RESUMEN
Refeeding syndrome (RS) is defined as the fluid, electrolyte, metabolic, and clinical disturbances that occur after nutrition of patients who have been undernourished or fasting for a prolonged period. This syndrome has been recognized for several decades but is most often overlooked and underdiagnosed by health professionals. The authors report a RS in a patient subjected to prolonged fasting after being kidnapped by a criminal gang. Refeeding resulted in severe hypophosphatemia, neurological impairments, and hematologic disorders. The patient died due to septic shock with multiple organ failure secondary to aspiration pneumonia. In this case, the failure to recognize RS was decisive in the fatal outcome. Professionals must be aware of this disease to prevent and treat it properly.
Asunto(s)
Síndrome de Realimentación/diagnóstico , Resultado Fatal , Humanos , Masculino , Persona de Mediana EdadRESUMEN
The authors report a case of Aspergillus ethmoiditis associated with an orbital abscess, diagnosed in an immunocompetent 6-year-old child, this is a rare infection and diagnosis is difficult, cause of a delayed treatment and frightening prognosis. Mycoses have emerged as important infections in clinical practice; this phenomenon is explained by the ever-growing number of immunocompromised patients and the increasing number of people traveling in areas where fungal diseases are endemic. Surgery with mycological and anatomopathologic examination can suggest a fungal infection confirmed by culture and contribute to institute adequate treatment.
Asunto(s)
Absceso/complicaciones , Aspergilosis/complicaciones , Sinusitis del Etmoides/complicaciones , Enfermedades Orbitales/complicaciones , Absceso/microbiología , Absceso/terapia , Aspergilosis/microbiología , Aspergilosis/terapia , Aspergillus/aislamiento & purificación , Niño , Sinusitis del Etmoides/microbiología , Sinusitis del Etmoides/terapia , Infecciones Fúngicas del Ojo/complicaciones , Infecciones Fúngicas del Ojo/microbiología , Infecciones Fúngicas del Ojo/terapia , Femenino , Humanos , Enfermedades Orbitales/microbiología , Enfermedades Orbitales/terapiaRESUMEN
Intestinal parasitic infections are among the most widespread of human infections in developing countries, and children are the most vulnerable. The aim of this study was to determine the prevalence of protozoa and intestinal helminthes, as well as the risk factors of intestinal parasites in schoolchildren in Salé city, Morocco. This is a study of incidence and prevalence conducted prospectively over a period of five months in schoolchildren in Salé city. The collection of stool was performed over three days (j1, j3, j5). In addition, adhesive cellophane tape slide evaluation was performed on day 7 for all students included in this work. During the study period, we included 123 students. Seventy-six children (61.7%) were infected by intestinal parasites. The age group 12-14 years is by far the most affected. Protozoa were found in 57.7% (N = 71) of children examined. Amoebae family parasites were predominant. Helminths were present in 26% (N = 32) of the schoolchildren. Forty-five (36.6%) children were poly-parasitized. This work shows that the prevalence of intestinal parasitism is quite high among primary schoolchildren in Salé city. Several parasite species are found. This finding is explained by unhealthy living conditions and poor hygiene, predisposing to endemicity and perpetuation of the transmission. The impact on health is not negligible especially when compounded by malnutrition. The best way to fight this scourge is prevention and awareness.