Etiology and severity of community acquired pneumonia in children from Uruguay: a 4-year study.

Abstract:

:The 4-year study (1987-1990) covered the major clinical-epidemiological characteristics of pneumonia in children as diagnosed at the emergency service of the Children's Hospital, as well as etiologies, and factors involved in the most severe cases. Etiology was determined in 47.7% of the 541 pneumonia cases, involving 283 pathogens of which 38.6% were viruses and 12.6% bacteria. Viral and mixed etiologies were more frequent in children under 12 months of age. Bacteria predominated in ages between 6 and 23 months. Among the viruses, respiratory syncytial virus predominated (66%). The bacterial pneumonias accounted for 12.2% of the recognized etiologies. The most important bacterial agents were S. pneumoniae (64%) and H. influenzae (19%). H. influenzae and mixed infections had a relevant participation during the 1988 season, pointing to annual variations in the relative participation of pathogens and its possible implication in severity of diseases. Correlation of severity and increased percentage of etiological diagnosis was assessed: patients with respiratory rates over 70 rpm, or pleural effusion and/or extensive pulmonary parenchyma compromise yielded higher positive laboratory results. Various individual and family risk factors were recognized when comparing pneumonia children with healthy controls.

authors

Hortal M,Suarez A,Deleon C,Estevan M,Mogdasy MC,Russi JC,Contera M,Meny M

doi

10.1590/s0036-46651994000300010

subject

Has Abstract

pub_date

1994-05-01 00:00:00

pages

255-64

issue

3

eissn

0036-4665

issn

1678-9946

journal_volume

36

pub_type

杂志文章
  • [Staphylococcal coagglutination reaction in the identification of mycoplasma].

    abstract::Staphylococcal Coagglutination was used as method for a rapid identification of mycoplasmas that could be performed by non specialized laboratories. Suspensions of Staphylococcus aureus (Cowan I) sensitized with rabbit antibodies against NCTC mycoplasma strains have identified these microorganisms and the strains isol...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:

    authors: Timenetsky J,Curcio M

    更新日期:1993-11-01 00:00:00

  • Clinical and microbiological characteristics of patients colonized or infected by Stenotrophomonas maltophilia : is resistance to sulfamethoxazole/trimethoprim a problem?

    abstract::Stenotrophomonas maltophilia has emerged as an important opportunistic pathogen in the last decade. Increased resistance to sulfamethoxazole/trimethoprim (SMX/TMP) has been reported in S. maltophilia strains in the past few years, leading to few therapeutic options. We conducted a prospective multicenter study at two ...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/S1678-9946202062096

    authors: Mendes ET,Paez JIG,Ferraz JR,Marchi AP,Silva ILAFE,Batista MV,Lima ALM,Rossi F,Levin AS,Costa SF

    更新日期:2020-12-07 00:00:00

  • American Tegumentary Leishmaniasis in an endemic municipality in the North of Minas Gerais State: spatial analysis and socio-environmental factors.

    abstract::American Tegumentary Leishmaniasis (ATL) is endemic in the municipality of Montes Claros, Minas Gerais State. The use of geotechnology such as spatial statistics and remote sensing has contributed to a better understanding of the eco-epidemiology of diseases, and consequently a better definition of control strategies....

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/S1678-9946202163002

    authors: Ursine RL,Rocha MF,Sousa JF,Santos RCD,Soares MD,Gusmão MSF,Leite ME,Vieira TM

    更新日期:2021-01-20 00:00:00

  • THE RELEVANCE OF NUTRITIONAL STATUS AND HISTOPATHOLOGICAL FINDINGS ON THE INFECTIOUS PROCESS OF BALB/C MICE INOCULATED WITH Lacazia loboi.

    abstract::The aim of this study was to evaluate the effects of the protein-calorie malnutrition in BALB/c isogenic mice infected with Lacazia loboi, employing nutritional and histopathological parameters. Four groups were composed: G1: inoculated with restricted diet, G2: not inoculated with restricted diet, G3: inoculated with...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/S0036-46652015000500009

    authors: Barbosa AS,Diório SM,Pedrini SC,Nunes AJ,Belone Ade F,Silva SM,Sartori BG,Calvi SA,Vilani-Moreno FR,Pereira PC

