Procesos inflamatorios multisistémicos mas frecuentes en pacientes de edad pediátrica
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2022
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Introducción: Los procesos inflamatorios sistémicos es una respuesta exagerada del organismo por causar lesión en varios órganos o sistemas, hablaremos del síndrome de respuesta inflamatoria postcovid, la enfermedad de Kawasaki, la artritis idiopática juvenil y el síndrome del shock toxico. Objetivo: Determinar los principales procesos inflamatorios sistémicos del Hospital francisco Icaza Bustamante, principales signos y síntomas como sus exámenes de laboratorio. Metodología: Método a emplear es la observación de las historias clínicas, de todos los pacientes con procesos sistémicos en niños, de enfoque transversal, con una muestra de 179 niños. Conclusiones: El proceso inflamatorio más frecuente desde el año 2020 al presente, es el síndrome inflamatorio multisistémico posterior a la infección por Covid 19 en pacientes pediátricos. Los síntomas y signos clínicos son muy similares en el síndrome inflamatorio multisistémico post Covid 19, la enfermedad de Kawasaki y la artritis juvenil de comienzo generalizado, siendo los más frecuentes: fiebre, astenia, dolor generalizado, rash variable, mialgias y artralgias, conjuntivitis, adenopatías y síntomas gastrointestinales. Los hallazgos de laboratorio más frecuentes en pacientes con procesos inflamatorios multisistémico fueron neutrofilia, anemia, trombocitopenia, linfopenia, y aumento de marcadores biológicos como: PCR, procalcitonina, ferritina sérica, interleuquinas 1 y 6. El grupo etario más frecuente son niños de 4 a 6 años de sexo masculino de procedencia urbana.
Introduction: Systemic inflammatory processes is an exaggerated response of the body to cause injury to various organs or systems, we will talk about postcovid inflammatory response syndrome, Kawasaki disease, juvenile idiopathic arthritis and toxic shock syndrome. Objective: To determine the main systemic inflammatory processes of the Francisco Icaza Bustamante Hospital, main signs and symptoms as well as their laboratory tests. Methodology: The method to be used is the observation of the medical records of all patients with systemic processes in children, with a cross-sectional approach, with a sample of 179 children. Conclusions: The most frequent inflammatory process from 2020 to the present is the multisystemic inflammatory syndrome after Covid 19 infection in pediatric patients. The clinical signs and symptoms are very similar in post-Covid 19 multisystem inflammatory syndrome, Kawasaki disease and generalized-onset juvenile arthritis, the most frequent being: fever, asthenia, generalized pain, variable rash, myalgia and arthralgia, conjunctivitis, lymphadenopathy and gastrointestinal symptoms. The most frequent laboratory findings in patients with multisystemic inflammatory processes were neutrophilia, anemia, thrombocytopenia, lymphopenia, and increased biological markers such as: CRP, procalcitonin, serum ferritin, interleukins 1 and 6. The most frequent age group is children aged 4 to 6 years of male sex of urban origin.
Introduction: Systemic inflammatory processes is an exaggerated response of the body to cause injury to various organs or systems, we will talk about postcovid inflammatory response syndrome, Kawasaki disease, juvenile idiopathic arthritis and toxic shock syndrome. Objective: To determine the main systemic inflammatory processes of the Francisco Icaza Bustamante Hospital, main signs and symptoms as well as their laboratory tests. Methodology: The method to be used is the observation of the medical records of all patients with systemic processes in children, with a cross-sectional approach, with a sample of 179 children. Conclusions: The most frequent inflammatory process from 2020 to the present is the multisystemic inflammatory syndrome after Covid 19 infection in pediatric patients. The clinical signs and symptoms are very similar in post-Covid 19 multisystem inflammatory syndrome, Kawasaki disease and generalized-onset juvenile arthritis, the most frequent being: fever, asthenia, generalized pain, variable rash, myalgia and arthralgia, conjunctivitis, lymphadenopathy and gastrointestinal symptoms. The most frequent laboratory findings in patients with multisystemic inflammatory processes were neutrophilia, anemia, thrombocytopenia, lymphopenia, and increased biological markers such as: CRP, procalcitonin, serum ferritin, interleukins 1 and 6. The most frequent age group is children aged 4 to 6 years of male sex of urban origin.
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Covid-19, Infecciones por coronavirus, Anemia, Síndrome mucocutáneo linfonodular, Pediatría, Hospital del Niño Francisco de Icaza Bustamante, Cantón Guayaquil, Ecuador