Santiago Santa Cruz Ruiz

Síndrome PANDAS: ¿una nueva indicación de amigdalectomía?

El sindrome PANDAS (pediatric autoinmune neuropsychiatric disorders associated with Streptococcus) es una entidad rara que se describio en 1998. Los pacientes con esta afeccion presentan una exacerbacion de los sintomas neuropsiquiatricos coincidiendo con las infecciones amigdalares causadas por Streptococcus betahemolitico del grupo A. Presentamos el caso clinico de un paciente de 9 anos con sindrome PANDAS sometido a amigdalectomia que mejoro de su sintomatologia tras la intervencion. Del mismo modo revisamos la literatura sobre esta entidad.

Fístula aortoesofágica en paciente con tubo de derivación salival de Montgomery

Las fistulas aortoesofagicas son afecciones sobradamente descritas y con multiples etiologias. No obstante, es excepcional que se presenten por la utilizacion del tubo de derivacion salival de Montgomery (TBSM), algo descrito en la literatura medica en una sola ocasion. Presentamos el caso clinico correspondiente a un paciente de 81 anos que portaba un TBSM y fallecio por una hemorragia masiva del tracto digestivo superior causada por una fistula aortoesofagica en la localizacion del TBSM. Se revisa la literatura sobre este tema.

Aorto-Oesophageal Fistula in Patient With Montgomery Salivary Bypass Tube

Aorto-oesophageal fistula is a well-reported pathology with several known causes. The co-existence of this pathology associated with the use of a Montgomery salivary bypass tube (MSBT) is exceptional and only 1 case is described in the literature. We present here a case report about an 81-year-old patient with an MSBT who died because of massive upper gastrointestinal bleeding caused by an aortooesophageal fistula at the site of the MSBT. The literature on this pathology will also be reviewed.

PANDAS Syndrome: ANew Tonsillectomy Indication?

Abstract PANDAS Syndrome (Paediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcus) is a rare disease described in 1998. In this disease, there is a relationship between group Abeta haemolytic streptococcal tonsil infections and the exacerbation of neuropsychiatric disorders. Acase report of a 9-year-old child with PANDAS syndrome is presented. This child has had no further symptoms after tonsillectomy. The understanding about PANDAS syndrome and tonsillectomy is reviewed.

Facial Paralysis of Infectious Origin in Patients Receiving Cochlear Implants

Peripheral facial paralysis during cochlear implant surgery appears in 0.43% of adults and 0.39% of children. Peripheral facial paralysis secondary to acute otitis media is very rare in adults, while the incidence in children remains between 0.19% and 0.45%. We present 3 cases of patients who underwent cochlear implant surgery at our department, and who presented peripheral facial paralysis secondary to acute otitis media. The procedure is similar to facial paralysis secondary to acute otitis media in children. Treatment consists of parenteral antibiotic and corticosteroid treatment. Prognosis is favourable, with a total recovery of facial function in 1 or more months.

Parálisis facial de origen infeccioso en paciente intervenido de implante coclear

La paralisis facial periferica durante la cirugia del implante coclear se presenta en el 0,43 % de los adultos y en el 0,39% de los ninos. La paralisis facial periferica secundaria a otitis media aguda es excepcional en el adulto. En el nino tiene una incidencia del 0,19-0,45 %. Presentamos 3 casos clinicos de pacientes sometidos a cirugia de implante coclear en nuestro servicio, que sufrieron paralisis facial periferica en el contexto de una otitis media aguda. El manejo es semejante a la paralisis facial secundaria a otitis media aguda en el nino. El tratamiento consiste en antibioterapia y corticoterapia parenterales. El pronostico es bueno, con una recuperacion completa de la funcion facial en uno o varios meses.