Argentina-Comodoro detected in two cases of Hemolytic Uremic Syndrome in 15 days

[Tonka]

http://www.elpatagonico.net/index.php?item=nota&idn=91687&ref=hoy

Spanish to English translation

Comodoro detected in two cases of Hemolytic Uremic Syndrome in 15 days

In less than 15 days were treated two cases of children under two years, with Hemolytic Uremic Syndrome in the Regional Hospital of Comodoro Rivadavia. One of them is treated at the Hospital Garrahan in Buenos Aires yesterday morning and his condition is critical, the other has already been discharged. Both would have been contaminated by eating sausages.

The doctor Gustavo Guerrero gave details of the cases detected in Comodoro.
Though he said he still needs to be confirmed through an analysis of the stool to say they are completely two cases of Hemolytic Uremic Syndrome, the doctor Gustavo Guerrero said, "treat them as such because we have a certainty of 99% percent. We rely on symptoms, plus laboratory, but are not yet confirmed suspected cases. "

From the Division of Epidemiology and Patalog?as Programmatic Area Health Department, said yesterday that Guerrero was treated two cases of children affected by the bacterium Escherichia coli, found primarily in beef and pork and contaminated milk, although may also be present in vegetables.

If the meat is well cooked, the bacteria survives and enters through the digestive tract, is nestled in the colon and releases a toxin that is like a poison that kills the cells. The toxin enters the bloodstream and damages red blood cells and kidneys causing hemolytic anemia and uremia, and in severe cases, it attacks the brain cells.

CRITICAL CASE

The child who became the first case to be handled at the local hospital and was discharged last Wednesday. The same was admitted on January 19, resident of the neighborhood is St. Martin and it is presumed that the contamination was caused by the consumption of sausages, as the latter. The first child is one year and four months. "This case did not require dialysis, unlike the second case, also presented a peritonitis, being hospitalized in intensive care, complicating the picture," said the doctor.

The leading case is sensitive to an infant of one year from the neighborhood Pueyrred?n, yesterday arrived at the Hospital Garrahan of Buenos Aires.

Guerrero said that "the treatment of hemolytic uremic syndrome involves performing peritoneal dialysis as he had infected that area could not do this type of dialysis that is what we do in Comodoro, even in Trelew. So was referred to Buenos Aires to be indovenosa dialysis. Required a more specialized center and Garrahan is the only place in the country where they can do. The current state is critical. "

SYMPTOMS

One study showed that the bacteria produce a toxin that affects the kidneys, red blood cells and brain cells. Guerrero said that "terrible complication is death. When someone uses, for example, a hamburger is not cooked properly, the bacteria causes gastritis, vomiting and diarrhea. Any medical professional can interpret it was a commonplace gastroenteritis and the person goes home. But if the diarrhea bleeding should change the diagnosis and control is needed more than 8 hours, approximately, to see why the bowel bleeding, "said the professional.

 

[Tonka]

Re: Argentina-Comodoro detected in two cases of Hemolytic Uremic Syndrome in 15 days

http://www.lanueva.com/edicion_impresa/nota/7/02/2011/b27080.html
Spanish to English translation


FIRST CASE Bahiense
Is lucid and stable girl Uremic Syndrome
The patient has six years and is dialyzed in the Hospital Penna. She caught eating hamburgers at a summer camp.
Laura Alconcher, Head of Nephrology Department of Hospital Dr. Jos? Penna, said yesterday that the child affected by hemolytic uremic syndrome (HUS) is stable and is assisted by dialysis "and has not even a drop of urine."
"The little girl, age 6, has a very important coagulation disorder," said the specialist.
While the case is not life threatening, Alconcher warned that it is very disturbing because "it is a serious disease, which is not being resolved and that the definitions will be known once the patient begins to urinate.
"There is neurologically affected and kidneys are the only ones who do not work, but dialysis supplies its role at the moment. The hospital has been doing everything you should do in these cases," he said.
So far, everything suggests that the girl contracted the ED for hamburgers you ate at a holiday camp, which is why the staff of Food City investigates possible symptoms of diarrhea in other attendees.
The presence of the Escherichia coli strain O-157 with 2 positive berotoxina the girl, was confirmed by the device since last year works in the Penna.
This is the first case bahiense of this disease so far this year. The first was a girl Pozo Salado, a town near Viedma, who died in January, while the second is that of a boy who is being assisted at the Hospital.
Laura Alconcher urged not to panic, but to be careful because sometimes prevention is not enough and very easy to catch.
HUS is a disease that requires health by the cook or handle food, so that all healthcare organizations seeking to pay attention to any suspicious symptoms, particularly in the two main risk groups: children and those over 70 years .
Our country has the highest infection rate in the world, with 15 cases per 100 000 children under five years. At Penna, Bahia Blanca, children have been served two months to 14 years.
HUS is the leading cause of acute renal failure in children and chronic renal failure second, why those concerned should continue their life on dialysis.
In the area of our city, between January 1998 and 2009, there were 385 cases that should have been referred for dialysis or awaiting kidney transplants. There were 12 fatalities.
In most cases the first symptom is a large number of stools per day, low volume, with mucus and blood. Between 5 and 7 days later, the patient takes a noticeable pallor. Often, stop urinating, but this is difficult to determine whether wearing diapers and more if you have diarrhea. The white tone of the skin encourages the most queries.
As this is a vasculitis (inflammation of blood vessels in the body), the syndrome often affects the tubes that carry blood to the kidney.
In 90 percent of cases, infection is caused by Escherichia coli, bacteria that produce Shiga (STEC) O-157, an emerging foodborne pathogen that since 1982, generating major outbreaks of foodborne illness.
The transmission is put into effect through consumption of contaminated food, especially minced meat and raw milk. There must add the fecal contamination of water and other products such as fermented sausages, mayonnaise, lettuce, spinach, unpasteurized fruit juices, yogurt or cheese.
Also consider cross-contamination during food preparation, direct contact between human beings and animals and among people, by the fecal-oral.

Five tips that can save lives
Bromatol?gicos health agencies and recommended a series of points that can contribute to the effective prevention of HUS.

A. Wash hands before preparing food and during preparation. Use fresh water and safe raw materials.

B. Keep raw and cooked foods separate. Crude - especially chicken, meat, fish and their juices - can contain dangerous microorganisms capable of transferring to other cooked at any stage of the preparation oo conservation.

C. Cool food from -5 ? C, and not thaw at room temperature.

D. Cook evenly, and always above 70 ? C because at that temperature, the heat kills most of the contaminating organisms.

E. Keep food at safe temperatures. Once cooked, leave them exposed to the environment no more than two hours because the microorganisms proliferate quickly