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Vol. 18. Issue 1.
Pages 36-40 (January - February 1982)
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Vol. 18. Issue 1.
Pages 36-40 (January - February 1982)
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Neumonia por estreptococo hemolitico en el niño
β-Hemolytic Streptococcal Pneumonia in Childhood
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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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Resumen

Actualmente son raras las neumonías ocasionadas por el estreptococo beta-hemolítico, y más aun en la edad infantil.

Los autores presentan tres casos de pleuroneumonía estreptocócica, una por streptococo pyogenes, otro por streptococo agalactiae, y una tercera por streptococo equismilis. 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.

Se revisan las características clínicas más importantes, haciendo hincapié en las necesidades de profundizar en el diagnóstico etiológico con el empleo de técnicas adecuadas.

Summary

Pneumonía due to [3-hemolitic streptococcal infections is at present a rare finding, especially in children.

The authors present 3 children with pleuropneumonia; with Streptococcus pyogenes, Streptococcus agalactiae and Streptococcus equisimilis 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.

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Bibliografia
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Copyright © 1982. Sociedad Española de Neumología y Cirugía Torácica
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