Sìndrome de Niño Maltratado por Negligencia como causa de Desnutriciòn Crónica Severa

Abstract

The next case involves a male patient, 4 years, 11 months, preschool, born and resident in Ambato- Ambatillo product of sixth deed, pregnancy poorly controlled well tolerated, home birth, crying immediately, feeding exclusively breastfed until 6 months , complete for age immunizations, pondo growth suitable estatural through 11 months as reported mother, hospitalized at 11 months of age by EDA + subsequent dehydration to which child has chronic weight progressive loss and whose control and monitoring is performed in Subcentro Health of Ambatillo. He goes first referred to Subcentro of Health for Congenital Heart Disease and Pulmonary Hypertension Severa, physical examination patient with syndromic appearance, body , senile appearance, cachexia, chest with medial deformation protruding, clubbed with distal cyanosis, muscle hypertrophy, adipose panicle decreased universal respect bag Bichart, dental caries, psychomotor retaraso, blow heart III / IV audibly machinery in all foci, patient remains hospitalized for 10 days receiving medical care and nurses, nutrition education to the mother, valued by services Dentistry, Psychology, Social Work, Legal, is discharged for outpatient follow-up stable and weight gain.