagen , Pericarditis Constrictiva/cirugía , Consentimiento por Terceros , Negativa del Paciente al Tratamiento , UltrasonografíaRESUMEN
OBJECTIVE: To determine the prevalence and other epidemiological characteristics of congenital heart diseases. METHODS: A retrospective population based study of children who were born in Londrina, from January '89 to December '98 (80,262 live births). Diagnoses were confirmed through autopsy, surgery, catheterization, or echocardiography. RESULTS: A total of 441 patients was as certain what corresponds to a prevalence of 5.494:1,000 live births. Ventricular septal defect was the commonest lesion. A small number of transpositions of the great vessels and of left ventricular hypoplasia was observed. A high propation of ventricular septal defect (28.3%) and atrioventricular septal defects (8.1%) occurred. Fifty-one (11.35%) affected children had syndromic diseases and 52 (12.01%) children had nonsyndromic anomalies. CONCLUSION: The prevalence of congenital heart diseases in Londrina is in accordance with that of other regions of the globe. This prevalence also may reflect the reality in the southern region of Brazil, because population characteristics are very similar in the 3 southernmost Brazilian states.
Asunto(s)
Cardiopatías Congénitas/epidemiología , Brasil/epidemiología , Niño , Preescolar , Humanos , Lactante , Recién Nacido , Prevalencia , Estudios RetrospectivosRESUMEN
OBJECTIVE: To promote the diffusion of the knowledge on the Coffin-Lowry syndrome and to contribute to the outline of the disease.METHODS: Case report.RESULTS: The clinical signs of a patient with the Coffin-Lowry syndrome are described and discussed.CONCLUSIONS: The Coffin-Lowry syndrome, a X-linked genetic disease, is probably underdiagnosed in Brazil. The typical facies, dental-skeletal anomalies and mental retardation suggest the diagnosis, which can be clinically established by radiographic study of the hands.
RESUMEN
The authors report a case of a patient with schistosomiasis (S. mansoni) treated with one single dose (15 mg/kg/BWT) of oral oxamniquine who presented Mobitz type I second-degree AV block and sinus arrest with ventricular escape as a side-effect. They conclude that in spite of the safety and good activity of oxamniquine it may be a determinant of cardiotoxicity.
Asunto(s)
Arritmias Cardíacas/inducido químicamente , Oxamniquina/efectos adversos , Esquistosomiasis mansoni/tratamiento farmacológico , Administración Oral , Niño , Electrocardiografía , Bloqueo Cardíaco/inducido químicamente , Humanos , Masculino , Oxamniquina/administración & dosificaciónRESUMEN
O Campylobacter fetus ss jejuni (CFJ) apenas recentemente foi identificado como agente etiologico de infeccoes intestinais em nosso meio. Analisamos 1.095 amostras fecais de criancas portadoras de diarreia aguda, no periodo de setembro/81 a maio/82 O CFJ foi pesquisado pela microscopia de contraste de fase. Foram detectados 14 casos de infeccao por CFJ (1,3%). O estudo clinico de 12 casos mostrou predominancia do sexo masculino de 3:1. A faixa etaria mais atingida foi de zero a 12 meses (50%) Os sinais e sintomas mais comuns foram: diarreia (100%), febre (83%), dor abdominal (50%), sangue nas fezes (50%), vomitos (41%) e desidratacao (16%). A hipotese diagnostica dessa afeccao pode ser levantada com bases clinicas e confirmada com seguranca e rapidez pelo exame direto das fezes