1. Trastornos neuropsiquiátricos autoinmunes asociados a infección estreptocócica en la edad pediátrica.
- Author
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Maragoto Rizo, Carlos, Rodríguez López, Arturo, Gonzáles Gonzáles, Irene, Vera Cuesta, Héctor, Gómez Fernández, Lázaro, and Pavón Fuentes, Nancy
- Abstract
Objective: To identify the clinical aspects of pediatric patients with autoimmune neuropsychiatric disorders associated with streptococcal infection. Methods: A descriptive study was carried out. Information was taken from the medical records of all Cuban pediatric patients with autoimmune neuropsychiatric disorders associated with streptococcal infection, treated at the International Neurological Restoration Center of Havana, from January 2001 to August 2018. Fifty-six (56) patients met the diagnostic criteria for this disorder, and all were included in this study. The most relevant variables analyzed were age of the onset of symptoms, history of recurrent infections and clinical symptoms. Descriptive statistics methods were used for data analysis, such as the arithmetic mean, mode, proportion and percentages. Results: The age average of the onset of symptoms was of 6, 7 ± 2,7 years (standard deviation). Thirty-six patients referred some repeated infection (64,29 %). The clinical most frequent symptoms were tics and behavior dysfunctions in 52 cases (92,86 %), followed by dysfunction of deficit of attention with hyperactivity in 41 (73,21 %) and poor school performance in 27 (48,21 %). Conclusions: Autoimmune neuropsychiatric disorders associated with streptococcal infection in the pediatric age were more frequent in male patients. They are related to the presence of repeated infections, especially of the upper respiratory tract. Its hereditary character is not clear. The symptoms can be dissimilar and, in some cases, difficult to define. The most frequent reason for consultation of these patients was tics. [ABSTRACT FROM AUTHOR]
- Published
- 2019