RESUMO
OBJECTIVE: To emphasize important features in the diagnosis and monitoring of patients with childhood cervical actinomycosis. SUBJECT AND METHODS: We report the case of a patient with cervicofacial actinomycosis. We also carried out a review of the literature from the past few years (Lilacs and Medline). RESULTS: We followed a male patient admitted to the pediatric infectious disease ward. Diagnosis was carried out through biopsy of a cervical node and isolation of bacteria. Specific penicillin treatment for actinomycosis was administered for 14 days. Subsequently, we observed remission of the node. The patient was discharged from the hospital. At least 6 months of amoxycillin therapy with simultaneous outpatient follow-up were recommended. CONCLUSION: Early diagnosis of actinomycosis enables appropriate and prompt treatment, thus preventing the involvement of other areas such as CNS, face, and neck.
RESUMO
A fatal case of Rhodotorula glutinis fungenia in an 11-year-old boy with acute lymphoblastc leukemia undergoing third reinduction chemotherapy is reported. This is the first case of fungemia by Rhodotorula glutinis reported in Brazil.
Assuntos
Humanos , Masculino , Criança , Anfotericina B/uso terapêutico , Flucitosina/uso terapêutico , Fungemia/mortalidade , Leucemia-Linfoma Linfoblástico de Células Precursoras/complicações , Leucemia-Linfoma Linfoblástico de Células Precursoras/tratamento farmacológico , Rhodotorula/classificação , Rhodotorula/isolamento & purificação , Doença , Evolução Fatal , Fatores de RiscoRESUMO
Os autores empregaram netilmicina em 64 pacientes nos quais havia indicacao de aminoglicosidio:meningites purulentas,pneumonias graves, septicemias e outras afeccoes. Os resultados deste trabalho permitiram concluir que a netilmicina e um antibiotico bem tolerado, de baixa toxicidade e extremamente util naquelas graves infeccoes onde existe indicacao de um aminoglicosidio