    更新日期:2015-09-01 00:00:00

  • Effectiveness of influenza vaccination in elderly outpatients in São Paulo city, Brazil.

    abstract::To investigate the effectiveness of the influenza vaccine in a population of elderly outpatients, we compared the occurrence and frequency of influenza like illness (ILI), respiratory illness and hospitalization in vaccinated and non-vaccinated subjects. All the outcomes were clinically defined. The two groups were si...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46652001000600003

    authors: Gutierrez EB,Li HY,Santos AC,Lopes MH

    更新日期:2001-11-01 00:00:00

  • Plasma levels of tumor necrosis factor-alpha in patients with visceral leishmaniasis (Kala-azar). Association with activity of the disease and clinical remission following antimonial therapy.

    abstract::Evaluation of TNF-alpha in patients with Kala-azar has drawn increasing interest due to its regulatory role on the immune system, in addition to its cachetizing activity. The objective of this study was to examine the association between plasma levels of TNF-alpha, measured by immunoreactivity (ELISA) and bioactivity ...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46651996000200005

    authors: Salomão R,Castelo Filho A,de Medeiros IM,Sicolo MA

    更新日期:1996-03-01 00:00:00

  • Epidemiological profile of snakebite accidents in a metropolitan area of northeast Brazil.

    abstract::The aim of this study was to describe the epidemiological profile of snakebite accidents reported by the toxicological assistance center in Fortaleza, Ceará, Brazil. Database information on snakebite accidents was analyzed regarding the period from January 2003 to December 2011. A total of 1063 cases were found. The a...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/S0036-46652013000500009

    authors: Albuquerque PL,Silva Junior GB,Jacinto CN,Lima CB,Lima JB,Veras Mdo S,Daher EF

    更新日期:2013-09-01 00:00:00

  • First record of Anopheles (Anopheles) costai Fonseca & Ramos, 1939 in Espírito Santo State, Brazil.

    abstract::Field collections of immatures and adults of Culicidae were carried out in the Rio Doce Valley, Espírito Santo State, aiming to increase knowledge on the anopheline species of that region. Considering all Culicidae species collected, among other anopheline it is noteworthy the presence of Anopheles darlingi, An. oswal...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46652007000500009

    authors: Natal D,Urbinatti PR,Malafronte Rdos S,Rezende HR,Cerutti C Jr,Sallum MA

    更新日期:2007-09-01 00:00:00

  • Hantavirus pulmonary syndrome in the Province of Rio Negro, Argentina, 1993-1996.

    abstract::Early in 1995 the first case of Hantavirus Pulmonary Syndrome was serologically confirmed in El Bolsón (Province of Río Negro, Argentina), corresponding to the third outbreak reported in Argentina. A total of 26 cases of HPS related to the Andean region of Rio Negro Province, were reported from 1993 to 1996, 17 in El ...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46651997000400002

    authors: Cantoni G,Lazaro M,Resa A,Arellano O,Amestoy AM,De Bunder S,Herrero E,Perez A,Larrieu E

    更新日期:1997-07-01 00:00:00

  • In vivo and in vitro Plasmodium falciparum resistance to chloroquine, amodiaquine and quinine in the Brazilian Amazon.

    abstract::In order to study the chemoresistance of Plasmodium falciparum to commonly used antimalarial drugs in Brazil the authors have studied ten patients with falciparum malaria, acquired in the Brazilian Amazon region. Patients were submitted to in vivo study of drug sensitivity, after chemotherapy with either 4-aminoquinol...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46651997000200004

    authors: Segurado AA,di Santi SM,Shiroma M

    更新日期:1997-03-01 00:00:00

  • Fonsecaea pedrosoi cerebral phaeohyphomycosis ("chromoblastomycosis"): first human culture-proven case reported in Brazil.

