You are on page 1of 9

c

Complicación de la Fiebre Tifoidea en niños: Anasarca
Reporte de un caso y revisión de la literatura. c

c  c 

Perú 1995.c c ccc /cc0  c1. 15(1): 79-85 c c REPORTE DEL CASOc . c c ccc  c c c RESUMENc  cccc c cccc c !c c"c #c    c " c c$c cc   c ccc  %c& ccccc % c PALABRAS CLAVE:c'!c  c c c SUMMARYc (cccc cc  c")c!"c*c"c c c   c   c c  c*cc c  c cc  c%c(c c   c cc % c KEY WORDS:c+"c  c c %c c Rev. Gastroent. c ccc c c"c ccc-  ".

c c c!6cc6cc  c.cc c2!c" cc33cc !c c45%c/c!ccc6 cc  c cc c c 7 %c c .

c 6c ccc cc$7ccc!  ccc"cc  c  c  c!  c"c c  ccc%c c /ccc!c   c   cccc   cc c #c"cccc c c ccc ccc6%c c  . ccc<c  c!6c c c  c9c6c c"c c"c!6cc c"cc c: !c : %c c 2c9  c 6c !=c c + =c><?c'=c43@9Ac'=c>B9Ac1c>@c%c c cc  cc c"cc  %c1c8c ccc .c c %c c 6c c c c c c  cc   c"c ccc% c c . c"c  %c!c cc 8 c c  cc  c cc9%c&c6c c!6c c cc:  :c c cc#!c"c!6c!c   cc c c !c"c  !c !%c2ccccc 9cc c"cc c cc  c  %c+c6c  ccc c c9cc$ccc cc %c.

%c1 c.

%c+ c c   %cCc$%cCc $ %c+7c c!.

c%c0 c %c2 6c c$cc4c cc.

 cc  cc   c  c c%c  c  % c c  7 c.

 cc %c/c!7 c.

c c   c c c"c!c%c1c c c ccc  cc %c  c c%cD  c c %c  cc!c  c!cc !c 9%c c c!%cCcc%c2!  c   c c  c c ccc c c%c 6cc Bc cc!7cc!cc%c0  %c c c!%c / ccc%c c%ccc9  c  %c c c9.

 c9c  c cc7 %c c & cc cc c c9c  c   c  c    c c"cc !%cc ccc .

c   c ccc cc %c !c c6 c"c cc   6%c c  cccc ccc$ccc c  c cc c4@@c EE6 c   c0c"c  cD%c     cc ccc c  cD%c c 2ccc8 c6cc c c c c 76c c c  cccc"c   cc c"cc%c0c c cc cc c! c  %c c DISCUSIÓNc c c  c  c c c !c ccc c    c c .

%ccccc   c c cc$cc  c.c-4.c 7c-  c$c  cccc!"ccc c !c9.c  c cc c$c c.

c c c .c cc c%c Dc c cc c "c  cc  cc c  c c  c 6%cc  cc/  c  c c  c .

c!7cc  c cc  c-4.%c CUADRO 1: EXÁMENES AUXILIARES c .

c cc9 7c c c  c .

c.

c"c  cc c c"ccc  c  %c c 0 c c c c .

c cc cF c"cF c c c   c .

c  c c c! cc c.

ccc6 c -@%<G.%c c 0 cc1#c  .c c c cc cc-4%4G.c-3.c"cc  c  c-@%3G.

 cc"cc c  c cc>>Gcc Hc  c45%BGccc6  c/%cIGcc   6 cJ%IGcc  cc"cJ%>Gcc  c  c->.%c .

c   c K8 c  .

c  c  c-4@%BG.c "c cc-B%JG.c-5. c"cc  c$cc  cc  ! cc c5<Gcc  c    c c 7c"c$c c  cc  c =cc6 c-45%BG.%c c L   c c c$cc6c cc !c cccc  !  c  c8ccc c  cc   cc c  c$cc  c c6c c  c c c c .

