scholarly journals Clinical and epidemiological characteristics of children with SARS-CoV-2 infection: case series in Sinaloa

Author(s):  
Giordano Perez Gaxiola ◽  
Rosalino Flores Rocha ◽  
Julio Cesar Valadez Vidarte ◽  
Melissa Hernandez Alcaraz ◽  
Gilberto Herrera Mendoza ◽  
...  

Background: The SARS-CoV-2 virus may affect both adults and children. Although the disease, named COVID-19, has a lower prevalence in infancy and has been described as mild, the clinical characteristics may vary and there is a possibility of complications. Objectives: To describe the clinical and epidemiological characteristics of pediatric cases confirmed in the state of Sinaloa, Mexico, during the first three months of the pandemic, and of children admitted with COVID-19 to a secondary hospital. Methods: This case series includes all patients with SARS-CoV-2 infection confirmed by PCR testing, identified in the state epidemiological surveillance system between March 1 and May 31, 2020. Confirmed patients admitted to the Sinaloa Pediatric Hospital (HPS) during the same dates are also described. Results: Fifty one children with SARS-CoV-2 were included, 10 of the admitted to HPS. The median age was 10 years. The more frequent symptoms were fever (78%), cough (67%) and headache (57%). Most cases were mild or asymptomatic. Three patients with comorbidities died. Only 4 of 10 patients identified in HPS had been admitted with the diagnosis of possible COVID-19. Conclusions: SARS-CoV-2 infection in children was mostly mild or asymptomatic, but with a wide range of clinical presentations.

2012 ◽  
Vol 45 (3) ◽  
pp. 395-398 ◽  
Author(s):  
Dionatas Ulisses de Oliveira Meneguetti ◽  
Olzeno Trevisan ◽  
Luís Marcelo Aranha Camargo ◽  
Renato Moreira Rosa

INTRODUCTION: This study analyzed the occurrence and the contamination of triatomines by trypanosomatids in Orbignya speciosa (babassu) specimens in the State of Rondônia, Brazil, in two different environments (pasture and woods). METHODS: Capture of triatomines on babassus and microscopic search for trypanosomatids in their digestive tube were carried out. RESULTS: Four hundred ninety-four (494) specimens were captured (Rhodnius prolixus and R.robustus), of which 35.6% of the triatomines were positive for trypanosomatids. CONCLUSIONS: The high index of natural infection along with the abundance of triatomines points out to the necessity to create an epidemiological surveillance system to monitor vector-borne transmission and deepen the studies on the ecology of such vectors in the Amazon.


2016 ◽  
Vol 10 (3) ◽  
pp. 224
Author(s):  
Ana Virginia Piauilino SANTOS ◽  
Mikaela Lopes de CALDAS ◽  
Manoel Henrique KLEIN JUNIOR ◽  
Airton Leôncio Dutra da SILVA ◽  
Francisco Das Chagas CARDOSO FILHO

Rabies is an acute contagious infectious disease, mainly characterized by nervous symptoms that can affect all mammals. It is characterized by sometimes signs of aggression, and others by paresis, paralysis and acute viral encephalitis. This study aimed to describe, by using the basis of the data recorded in the Continental Epidemiological Surveillance System , SivCont, the epidemiological profile of rabies of herbivores in Piauí in 2007 to 2011. Durante the period there were reported 66 cases of nervous syndromes in the state of Piaui, where 35 cases were confirmed positive laboratory result for rabies in herbivores, and of this total, 94%were in cattle. Also noted is that there are areas in the state of Piaui without nerve syndromes notifications, showing the complete "epidemiological silence", suggesting situations of underreporting, even when in the vicinity there have been outbreaks of disease. Situations like this suggests the necessity of an increase in animal health protection actions, actions in health education, covering all segments of the community and intensifying surveillance activities.


Author(s):  
N. M. Polishchuk ◽  
N. L. Kolycheva ◽  
K. S. Krupiei ◽  
Yu. V. Bukina ◽  
M. Ye. Kolerova