    abstract::Cerebral phaeohyphomycosis ("chromoblastomycosis") is a rare intracranial lesion. We report the first human culture-proven case of brain abscesses due to Fonsecaea pedrosoi in Brazil. The patient, a 28 year-old immunocompetent white male, had ocular manifestations and a hypertensive intracranial syndrome. Magnetic res...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46652003000400008

    authors: Nóbrega JP,Rosemberg S,Adami AM,Heins-Vaccari EM,Lacaz Cda S,de Brito T

    更新日期:2003-07-01 00:00:00

  • [Paracoccidioidomycosis among the indian group Suruí of Rondonia, Amazonia, Brazil. A case report].

    abstract::The Authors report a case of paracoccidioidomycosis in a Surui Indian patient from the state of Rondonia, Brazilian Amazon. The subject is an adult male, having been diagnosed on the basis of mycologic, serologic, and radiographic exams. The prescribed therapy was sulphamethoxazole 800 mg associated with trimethoprim ...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:

    authors: do Valle AC,Coimbra Júnior CE,Llinares FI,Monteiro PC,Guimarães MR

    更新日期:1991-09-01 00:00:00

  • Membrane fractions from Strongyloides venezuelensis in the immunodiagnosis of human strongyloidiasis.

    abstract::Strongyloides venezuelensis is a parasitic nematode of rodents frequently used to obtain heterologous antigens for the immunological diagnosis of human strongyloidiasis. The aim of this study was to evaluate membrane fractions from S. venezuelensis for human strongyloidiasis immunodiagnosis. Soluble and membrane fract...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/S0036-46652015000100011

    authors: Corral MA,Paula FM,Gottardi M,Meisel DM,Chieffi PP,Gryschek RC

    更新日期:2015-01-01 00:00:00

  • Unusual case of lagochilascariasis with breast involvement: the first case report in pregnancy.

    abstract::Lagochilascariasis is a neglected neotropical helminthiasis, responsible for human infections through the ingestion of raw or undercooked meat from wild animals infected by larvae encysted in their tissues. It is characterized by a chronic evolution with periods of remission and recurrences, affecting mainly the head ...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type:

    doi:10.1590/S1678-9946202062086

    authors: Assy JGPL,Esper HR,Quiroga MMM,Brandão ADS,Said RDC,Pinheiro OC,Ribeiro APDS,Santo MCCDE,França FOS

    更新日期:2020-11-09 00:00:00

  • In vitro activity of the clinical pulmonary surfactant Surfacen® against Leishmania amazonensis.

    abstract::Surfacen® is an exogenous natural lung surfactant, composed by phospholipids and hydrophobic proteins, which is applied successfully in Newborn Respiratory Distress Syndrome. In this paper, in vitro activity of Surfacen® against Leishmania amazonensis is described. The product showed activity against the amastigote fo...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46652011000400012

    authors: Blanco O,Lugones Y,Díaz E,Monzote L

    更新日期:2011-07-01 00:00:00

  • [Black grain mycetoma caused by Madurella grisea].

    abstract::The authors reported one case of eumycotic mycetoma due to Madurella grisea (black grains) occurred on the right foot of the patient studied. The structure, microscopic morphology and therapeutic evolution are also studied and reported. ...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46651989000300010

    authors: Belda Júnior W,Cucé LC,Dias MC,Lacaz Cda S

    更新日期:1989-05-01 00:00:00

  • [Epidemiology and clinical picture of accidents by adult and young snakes Bothrops jararaca].

    abstract::Four hundred and fifteen cases of bites by adult Bothrops jararaca (group A) were admitted to the Hospital Vital Brasil between 1981 and 1987. These cases were compared to 562 cases of bites by young snakes of the same species (group B) during the same period and at the same hospital. In group B blood incoagulability ...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:

    authors: Ribeiro LA,Jorge MT

    更新日期:1990-11-01 00:00:00

  • Immune response in mice immunized with acidic antigenic fractions from Trypanosoma cruzi cytosol.

