Published in Boletín médico del Hospital Infantil de México
Disseminated histoplasmosis is a rare and severe form of the infection due to the fungus Histoplasma capsulatum. This form of disease is seen mainly in patients with some sort of immune deficiency either primary or secondary, in children under two years and in elderly people. An autopsy review at the Hospital Infantil de México Federico Gómez discl...
Published in Boletín médico del Hospital Infantil de México
We present the case of a one-year-old girl with Gianotti-Crosti syndrome not associated with hepatitis-B infection. The authors carried out an extensive review of the literature about this problem and they found that it is not uncommon to see this eruption in relation with many different viral and non-viral infections. All these findings support th...
Published in Boletín médico del Hospital Infantil de México
Tuberous sclerosis is a neurocutaneous disease characterized of mental retardation, facial fibroangiomas, hypochromic stain and seizures. Is presented a case of a newborn that in the third day of life presenting seizures and in the physical exam show hypochromic CT scans irregular of 3-10 mm in thorax and limbs. The seizures presented during hospit...
Published in Boletín médico del Hospital Infantil de México
The clinical case of a 23 days old male newborn with prenatal ultrasonographic diagnosis of choledochal cyst is described and discussed. The diagnosis was first suspected in the 23rd gestation week and confirmed in the 35th. The advantages of prenatal ultrasonographic diagnosis and early surgical management in patients with choledochal cyst are emp...
Published in Boletín médico del Hospital Infantil de México
All admissions to a pediatric intensive care unit (PICU) during a period of 33 months were retrospectively evaluated. We used the Clinical Classification System (CCS) at the time of admission; age, diagnosis, mortality and PICU stay were also evaluated. There were 1027 admissions: 794 (77.3%) with CCS-IV, 228 (22.2%) CCS-III and five (0.5%) CCS-II....
Published in Boletín médico del Hospital Infantil de México
Eight-three isolates of Streptococcus pneumoniae obtained from children hospitalized with several infections in Mexico City and Cuernavaca, and from healthy children attending a day-care center in Cuernavaca, from January to September 1992, were screened for antimicrobial resistance patterns by in vitro susceptibility testing against antimicrobial ...
Published in Boletín médico del Hospital Infantil de México
The mammary gland integrated by secretory acini has two main physiological goals: the lactogenesis and the milk ejection. The first is controlled by estrogens, prolactin and cortisol; the former by oxytocin. Milk is synthesized through five mechanisms namely: I. Cellular synthesis and exocytosis; 2. Cellular synthesis and exocytosis packed in cell ...
Published in Boletín médico del Hospital Infantil de México
The objective of the study was to determine the efficacy and safety of two rice-based oral rehydration solutions, with and without added electrolyte in children presenting acute diarrheal dehydration with high stool output (> 10 mL/kg/h) during a two-hour rehydration period. Twenty-two patients of one to 18 months old were recruited and randomly di...
Published in Boletín médico del Hospital Infantil de México
With the purpose to compare the observed and expected mortality rates (based on the PRISM score) in the Pediatric Intensive Care Unit (PICU) of the "Hospital para el Niño Poblano", a prospective study of 92 patients admitted from August to December of 1992 was made. More than five percent of mortality risk was observed among 60.2% of the patients a...
Published in Boletín médico del Hospital Infantil de México
Retrospectively, were tested maternal-neonatal factors of 47 newborn with neonatal abstinence syndrome comparing them with a control group of 100 newborn, during the period from 1985 to 1991. An average incidence of 6/1000 living newborn were affected by abstinence syndrome. The mothers were young (75%), smokers (74%), unemployed (80%), with a high...
