Escolar de once años con cuadro inicial de monoartritis de
rodilla derecha por traumatismo local, fi ebre, trastorno del sensorio
y disnea. Es hospitalizado y recibe tratamiento antibiótico
empírico. El hemocultivo resulta positivo para Streptococcus
pyogenes, por lo que se decide corregir la cobertura antibiótica.
Sin embargo, el estado general del paciente empieza a
decaer e ingresa a la unidad de cuidados intensivos. A pesar
del tratamiento instaurado, el sujeto desarrolla shock séptico
y posteriormente falla multiorgánica, requiriendo soporte hemodinámico
y ventilatorio. Los síntomas se agravan y fallece
a las 38 horas de su admisión hospitalaria. / An 11-year-old scholar arrives in the emergency room with
right-knee monoarthritis due to local trauma, fever, sensory
loss, and dyspnea. He is hospitalized and receives empiric
antibiotic therapy. The blood culture set is positive for Streptococcus
pyogenes and the antibiotic spectrum is changed.
However, the patient’s general status deteriorates, and he is
admitted to the intensive care unit. Even with the treatment
received, he develops septic shock and multiorganic failure,
requiring hemodynamic and ventilatory support. Thirty-eight
hours after his admission, the patient dies.
| Identifer | oai:union.ndltd.org:PERUUPC/oai:repositorioacademico.upc.edu.pe:10757/611826 |
| Date | 06 1900 |
| Creators | Figueroa Tarrillo, Jorge Arturo, Cerna Viacava, Renato, Linares Linares, Mariela Alejandra, Carreazo, Nilton Yhuri |
| Contributors | u201110520@upc.edu.pe |
| Publisher | Sociedad Mexicana de Pediatría |
| Source Sets | Universidad Peruana de Ciencias Aplicadas (UPC) |
| Language | Spanish |
| Detected Language | Spanish |
| Type | info:eu-repo/semantics/article |
| Source | Universidad Peruana de Ciencias Aplicadas (UPC), Repositorio Académico - UPC |
| Rights | http://creativecommons.org/licenses/by-nc-nd/4.0/, info:eu-repo/semantics/openAccess |
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