    abstract::The humoral and cellular immune responses as well as the resistance to infection with bloodstream forms of T. cruzi were studied in mice immunized with acidic antigenic fractions from parasite cytosol, F III and F IV, plus Bordetella pertussis as adjuvant. The immunization with F III induced positive ITH and DTH respo...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46651992000500003

    authors: Gea S,Gruppi A,Cerban F,Pistoresi Palencia MC,Vottero-Cima E

    更新日期:1992-09-01 00:00:00

  • HUMAN T-LYMPHOTROPIC VIRUS 1 (HTLV-1) AND HUMAN T-LYMPHOTROPIC VIRUS 2 (HTLV-2): GEOGRAPHICAL RESEARCH TRENDS AND COLLABORATION NETWORKS (1989-2012).

    abstract::Publications are often used as a measure of research work success. Human T-lymphotropic virus (HTLV) type 1 and 2 are human retroviruses, which were discovered in the early 1980s, and it is estimated that 15-20 million people are infected worldwide. This article describes a bibliometric review and a coauthorship netwo...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/S1678-9946201658011

    authors: González-Alcaide G,Ramos JM,Huamaní C,Mendoza Cd,Soriano V

    更新日期:2016-01-01 00:00:00

  • Leptomonas seymouri and Crithidia fasciculata exoantigens can discriminate human cases of visceral leishmaniasis from American tegumentary leishmaniasis ones.

    abstract::Exoantigens (exo) from Leptomonas seymouri and Crithidia fasciculata were used in an enzyme linked immunosorbent assay (ELISA), showing 100% reactivity with sera from visceral leishmaniasis (VL) cases, and no reactivity with American tegumentary leishmaniasis (ATL) ones. Our results have indicated that these exoantige...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/S1678-9946201759001

    authors: Kesper N,Teixeira MM,Lindoso JA,Barbieri CL,Umezawa ES

    更新日期:2017-04-03 00:00:00

  • CD19 LYMPHOCYTE PROLIFERATION INDUCED BY Bifidobacterium animalis subsp. lactis IN C57BL/6 MICE EXPERIMENTALLY INFECTED WITH Toxoplasma gondii.

    abstract::Toxoplasmosis is frequently acquired through the oral route by the ingestion of cysts or oocysts of Toxoplasma gondii. Once ingested, the parasites penetrate the intestinal epithelial cells and rapidly disseminate to all organs in the host. During T. gondii infection, the intestinal microbiota plays an important role ...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/S1678-9946201658026

    authors: Ribeiro Cde M,Zorgi NE,Meireles LR,Garcia JL,Andrade Junior HF

    更新日期:2016-01-01 00:00:00

  • Opportunistic and non-opportunistic intestinal parasites in HIV/ AIDS patients in relation to their clinical and epidemiological status in a specialized medical service in Goiás, Brazil.

    abstract::Patients infected with the Human Immunodeficiency Virus (HIV) often have opportunistic infections, among which strongyloidiasis and coccidiosis are the most common parasitic infections that aggravate their health status. This study examined the prevalence of intestinal parasites, particularly of Strongyloides stercora...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/S1678-9946201860013

    authors: Barcelos NB,Silva LFE,Dias RFG,Menezes Filho HR,Rodrigues RM

    更新日期:2018-03-08 00:00:00

  • PCR in the first oropharynx aspirate of the newborn: a possible source for identification of congenital infection agents.

    abstract::We present a case of prenatal diagnosis of congenital rubella. After birth, in addition to traditional serologic and clinical examinations to confirm the infection, we could identify the virus in the "first fluid aspirated from the oropharynx of the newborn", using polimerase chain reaction (PCR). We propose that this...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46651997000600011

    authors: Pedreira DA,Haiek DB,Okay TS,Russo EM,Proença RS,Falcão MC,Zugaib M

    更新日期:1997-11-01 00:00:00

  • [Hidrobioid (Mollusca: Mesogastropoda) in Pedro Leopoldo and Lagoa Santa municipalities, MG, Brazil].

