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Opportunistic infections in pediatrics: when to suspect and how to approach()
OBJECTIVES: To describe the characteristics of opportunistic infections in pediatrics regarding their clinical aspects, as well as the diagnostic strategy and treatment. SOURCE OF DATA: Non-systematic review of literature studies in the PubMed database. SYNTHESIS OF DATA: Opportunistic infections ca...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9432119/ https://www.ncbi.nlm.nih.gov/pubmed/31790645 http://dx.doi.org/10.1016/j.jped.2019.09.008 |
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author | de Moraes-Pinto, Maria Isabel Ferrarini, Maria Aparecida Gadiani |
author_facet | de Moraes-Pinto, Maria Isabel Ferrarini, Maria Aparecida Gadiani |
author_sort | de Moraes-Pinto, Maria Isabel |
collection | PubMed |
description | OBJECTIVES: To describe the characteristics of opportunistic infections in pediatrics regarding their clinical aspects, as well as the diagnostic strategy and treatment. SOURCE OF DATA: Non-systematic review of literature studies in the PubMed database. SYNTHESIS OF DATA: Opportunistic infections caused by non-tuberculous mycobacteria, fungi, Herpesvirae, and infections affecting individuals using immunobiological agents are analyzed. Because these are severe diseases with a rapid evolution, diagnostic suspicion should be early, associated with the patient's clinical assessment and history pointing to opportunistic infections. Whenever possible, samples of secretions, blood, and other fluids and tissues should be collected, with early therapy implementation. CONCLUSIONS: Despite the improved diagnosis of opportunistic infections in recent years, they remain a challenge for pediatricians who are not used to these infections. They should raise the suspicion and start treating the case, but should also resort to specialists in the management of these infections to provide a better outcome for these patients, who still have high mortality. |
format | Online Article Text |
id | pubmed-9432119 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-94321192022-09-08 Opportunistic infections in pediatrics: when to suspect and how to approach() de Moraes-Pinto, Maria Isabel Ferrarini, Maria Aparecida Gadiani J Pediatr (Rio J) Review Article OBJECTIVES: To describe the characteristics of opportunistic infections in pediatrics regarding their clinical aspects, as well as the diagnostic strategy and treatment. SOURCE OF DATA: Non-systematic review of literature studies in the PubMed database. SYNTHESIS OF DATA: Opportunistic infections caused by non-tuberculous mycobacteria, fungi, Herpesvirae, and infections affecting individuals using immunobiological agents are analyzed. Because these are severe diseases with a rapid evolution, diagnostic suspicion should be early, associated with the patient's clinical assessment and history pointing to opportunistic infections. Whenever possible, samples of secretions, blood, and other fluids and tissues should be collected, with early therapy implementation. CONCLUSIONS: Despite the improved diagnosis of opportunistic infections in recent years, they remain a challenge for pediatricians who are not used to these infections. They should raise the suspicion and start treating the case, but should also resort to specialists in the management of these infections to provide a better outcome for these patients, who still have high mortality. Elsevier 2019-11-29 /pmc/articles/PMC9432119/ /pubmed/31790645 http://dx.doi.org/10.1016/j.jped.2019.09.008 Text en © 2019 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Review Article de Moraes-Pinto, Maria Isabel Ferrarini, Maria Aparecida Gadiani Opportunistic infections in pediatrics: when to suspect and how to approach() |
title | Opportunistic infections in pediatrics: when to suspect and how to approach() |
title_full | Opportunistic infections in pediatrics: when to suspect and how to approach() |
title_fullStr | Opportunistic infections in pediatrics: when to suspect and how to approach() |
title_full_unstemmed | Opportunistic infections in pediatrics: when to suspect and how to approach() |
title_short | Opportunistic infections in pediatrics: when to suspect and how to approach() |
title_sort | opportunistic infections in pediatrics: when to suspect and how to approach() |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9432119/ https://www.ncbi.nlm.nih.gov/pubmed/31790645 http://dx.doi.org/10.1016/j.jped.2019.09.008 |
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