cc c-J.%c c c !c ccc  c ccc   cc!6ccc  c cc  c$cc  cccccc !c c"cc    c c  c-B.%c c .

cc6 cc c c  c$cc c c   c    cc cc.

c.

c-I  c4@ c44.c/cc6 ccc c-I 43.cc c  c c "c c    c c cc.%c2 $c "c$ c c$cc!c"cc  cccc$cc c c-45.ccc  c$ccc c  c cccccc!cc c ccc6 ccc  cc(c ccccc  c-c  c  c6 c c !c cc!! c8c c  c ccc  c)c  cc c ccc6c"cc cc !c c"c !c$cc6cccc ! .c"c!c!$6 c  c -I <.Hc!cc c cc c  ccc c c !cccc$cc cc$ccc c - c !  cc  c%.c-4>. c!ccc cc$cc!cc c !  cc c cc ccc9 c! c"cc cc c6 c  cc-c c6  c  cc c "cc ccc c 6c cccc cc8c c$c ! cc  !ccc   cc c   .c-44.

c  c$cc !cc .

c  c cc$c  cc c cc c6  c$c  "c.

c0c 9 c c!cc8ccc-4J.%c CUADRO 2: EXÁMENES AUXILIARES c c  c!c c4Iccccc  c.c c  c    c c"c   cc cc  cc c8c   %c0cc c!cc  ccc c cc c-44.cc c .

= c c .

Acccc0ccLcc6c  .

 c c cc c6 c"c cc  cc ccc   %cc Acccc0ccLLcc  c.

c c c"c cc  c   c  c  c   c"c!! c 7%c Acccc0ccLLLcccc c   c.

 cc   c  ccc   c"c c cccc ! %c-4>.%c c Cc  c$cccc c  cc c  c  c c  c.

c$c6cc c c c  c  cccLLc"cLLL%cc c ccc   c !ccc !! c$cccc .

cc3@c Gc c .

cc45c Gcc!! c %cccc  c c"c  ccc! c   c%cc6 c c c c "c!7 c cc !   %c0c6c c c !c  ccc c$cc !cc 6c!  %cccc  c cc6c   ccc!c cc6c$c!c c"c  %c0c  c   c$c cc   c!7cc  c  c.

=c:+7c.

c c   ccc$c !%c0 c c8 $ cc c# cc  c c  c  cc"c c8c .

c-  c   $ cc  c .%c c + !8 cc  cc cc%c cc8cc   c  c c  c c c c  % c c Fig. 1.-c   c cc cc 9c c ccc cc "6c  c c  c c"c c c  %c c 0c.

%c .cc"c ccc$c"c  %c & =ccccccccc4%c c  %c cccc3%c %c cccc>%c0c c:c-'c3c"c>.

-c18 $ c. 2. c Fig.

c c c  cc   c c8c .

c c Fig. 3.0cc  c c  cc  c"c c8c ..cc c   c c  c c  %c cc"c cc %c- %0%c3J9.

c- =0%3J9. c c!   c c c ccc ccc c c   c  c cc9 c!! 6c$c c c-c 9 cc c c!7cc 'A0 c-<. c cc$cc$cc c!c!cc  c cc !c c =c c c  =cc c!cc HcHc c 7ccc Hc!c.

c  c"c %c  cc ccc ccc!cc$ccc c %c0cc# cc $cc c$cc!cc c c  cc c . c c c$c- c c .%c0c c c cc  !c cMMMc cc c6$c6cccc!c c c-c!cc c 6$c c cc!#  c E6$c6c ccc c  ccc2&2c !c ccccc+Fc .c"c c6 c"c  6cc cc!%c c   ccc cccc c c  cc c  c c %cc9 ccc ccc  c c!c    cc  c.

c$c 6cc6 cc6 Hc c  !cc!#  c c c6cc   c  c ccc  c c  ccJGc  c"c9c c !cc   c$c  cc   cc$ccc.

ccc "c  %c1c c c"c ! c$cc  c.

c c$cc  c7c cc  %c0c c .cc c cc c c9 c- cc cc    c cc c .