In 2017–2019 in Ukraine, including the Zaporizhzhia region, a strong rise in the incidence of measles was recorded. A retrospective analysis of the incidence in the Zaporizhzhia region during this outbreak allows us to identify the main problems in the system of epidemiological surveillance to predict future possible consequences. The aim of the work is to perform a comparative analysis of measles incidence in the Zaporizhzhia region with the data obtained in the period from 2015 to 2020 according to the epidemiological criteria. Materials and methods. The annual reports of 2015–2020 provided by the Department of Epidemiological Research of the Zaporizhzhia Regional Laboratory Center of the Ministry of Health of Ukraine were used as materials for the retrospective epidemiological analysis of measles incidence in Zaporizhzhia region. Statistical analysis of the data was carried out according to epidemiological characteristics: age distribution, the residence of patients in urban or rural areas. Commonly used statistical methods used in medicine were used to evaluate the obtained results. Results. It is concluded that in the Zaporizhzhia region during 2015 only 2 cases of measles were detected for children, and in 2016 no measles were registered in the region at all. In 2017–2019 1.433 measles patients were identified in the Zaporizhzhia region, of which 68 % were adults and 32 % were children. The lowest detection rate of measles was registered among rural residents. Insufficient vaccination coverage of the population has become a significant reason for the spread of measles among residents of the Zaporizhzhia region. In 2020 no cases of measles have been registered in the Zaporizhzhia region. Conclusions. The prevalence of incidence rate among adults attests to the fact that today measles can not be considered only a childhood disease. The deficiency of an immune layer, both among adults and children, contributed to the rapid spread of the disease. Mandatory vaccination of children and the introduction of additional vaccination of adults, optimizing the system of epidemiological surveillance for measles, including continuous monitoring of vaccination, is the main mechanism for combating this disease.


2017 ◽  
Vol 5 (1) ◽  
pp. 70-71
Author(s):  
Sushil Khanal ◽  
SN Sarina Maharjan ◽  
Diptesh Aryal ◽  
Subhash Prasad Acharya

Gastrointestinal infestation with Ascaris lumbricoides is common in the tropical countries. A wide range of clinical presentations are reported for gastrintestinal ascariasis in both adults and children. We report a case of diarrhea causing malnutrition in ICU due to Ascaris infestation.Bangladesh Crit Care J March 2017; 5(1): 70-71


2021 ◽  
Vol 8 ◽  
pp. 2333794X2110409
Author(s):  
Griselda Berberian ◽  
Rosa Bologna ◽  
María Guadalupe Pérez ◽  
Andrea Mangano ◽  
Marina Costa ◽  
...  

There are gaps in understanding the causes and consequences of microcephaly. This paper describes the epidemiological characteristics, clinical presentations, and etiologies of children presenting microcephaly during the Zika outbreak in Argentina. This observational retrospective study conducted in the pediatric hospital of Juan P. Garrahan reviewed the medical records of 40 children presenting microcephaly between March 2017 and November 2019. The majority (60%) were males and born full-term. At first evaluation, microcephaly was defined as congenital (31/40, 77%) and associated with other features (68%) such as seizures, developmental delay, non-progressive chronic encephalopathy, and West Syndrome. It was found manifestations restricted to central nervous system (55%), ocular (8/40, 20%), and acoustic (9/40, 23%) defects, and abnormal neuroimaging findings (31/39, 79%). Non-infectious diseases were the primary cause of isolated microcephaly (21/37, 57%), largely related to genetic diseases (13/21, 62%). Only 3 were children were diagnosed with Congenital Zika infection (3/16, 7.5%).


Neurographics ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. 349-357
Author(s):  
M.A. McDonald ◽  
S.E. Olson ◽  
P. Abraham ◽  
J. Handwerker

Craniocervical dural arteriovenous fistulas are rare but clinically important entities that are potentially treatable but often misdiagnosed given their wide range of clinical presentations and often nonspecific findings on CT and MR imaging. Although DSA remains the criterion standard for diagnosis, the present case series highlights imaging findings of craniocervical dural arteriovenous fistulas and potential mimics to aid the practicing radiologist in a timely diagnosis.


2021 ◽  
pp. 088307382198916
Author(s):  
Francisca Sandoval ◽  
Katherine Julio ◽  
Gastón Méndez ◽  
Carolina Valderas ◽  
Alejandra C. Echeverría ◽  
...  

Introduction: Although multiple neurologic manifestations associated with SARS-CoV-2 infection have been described in adults, there is little information about those presented in children. Here, we described neurologic manifestations associated with COVID-19 in the pediatric population. Methods: Retrospective case series report. We included patients younger than 18 years, admitted with confirmed SARS-CoV-2 infection and neurologic manifestations at our hospital in Santiago, Chile. Demographics, clinical presentations, laboratory results, radiologic and neurophysiological studies, treatment, and outcome features were described. Cases were described based on whether they presented with predominantly central or peripheral neurologic involvement. Results: Thirteen of 90 (14.4%) patients admitted with confirmed infection presented with new-onset neurologic symptoms and 4 patients showed epilepsy exacerbation. Neurologic manifestations ranged from mild (headache, muscle weakness, anosmia, ageusia), to severe (status epilepticus, Guillain-Barré syndrome, encephalopathy, demyelinating events). Conclusions: We found a wide range of neurologic manifestations in children with confirmed SARS-CoV-2 infection. In general, neurologic symptoms were resolved as the systemic presentation subsided. It is essential to recognize and report the main neurologic manifestations related to this new infectious disease in the pediatric population. More evidence is needed to establish the specific causality of nervous system involvement.


