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ISSN 0035-0052 (Impreso)

2013, Número 3

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Rev Mex Pediatr 2013; 80 (3)


Los adenovirus como causa de gastroenteritis aguda en los niños

Martina LM, Iglesias LJ, Bernárdez ZI, Rendón-Macías ME

Idioma: Español
Referencias bibliográficas: 51
Paginas: 98-104
Archivo PDF: 70.84 Kb.


RESUMEN

Objetivo: Identificar tempranamente los adenovirus en niños con gastroenteritis aguda.
Métodos: Estudio retrospectivo, se seleccionaron 1,619 niños menores de 16 años con diagnóstico de gastroenteritis infecciosa que ingresaron al hospital en los últimos cuatro años; de éstos a 501 se les hizo la prueba de diagnóstico rápido en la búsqueda de adenovirus en heces.
Resultados: La frecuencia de los adenovirus fue de 9.9% en su mayoría lactantes. Las manifestaciones clínicas fueron un cuadro subagudo de diarrea profusa, acuosa y mucosa, con una duración media de cuatro días; en 40 (80%) niños hubo vómito, la mitad tuvo fiebre, dolor y distensión abdominal. Sólo hubo un caso con deshidratación severa; la biometría mostró una cuenta leucocitaria normal con monocitosis y linfocitosis.
Conclusión: Los adenovirus son causa de gastroenteritis aguda en menores de dos años, por lo que se recomienda la prueba rápida para hacer un diagnóstico precoz y evitar el empleo de antibióticos en estos niños.


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