 6cc c c    c  c  6c cc  c"c 6c c  8c"c    c6 cc c   cc c%c cc!c .

ccc!    cc  ccc"c6c !8 cc c cc cc c cc  Hc .

c-# cc !cc8cc6 ccc!cc cc  .c  c$c cc cc cccc c   ccccc  Hc c  c    cccccc  ccc "c%c1 ccc   cc   cc6 c c c   cc  ccc c"cc cc %c'6c   cc c c$6 c cccc!c 6 c!c !c .c c   c c6  c c!ccc8% c c 0cc c$c!6c !cc cc  c6cc cc  c =c9c c  c 6 c.c6c c c ccc cc ! c cc"c%c c c8cc6 c$cc cc ccc !   =cc c c "cc"c7cc!cc c 6  c  Hccc c $cccc ccc -4I.c-4B.cc  cc   c-  c  .

c-4<.cc cccc  cc N c3.%c c c    c-2&2.c cc c!c "c c cc c c !c  ccc     ccccc$c c c  c ccccc  c cc6$c6%c "c c7c  c c$cc cccc2&2c  cc8 ccKc cc cc c c  c ! c  .ccc c- c7 c    cc  c9  .

%c c Acccccc   cc!c. c 7c$cc c-$c   c  c ccccccJGc c.cc c c!c ccc/  c-4 3 34 33.%c  c c9 cccc c  cc !8 c6cc cc  c$cc!c c2&2cc c6$cccccc   c-c$cc!c cc cccc cc  c  c  .%cc# c  c!cccc2&2c cc 6$c  c$c cc   ccc c c6cc c $ccccc cc ccc!c c-3@.%c c Dc  c!c c c !c c =c c Accccc  cccc6c! c$cc9c ccc c!  ccc %c0cccc cc$c  c c  ccc %c. c$c!cccc  !c"c  cccc  !c cc   ccc  c c !c c-4.

c c Cc c cc  c c c 6 c -   c$  c cc"c9c .c$c6ccc c  c %c0 c$cc   c  c cccc cc  c c c %cc"cKc ccc c ccc cc c c c c-B. cc  c"c   6%c c 09 c .

c ccccc  c$c c c c c   cc$cc! c cc=ccc  c  c .

6  c ccc  c  c c c-9 c c   6 c !c! c  c c c  c c c"c c 8.Hccc9   cc   c 7  c c ! ! c  c cc O Nc"c!cc #c %c c 0c ccc!cc "c !cc!cc c c !c  c0c c !8 cc# ccc cc . c c c-   c!c  c   cc"c . c cc- c6 c c"c .c"c c c-cc cc  c"c !  c c ccc  6. c c6c - .

%ccccc c.c 6cc ! Hcccc  c ccc$c"c cc! c   c 6%c0cc cc# cccc8 c8cc c6cc  %c0cc cc# cc$cc  ccc cc %c1ccccccc6$cc c c-!.

ccc ccc ccc cc%c0 c cc!c c 4<Bcc  c  .

c c 0 c c cc cc c ccc6cc  cc/  c"c cc 9c"c !cc    c  c"c$   c  c$ccc"ccc  c %cc6 c"cc9.  cKc"cc cc$cc cc cc cc c c ccc  cc  cc c<BGc c  cJJGcc cJ5Gcc!c"c53Gcc  c-3>.

 c9c cc c $c6 c  c cc c-!  c !c .

 c! c  c%.%c0ccc$c  c cc c 8c c" c c cc cc   ccF c!   c 7c !8 cc!cc0  cc %c c BIBLIOGRAFÍA c 4%ccccc%c(0&KDD&%c16c c.

%c4Pc0 %c0c&" %cF c4<5% c c 3%cccc2%cF2C22Lc"c2%cF2C'L%c'!c =c9 ccccc c<>4cc.

