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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presentan 4 ni&#241;os ingresados en el &#250;ltimo a&#241;o en la unidad de cuidados intensivos pedi&#225;tricos con el diagn&#243;stico de s&#237;ndrome de shock t&#243;xico&#46; Todos ellos re&#250;nen los cinco criterios establecidos por los Centers for Disease Control para el diagn&#243;stico de esta entidad&#46; En los 4 existi&#243; una probable puerta de entrada de la infecci&#243;n&#44; que fue sinusitis maxilar en un caso&#44; neumon&#237;a en dos de los pacientes y herida quir&#250;rgica en el restante&#46; En ninguno se aisl&#243; el germen responsable de la infecci&#243;n&#44; loque habla a favor del origen estafiloc&#243;cico de la misma&#46; Todos los pacientes evolucionaron favorablemente gracias a un tratamiento agresivo que incluy&#243; soporte inotr&#243;pico con expansi&#243;n vol&#233;mica y antibioterapia en todosellos&#44; y asistencia respiratoria prolongada en dos que presentaron s&#237;ndrome de distr&#233;s respiratorio del adulto&#46;</p>"
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        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We report four children with toxic shock syndrome admitted in the pediatric intensive care unit of our hospital during the past year&#46; All the children had the five criteria established by the Centers for Disease Control for the diagnosis of this syndrome&#46; In all four there was a probable point of entry of the infection&#58; maxillar sinusit is in one&#44; pneumonia in two and surgical wound in the other&#46; No bacteria that could have caused the infection were isolated in any of the children&#44; which suggests a staphylococcal origin for this syndrome&#46; Evolution was good in all of the children due to aggressive treatment that included inotropic support&#44; volemic expansion and antibiotics&#46; Two of the children&#44; who suffered adult respiratory distress syndrome&#44; required prolonged respiratory support&#46;</p>"
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Vol. 52. Núm. 3.
Páginas 263-266 (marzo 2000)
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Vol. 52. Núm. 3.
Páginas 263-266 (marzo 2000)
Acceso a texto completo
Síndrome del shock tóxico en niños. Presentación de 4 casos
Toxic Shock Syndrome In Children. Report Of Four Cases
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A. de Vicente Aymat, A. Martínez de Azagra, S. Mencía Bartolomé, A. Serrano González, J. Casado Flores*
Servicio de Cuidados Intensivos Pediátricos. Hospital Universitario del Niño Jesús. Universidad Autónoma de Madrid
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Se presentan 4 niños ingresados en el último año en la unidad de cuidados intensivos pediátricos con el diagnóstico de síndrome de shock tóxico. Todos ellos reúnen los cinco criterios establecidos por los Centers for Disease Control para el diagnóstico de esta entidad. En los 4 existió una probable puerta de entrada de la infección, que fue sinusitis maxilar en un caso, neumonía en dos de los pacientes y herida quirúrgica en el restante. En ninguno se aisló el germen responsable de la infección, loque habla a favor del origen estafilocócico de la misma. Todos los pacientes evolucionaron favorablemente gracias a un tratamiento agresivo que incluyó soporte inotrópico con expansión volémica y antibioterapia en todosellos, y asistencia respiratoria prolongada en dos que presentaron síndrome de distrés respiratorio del adulto.

Palabras clave:
Síndrome del shock tóxico
Staphylococcus aureus
Streptococcus pyogenes

We report four children with toxic shock syndrome admitted in the pediatric intensive care unit of our hospital during the past year. All the children had the five criteria established by the Centers for Disease Control for the diagnosis of this syndrome. In all four there was a probable point of entry of the infection: maxillar sinusit is in one, pneumonia in two and surgical wound in the other. No bacteria that could have caused the infection were isolated in any of the children, which suggests a staphylococcal origin for this syndrome. Evolution was good in all of the children due to aggressive treatment that included inotropic support, volemic expansion and antibiotics. Two of the children, who suffered adult respiratory distress syndrome, required prolonged respiratory support.

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Copyright © 2000. Asociación Española de Pediatría
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