Complicaciones asociadas a la enfermedad de kawasaki y su incidencia en pacientes pediátricos menores de 5 años en el Hospital Roberto Gilbert Elizalde período de 2007 al 2014
Fecha
2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
Introducción: La Enfermedad de Kawasaki (EK) es una vasculitis aguda febril, afecta en general a niños menores de 5 años. Su etiología imprecisa género como Objetivo: “Relacionar las complicaciones asociadas de los pacientes con Kawasaki y su incidencia en niños menores de 5 años en el Hospital Roberto Gilbert Elizalde”. Metodología: Se fundamentó en un estudio descriptivo, de corte transversal y de carácter retrospectivo, en los años 2007 al 2014. Resultados: De un total de 1oo pacientes ingresados con diagnóstico presuntivo de Kawasaki, 59 tuvieron diagnóstico definitivo de Kawasaki Se excluyeron 41 pacientes debido que no cumplían dichos criterios. De estos pacientes 59 en total 35 (59.30%) sexo masculino y sexo femenino 24 (40.7%). En cuanto a las complicaciones Ectasia leve de las arterias coronarias en 27 pacientes (56.25%); Moderada 2 pacientes (4.17%); y severa 1 paciente (2.08%). Derrame pericárdico leve 13 pacientes (27.08%); Insuficiencia de la válvula mitral y tricúspide 3 pacientes (6.25%), y por último Aneurismas en 2 pacientes (4.17%). El diagnóstico de Kawasaki Completo fue de 48 pacientes (81.36%); Kawasaki Incompleto 9 pacientes (15.25%); Kawasaki Refractario al tratamiento 2 (3.39%). El aporte de esta investigación es conocer las complicaciones más frecuentes y su incidencia; crear recomendaciones para que la comunidad conozca la enfermedad, acudan de manera oportuna al Médico; el mismo que pueda realizar un diagnóstico preciso y diferencial con enfermedades similares prescriba tratamiento a tiempo y evitar complicaciones cardíacas.
ABSTRACT Introduction: Kawasaki disease (KD) is an acute febrile vasculitis, affecting mostly childrens under 5 years old. Its etiology imprecise generated as OBjective: ´´Relate the complications associated of Kawasaki patients and their incidence in children under five years in the Hospital Roberto Gilbert Elizalde”. Methodology: Its based in a study descriptive, cross-sectional and retrospective in the years 2007 to 2014. Results: A total of 1oo patients admitted with presumptive diagnosis of Kawasaki; 59 patients were found with definite diagnosis. 41 Patients were excluded because they did not fulfill the criteria. Of these patients a total of 59; 35 was males (59.30%) and 24 females (40.7%). Regarding complications Mild coronary artery ectasia in 27 patients (56.25%); Moderate 2 patients (4.17%); and severe 1 patient (2.08%), Mild pericardial effusion in 13 patients (27.08%), Insufficiency of the valve Mitral and tricuspid 3 patients (6.25%), and finally aneurysms in 2 patients (4.17%). Full Kawasaki diagnosis was 48 patients (81.36%); Incomplete Kawasaki 9 patients (15.25%); Kawasaki Refractory to Treatment 2 (3.39%). The contribution of this investigation is known complications more frequently and their incidence, create recommendations for the community Know the disease, go to the doctor in timely, the same that you can make an accurate diagnosis and differential, with similar diseases prescribe treatment at time and prevent heart complications.
ABSTRACT Introduction: Kawasaki disease (KD) is an acute febrile vasculitis, affecting mostly childrens under 5 years old. Its etiology imprecise generated as OBjective: ´´Relate the complications associated of Kawasaki patients and their incidence in children under five years in the Hospital Roberto Gilbert Elizalde”. Methodology: Its based in a study descriptive, cross-sectional and retrospective in the years 2007 to 2014. Results: A total of 1oo patients admitted with presumptive diagnosis of Kawasaki; 59 patients were found with definite diagnosis. 41 Patients were excluded because they did not fulfill the criteria. Of these patients a total of 59; 35 was males (59.30%) and 24 females (40.7%). Regarding complications Mild coronary artery ectasia in 27 patients (56.25%); Moderate 2 patients (4.17%); and severe 1 patient (2.08%), Mild pericardial effusion in 13 patients (27.08%), Insufficiency of the valve Mitral and tricuspid 3 patients (6.25%), and finally aneurysms in 2 patients (4.17%). Full Kawasaki diagnosis was 48 patients (81.36%); Incomplete Kawasaki 9 patients (15.25%); Kawasaki Refractory to Treatment 2 (3.39%). The contribution of this investigation is known complications more frequently and their incidence, create recommendations for the community Know the disease, go to the doctor in timely, the same that you can make an accurate diagnosis and differential, with similar diseases prescribe treatment at time and prevent heart complications.
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Síndrome mucocutáneo linfonodular, Pediatría, Hospital de Niños Dr. Roberto Gilbert Elizalde, Cantón Guayaquil, Ecuador, Complicaciones