Neumonia por estreptococo hemolitico en el niño
β-Hemolytic Streptococcal Pneumonia in Childhood
S. García-Tornel, M.T. Giner, M.A. Valeri, J.M. Martín, L. Tobeña
Hospital Infantil San Juan de Dios. Unidad de Cuidados Intensivos
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array:22 [ "pii" => "S0300289615323875" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)32387-5" "estado" => "S300" "fechaPublicacion" => "1982-01-01" "aid" => "72457" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "copyrightAnyo" => "1982" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 1982;18:36-40" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3192 "formatos" => array:3 [ "EPUB" => 82 "HTML" => 1930 "PDF" => 1180 ] ] "itemAnterior" => array:18 [ "pii" => "S0300289615323863" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)32386-3" "estado" => "S300" "fechaPublicacion" => "1982-01-01" "aid" => "72456" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 1982;18:29-35" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1965 "formatos" => array:3 [ "EPUB" => 49 "HTML" => 678 "PDF" => 1238 ] ] "es" => array:7 [ "idiomaDefecto" => true "titulo" => "Diagnostico diferencial de las estenosis de vias aereas altas" "tienePdf" => "es" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "29" "paginaFinal" => "35" ] ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Castillo Gomez" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Castillo" "apellidos" => "Gomez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615323863?idApp=UINPBA00003Z" "url" => "/03002896/0000001800000001/v1_201509151117/S0300289615323863/v1_201509151117/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Neumonia por estreptococo hemolitico en el niño" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "36" "paginaFinal" => "40" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "S. García-Tornel, M.T. Giner, M.A. Valeri, J.M. Martín, L. Tobeña" "autores" => array:5 [ 0 => array:2 [ "nombre" => "S." "apellidos" => "García-Tornel" ] 1 => array:2 [ "nombre" => "M.T." "apellidos" => "Giner" ] 2 => array:2 [ "nombre" => "M.A." "apellidos" => "Valeri" ] 3 => array:2 [ "nombre" => "J.M." "apellidos" => "Martín" ] 4 => array:2 [ "nombre" => "L." "apellidos" => "Tobeña" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Hospital Infantil San Juan de Dios. Unidad de Cuidados Intensivos" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "β-Hemolytic Streptococcal Pneumonia in Childhood" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1981-07-30" "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="absec0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Actualmente son raras las neumonías ocasionadas por el <span class="elsevierStyleItalic">estreptococo beta-hemolítico</span>, y más aun en la edad infantil.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Los autores presentan tres casos de pleuroneumonía estreptocócica, una por <span class="elsevierStyleItalic">streptococo pyogenes</span>, otro por <span class="elsevierStyleItalic">streptococo agalactiae</span>, y una tercera por <span class="elsevierStyleItalic">streptococo equismilis</span>. Dos de ellos presentaron una insuficiencia renal aguda con anemia hemolítica y plaquetopenia; compatibles tanto clínica como anatomopatológicamente, con un síndrome hemolítico-urémico. El tercer niño falleció por un shock séptico a las pocas horas del ingreso.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se revisan las características clínicas más importantes, haciendo hincapié en las necesidades de profundizar en el diagnóstico etiológico con el empleo de técnicas adecuadas.</p></span>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span id="absec0010" class="elsevierStyleSection elsevierViewall"><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Pneumonía due to [3-hemolitic streptococcal infections is at present a rare finding, especially in children.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The authors present 3 children with pleuropneumonia; with <span class="elsevierStyleItalic">Streptococcus pyogenes, Streptococcus agalactiae</span> and <span class="elsevierStyleItalic">Streptococcus equisimilis</span> as the causal agents. Two of the children presented associated acute renal insufficiency with hemolytic anemia and thrombocytopenia; both clinically and anatomicopathologically compatible with hemolytic-uremic syndrome. The third child developed septic shockand died within a few hours after admission. A review of the more significant clinical features is included, and the need for identification of the organism through precise and sensitive diagnostic procedures is underlined.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:16 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Serious group-A streptococcal diseases in children" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D.L. Burech" 1 => "K.I. Korayani" 2 => "R.E. 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