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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presenta un caso de traque&#237;tis bacteriana en una ni&#241;a de 6 a&#241;os y medio&#46; La forma cl&#237;nica de presentaci&#243;n fue la de un crup intenso con fiebre alta y pr&#243;dromos catarrales en los d&#237;as previos&#44; que no respondi&#243; al tratamiento inicial con adrenalina inhalada y corticoides y precis&#243; intubaci&#243;n orotraqueal a las pocas horas del ingreso&#46; La visualizaci&#243;n de secreciones purulentas fluyendo de la tr&#225;quea en el momento de la intubaci&#243;n&#44; con epiglotis de aspecto normal&#44; orient&#243; el diagn&#243;stico de traque&#237;tis bacteriana&#44; que fue confirmado por el crecimiento de Haemophilus influenzae en el cultivo de dichas secreciones&#46; Se administr&#243; tratamiento con ceftriaxona por v&#237;a intravenosa durante 14 d&#237;as y ventilaci&#243;n mec&#225;nica durante 7 d&#237;as&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La fiebre alta y las secreciones traqueales purulentas persistieron durante los 5 primeros d&#237;as de tratamiento&#46; A los 2 d&#237;as de desaparici&#243;n de dichos signos&#44; y previa laringotraqueobroncoscopia normal&#44; se extub&#243; con &#233;xito&#46; Tras 2 semanas de ingreso fue dada de alta con exploraci&#243;n f&#237;sica normal&#44; y no se han observado complicaciones posteriores&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se revisan aspectos cl&#237;nicos&#44; diagn&#243;sticos y terap&#233;uticos de una enfermedad que puede conllevar un compromiso vital y que debe considerarse en el diagn&#243;stico diferencial de todo crup grave&#46;</p>"
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        "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">We present a case of bacterial tracheitis in a 6&#46;5-year-old girl&#46; Clinical signs and symptoms consisted of severe croup with high-grade fever&#44; which were preceded by upper respiratory tract prodrome&#46; Initial treatment with steroids and nebulized epinephrine was unsuccessful&#46; The patient was intubated a few hours after admission&#46; Thick purulent secretions emerging from the trachea and the normal appearance of the epiglottis suggested the diagnosis of bacterial tracheitis&#44; which was confirmed by isolation of Haemophilus influenzae in the culture of the tracheal secretions&#46; The patient was administered a 14-day course of endovenous ceftriaxone and was kept on mechanical ventilation for 7 days&#46; Fever and purulent tracheal secretions continued for the next 5 days&#46; After 48 hours without these signs&#44; laryngotracheobronchoscopy ruled out residual obstruction&#46; Extubation was successfully performed&#46; Fourteen days later physical examination showed no abnormalities and the patient was discharged&#46; No complications were found during follow-up&#46; The clinical&#44; diagnostic and therapeutic aspects of this potentially life-threatening entity that should taken into account in the differential diagnosis of severe croup are discussed&#46;</p>"
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Traqueítis bacteriana por Haemophilus influenzae
Bacterial tracheitis due to haemophilus influenzae
R. Porta Riberaa,
Autor para correspondencia
roserporta@jazzfree.com

Correspondencia: Dra. R. Porta Ribera. Rosselló, 160, 3.° 2.a 08036 Barcelona.
, M. Renom Lloncha, C. Moreno Eguilaza, J.M.a Cubells Fuentesa, L. Viñas Doménechb, R. Baraibar Castellóa
a Servicios de Pediatría Institut Universitari Dexeus. Barcelona
b Servicios de bMicrobiología. Institut Universitari Dexeus. Barcelona
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ISSN: 16954033
Idioma original: Español
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