medigraphic.com
ISSN 0185-6014 (Print)
Órgano oficial de difusión de la Federación Mexicana de Patología Clínica, AC y de la Asociación Latinoamericana de Patología Clínica/Medicina de Laboratorio

2016, Number 2

<< Back

Rev Mex Patol Clin Med Lab 2016; 63 (2)

Integral treatment to patients with psychiatric dysfunctions associated to group A beta hemolytic streptococcus

Parés OYM, Mármol SL, Ocaña DA, Carbajales LAI, Sosa JM, Rodríguez BY, Carbajales LEB

Language: Spanish
References: 11
Page: 110-114
PDF size: 277.91 Kb.


ABSTRACT

Several patients were identified with severe psychotic disorders who showed, by inference tests, the presence in the pharynx of group A beta hemolytic streptococcus. Comprehensive treatment was applied to them. Through a pre-experimental study, patients underwent an interview to determine their personal medical history, underwent ASO title, throat swabs and were evaluated monthly. 71% of them were males and 38.7% corresponds to the age range between 18 and 22 years, all patients had positive ASO title at the beginning of the investigation and 90.3% with positive swab to beta hemolytic streptococcus group A. 71.0% of patients were cured within three months of comprehensive treatment and 41.9% received comprehensive treatment. It is a disorder not described before, with symptoms of psychotic constellation associated with asymptomatic presence of group A beta hemolytic streptococcus in the throat of those affected.


REFERENCES

  1. Biblioteca Nacional de Medicina de EEUU. Institutos Nacionales de Salud. Fiebre reumática [Internet]. 2012 [citado 12 de junio de 2014]. [aprox. 4 pantallas]. Disponible en: http://www.nlm.nih.gov/medlineplus/spanish/ency/article/003940.htm

  2. Lawrence JG, Carapetis JR, Griffiths K, Edwards K, Condon JR. Acute rheumatic fever and rheumatic heart disease incidence and progression in the northern territory of Australia, 1997 to 2010. Circulation. 2013; 128 (5): 492-501.

  3. Jones TD. The diagnosis of rheumatic fever. JAMA. 1944; 126: 481-484.

  4. Viswanathan V. Acute rheumatic fever. Indian J Rheumatol. 2012; 7 (1): 36-43.

  5. Guidelines for the diagnosis of rheumatic fever. Jones Criteria, 1992 update. Special Writing Group of the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young of the American Heart Association. JAMA. 1992; 268 (15): 2069-2073.

  6. Falcini F, Meini A, Lepri G, Rigante D, Ferrari A, Casalini E et al. FRI0516 The largest cohort of children and adolescents with pediatric autoimmune neuropsychiatric disorder associated with streptococcus infection (Pandas): preliminary descriptive analysis. Ann Rheum Dis [Internet]. 2015 [citado 12 de febrero de 2014]; 74: 615. Disponible en: http://ard.bmj.com/content/74/Suppl_2/615.2.abstract

  7. Singer HS. PANDAS: the need to use definitive diagnostic criteria. Tremor Other Hyperkinet Mov (N Y) [Internet]. 2015 [citado de 12 febrero de 2015]; 5: 327. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4502346/#!po=5.55556

  8. Frye RE. Sudden onset complex tic associated with streptococcal infection in a neonate: the first case of neonatal PANDAS. North American J Med Science Apr [Internet]. 2015 [citado 12 de febrero de 2015]; 8 (2): [aprox. 9 p.]. Disponible en: www.najms.com/index.php/najms/article/viewFile/58/43

  9. Ferrieri P. Proceedings of the Jones criteria werkshop. Circulation. 2001; 106: 2521-2523

  10. Constante-Sotelo JL, Domínguez AM. Cardiopatía reumática: causa de enfermedad vascular cerebral en el Instituto Nacional de Cardiología “Ignacio Chávez”. Arch Cardiol Méx [Internet]. 2006 [citado 12 de junio de 2014]; 76 (1): 47-51. Disponible en: http://www.medigraphic.com/pdfs/archi/ac-2006/ac061f.pdf

  11. Marijon E, Mirabel M, Celermajer DS, Jouven X. Rheumatic heart disease. Lancet. 2012; 379 (9819): 953-964.




2020     |     www.medigraphic.com