2020 ◽  
Vol 14 (12) ◽  
pp. e0008880
Author(s):  
Leticia Eligio-García ◽  
María del Pilar Crisóstomo-Vázquez ◽  
María de Lourdes Caballero-García ◽  
Mariana Soria-Guerrero ◽  
Jorge Fernando Méndez–Galván ◽  
...  

Introduction Dengue, Zika and Chikungunya are RNA Arboviruses present in some areas of Mexico, mainly in the endemic state of Chiapas that is characterized by presence of the vector that transmit them and an ecology that favors high transmission. According to the national epidemiological surveillance system, Dengue has intensified since 2018 and outbreaks continue in various states while for Zika and Chikungunya a decrease in cases has been reported in recent years. The main objective of this study was to determine the incidence of Dengue, Zika and Chikungunya infections during pregnancy in the state of Chiapas. Principal findings The presence of previous and current infections and coinfections diagnosed by molecular (RT-PCR) and immunological (ELISA for IgG determination) techniques indicates a wide circulation of viruses in asymptomatic people, specifically in pregnant women showing that silent infections in dry season contributes to the preservation of viruses. Conclusions From 136 studied samples, 27.7% tested positive for DENV, 8% for ZIKV and 24.1% for CHIKV by RTPCR and the values of IgG in sera show that 83.9% were positive for IgG antibodies against DENV, 65% against ZIKV and 59.1% against CHIKV. Results demonstrated presence of ZIKV and CHIKV, not detected by the epidemiological surveillance system, so the importance of establishing proactive epidemiological systems more strict, especially because these infections in pregnant women can cause severe health problems for newborn children.


2016 ◽  
Vol 46 (4) ◽  
pp. 383-390 ◽  
Author(s):  
Alexandre WIEFELS ◽  
Bruna Wolfarth-COUTO ◽  
Naziano FILIZOLA ◽  
Laurent DURIEUX ◽  
Morgan MANGEAS

ABSTRACT The Epidemiological Surveillance System for Malaria (SIVEP-Malaria) is the Brazilian governmental program that registers all information about compulsory reporting of detected cases of malaria by all medical units and medical practitioners. The objective of this study is to point out the main sources of errors in the SIVEP-Malaria database by applying a data cleaning method to assist researchers about the best way to use it and to report the problems to authorities. The aim of this study was to assess the quality of the data collected by the surveillance system and its accuracy. The SIVEP-Malaria data base used was for the state of Amazonas, Brazil, with data collected from 2003 to 2014. A data cleaning method was applied to the database to detect and remove erroneous records. It was observed that the collecting procedure of the database is not homogeneous among the municipalities and over the years. Some of the variables had different data collection periods, missing data, outliers and inconsistencies. Variables depending on the health agents showed a good quality but those that rely on patients were often inaccurate. We showed that a punctilious preprocessing is needed to produce statistically correct data from the SIVEP-Malaria data base. Fine spatial scale and multi-temporal analysis are of particular concern due to the local concentration of uncertainties and the data collecting seasonality observed. This assessment should help to enhance the quality of studies and the monitoring of the use of the SIVEP database.


Author(s):  
Jayne Ramos Araújo Moura ◽  
Raylla Araújo Bezerra ◽  
Mônica Oliveira Batista Oriá ◽  
Neiva Francenely Cunha Vieira ◽  
Ana Virgínia de Melo Fialho ◽  
...  

ABSTRACT Objective: To analyze, in the light of the social-ecological theory, the temporal progression of gestational syphilis and its relationship with the implementation of the rede cegonha in Ceará. Method: This is a retrospective documental study, based on the information system of notifiable diseases about gestational syphilis in the perspective of the social-ecological theory. The sample consisted of all notifications from the state of Ceará in the period from 2007 to 2017. Data collection was carried out in October 2019. Results: A total of 229,558 cases of gestational syphilis was reported in Brazil; of these, 7,040 were from the state of Ceará (3.1%), with a growing increase in cases over the years. Regarding the distribution of syphilis cases between the period before and after the implementation of the rede cegonha, there was an association with education (p < 0.0001), clinical classification (p < 0.0001), and gestational age (p = 0.0005). Conclusion: Despite the implementation of public policies and improvement of the epidemiological surveillance system, there is still a long way to go to control syphilis during pregnancy.


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