%cc c%c%c 4@Bc4I<%c c >%cccc %c 0CQC&0OHc0%c 2CKc"c0%c 02%c  c"cccc !c c c %c Fc c cL  c 9%c%c5@%c4<>% c c 5%cccc%cK.02Hc2%c2CD/cSc2%cSL%c2!c.+LR0OHc %c 0CQC&0Oc"c0%c 212D%c  c"Ecccc !c c  c %c& %c%c3B%cC %c4)3%c4@%c c J%cccc%c DK0C/+0Cc"c1%c 2S0/%c+cc"c =c*"c  c c7cc  %c 2 cc K %c%c<B%cC c%c/c44% c c B%cccc1%c0K.2 c0cKD+.OODHc%cK.

c ccccc !c %c & %c%c<%cC c>%c4<4%c c I%cccc/%c D/2%c+"c%c1c c%c%cBBcccccC cI<4%cCc4@%c c <%cccc%c'D0/)0/1LCDO2%c+ c c 89%cKc 8cc 89%c%c4@B%cC c4%cc4I>% c c %cccc1%c&. cc    c c"c %c/ c c%c%c>3%c C cJ%cDc 44%c c 44%cccc/%c2 2 2C&2CHccKD&'0Sc"c %c1002%c+"c%c2 2%cDc3>@%cC c3%cDc4I5%c .++2Hc %c2 LLHc/%cF2++2 2S2Hc %c/2 2Hc.%c L+2Hc%c2/2LSc"c/%c12%c  )Nc   c c"c %c+ cc/c+c c "%c%c<B%c  c4%c0  A'!c43%c c 4@%cccc %c2 2C2+ 2C%c.

c 43%ccccO%cF .OODHc%cF2c"c %c2 1D/%c0 ccc 8c  cc !c c c 6%cFc c cL  c 9%c%c5>%cC c5%c!c4<B% c c . 2%c16c0c"c'  %c+c0 %c0c L   %c 89%c4<I%c c 4I%cccc%(2CKHc %c 2CKHc%c/.K 2C%cC c+cc16%c4>c0 %c0cL   c)c c K*c)c %c %c4<% c c 3>%cccc%c20C2/Hc %c 0C2C&0OHc0%cKD+.%cKc*c  c"  =cc c c %c2c1c/ %c%c>4%cC c3%c )2!c4@% c c 4<%cccc%c(0FD.O%c c::c c !c %cL %c%c45>cC c>%c4<>% c c 4B%cccc/%cDFFLC/Hc%cD+2Cc"c%c.++2%c'   cc c*c"c c c%c c1Nc c2%cLc54%c  cB%c  c44%c c 4>%cccc%20Hc%c2/2+DHc0%c+D0/cSc%c.OD%c c6 c ccc %c& c%c4@%c C cB%c4<3%c c 45%ccccC%c2L'Hc2c 2CcScOcLTF2%c c  c*c"c =ccc c  c %c c1Nc c 2%c%c5@%cC c4c0 c4@%c c 4J%ccccK%c.02HcU%cL&HcK%c2L LDLHc %c&00c"c cV%cD'0%c2  c  c c !c  c"cc  c !%ccc1%c%cB3cC c5%c2c44% c c 3@%cccc2%KL 0C0OHU%SDH%2/+0D+0H %/2C 0OHc%LK0/L2/Hc%c2 DCc"c%c2/2L/%c2Dc&0c2&2c  cc!c %cc0c0 c&%c%c<3cC c4%c43% c c 34%cccc%c 0C0K 0D%c16%c5c0 %c1! c+8 c  %c/ cc%c44% c c 33%cccc%cF0  2Cc"c%c2.Hc%c00c"c %c /.CHcK%cKD& 2CcSc%cDFOLL%cL   c c !9 c c c c c " c c c*c N c 3%c2 c/%c%c343%cC cB%c&c4@%c c 4%cccc%c2/2C.