    abstract::Molluscs with shells very similar to Oncomelania nosophora were collected at Pedro Leopoldo and Lagoa Santa counties, MG, Brazil. They were identified, according to shell and soft part morphology, as Idiopyrgus souleyetianus. The others hidrobioids identified in Brazil are also listed. ...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章,评审

    doi:10.1590/s0036-46651990000200004

    authors: Lima LC,de Souza CP

    更新日期:1990-03-01 00:00:00

  • Opportunistic infections in patients with AIDS admitted to an university hospital of the Southeast of Brazil.

    abstract::Opportunistic diseases in HIV-infected patients have changed since the introduction of highly active anti-retroviral therapy (HAART). This study aims at evaluating the frequency of associated diseases in patients with AIDS admitted to an university hospital of Brazil, before and after HAART. The medical records of 342...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46652003000200003

    authors: Nobre V,Braga E,Rayes A,Serufo JC,Godoy P,Nunes N,Antunes CM,Lambertucci JR

    更新日期:2003-03-01 00:00:00

  • Angiostrongylus costaricensis: first record of its occurrence in the State of Espirito Santo, Brazil, and a review of its geographic distribution.

    abstract::Abdominal angiostrongyliasis is a parasitic disease caused by Angiostrongylus costaricensis, a metastrongylid nematode with wide geographic distribution, occurring from the United States to Argentina. In Brazil, the disease has been reported from the States of Rio Grande do Sul, Santa Catarina, Paraná, São Paulo, Fede...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46651995000400016

    authors: Pena GP,Andrade Filho J,de Assis SC

    更新日期:1995-07-01 00:00:00

  • American tegumentary leishmaniasis: diagnostic and treatment challenges in a clinical case.

    abstract::This clinical case presents a patient with a raised and ulcerative lesion with erythematous edges in the mouth, on the lower lip that was unsuccessfully treated as herpes labialis. Clinical data and laboratory tests (Montenegro skin test, indirect immunofluorescence, direct parasite search and polymerase chain reactio...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s1678-9946201860003

    authors: Oyama J,Ferreira FBP,Conter CC,Lera-Nonose DSSL,Ramos-Milaré ÁCFH,Venazzi EAS,Silveira TGV,Lonardoni MVC

    更新日期:2018-01-01 00:00:00

  • Total IgE detection in paired cerebrospinal fluid and serum samples from patients with neurocysticercosis.

    abstract::Neurocysticercosis (NC), the presence of Taenia solium metacestodes in tissues, is the most frequent and severe parasitic infection of the central nervous system. We investigated the presence of total IgE by an automated chemiluminescence assay in 53 paired cerebrospinal fluid (CSF) and serum samples from patients wit...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46652000000200002

    authors: Bueno EC,Vaz AJ,Machado Ld,Livramento JA

    更新日期:2000-03-01 00:00:00

  • A case of human rabies in the urban area of Ribeirã Preto, SP, Brazil.

    abstract::A 39-year old male patient was admitted to the University Hospital of the Faculty of Medicine of Ribeirão, Preto with signs and symptoms of sudden dyspnea, generalized myalgia and behavioral disorders. The initial suspicion was alcohol abstinence syndrome and the patient was referred for psychiatric and neurologic car...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46651997000300010

    authors: Silva JM,Silva AA,Ferreira AH,Monteiro ME,Santiago RC,Passos AD

    更新日期:1997-05-01 00:00:00

  • Transmission of Schistosoma mansoni under experimental conditions using the bovine--Biomphalaria glabrata-bovine model.

    abstract::Three calves experimentally infected with Schistosoma mansoni, and passing viable eggs in feces, as well as 5 normal calves (coming from a non-endemic area for schistosomiasis) kept as controls, were maintained in an enclosure (850 m2 in area). In this enclosure, a tank with water received 500 laboratory reared Biomph...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46651993000100002

    authors: Modena CM,Coelho PM,Barbosa FS,Lima WS

    更新日期:1993-01-01 00:00:00