This document presents a clinical case involving a 9-year-old boy who was brought to the emergency room with sepsis of intestinal origin. The boy initially presented with abdominal pain, diarrhea, vomiting and fever. His condition deteriorated and he developed pale skin, loss of appetite, weakness, difficulty breathing and disorientation. Despite resuscitation efforts, the boy suffered cardiorespiratory arrest and passed away. The case aims to discuss intestinal sepsis and septic shock in pediatrics.

1. Sepsis punto de partida intestinal,
shock séptico, enteritis intestinal en
pediatría.
(Presentación de un caso clínico)

2. Historia Clinica
NOMBRE Y APELLIDO: SANTIAGO GUZMAN
CEDULA: No posee EDAD: 9 años SEXO: M
FN: LN: NACIONALIDAD:
Dirección:
Identificación.
Antecedentes personales.
Madre niega AB, DM tipo 1, enfermedades congénitas, alergia a medicamentos,
transfusiones sanguíneas.
Refiere Inmunización: contra Sars-Cov2 dos dosis Sinopharm.
Qx: niega.

3. Resumen de Caso
Se trata de escolar masculino de 9 años de edad, natural de la localidad procedente de San Jose De Guanipa, sin
antecedentes patológicos conocidos, madre refiere consulta de control de niño sano el dia 10/11/2022 con medico
de la empresa quien evalúa e indica exámenes de laboratorio que reportan cuenta blanca dentro de límites
normales con elevación de linfocitos, resto dentro de parámetros normales siendo reevaluado el dia 11/11/2022
por consulta donde se indica tratamiento ambulatorio con piperacina el cual cumple por 24 horas por mala
tolerancia; inicia enfermedad actual el dia 12/11/22 cuando presenta dolor abdominal difuso de leve a moderada
intensidad acompañado de evacuaciones liquidas, sin moco ni sangre no precisa en cuantas oportunidades asi
mismo episodios emeticos de contenido alimenticio para el dia domingo 13/11/2022 se anexa a cuadro clinico
elevacion de temperatura corporal no cuantificada por persistencia de sintomatologia es llevado a la emergencia
el dia 15/11/2022 donde es evaluado por residente de emergencia quien inicia procedimientos protocolares e
indica hidratacion más manejo Sintomático y posterior a observacion, buena evolucion y tolerancia a la via oral
sin criterios de ingreso para el momento, egresa protocolarmente con tratamiento ambulatorio indicado por
medico tratante mas antipiretico y suero de hidratacion oral e indicación de ante cualquier eventualidad acudir de
inmediato.

4. Resumen de Caso
Posteriormente en horas de la madrugada madre refiere anexarse a cuadro clínico palidez cutáneo
mucosa marcada, pérdida de apetito, decaimiento, periodos de agitación e insomnio, dolor abdominal
difuso, con dificultad respiratoria leve, sin vómitos ni evacuaciones por tal motivo es llevado
nuevamente a la emergencia el dia 16/11/2022 a las 9:40am donde se recibe paciente en malas
condiciones, con signos de dificultad respiratoria, palidez cutáneo mucosa, estado neurológico con
periodos de lucidez y desorientación, agitado, sudoroso al examen físico: Signos vitales: TA:
85/49mmHg FC 43lpm FR 38rpm STO2 83% a/a estado neurológico con periodos de somnolencia y
desorientación , se indica tratamiento,monitoreo cardiaco y soporte ventilatorio, se comunica caso con
pediatra de guardia de emergencia quien se encontraba en la institución y acude al llamado de inmediato,
indicando tratamiento endovenoso, por descenso de signos vitales se inician maniobras de RCP avanzado
siendo infructuosas, hora de descenso 10:30am. Se indica autopsia protocolar de inmediato ante la
severidad y agresividad del caso
16/11/2022.

5. Exámenes de laboratorio
10/11/2022.
HEMATOLOGIA COMPLETA
HGB 13,7 gr/dl 11,6 - 16,6
HTC 41,6% 35,5 - 48,6
GR 4500 mm3 3900 - 5600
GB 5900 mm3 3400 - 9600
PLT 270.000 mm3 150000 - 350.000
HEMOGRAMA DE SHILLING
NE% 58% 50 - 70
LYN% 38% 20 - 40
EOS% 2% 0 - 5
MON% 2% 2 - 8

6. Exámenes de laboratorio
10/11/2022.
QUÍMICA SANGUÍNEA
Glicemia 73,1 mg/dl 70-100
Urea 13,8 mg/dl 10 - 40
Creatinina 0.4 mg/dl 0.5 - 1.3
TGO 11,9 UI 0 - 40
TGP 13,8 UI 0 - 38
Examen de orina y
heces sin alteraciones.

7. Perdida de apetito.
Signos y síntomas iniciales
Vomitos.
Evacuaciones líquidas.
Elevaciòn de TC
Dolor abdominal
difuso.
Debilidad generalizada.

8. OBJECTIVES
I.

9. INTRODUCTION
You can give a brief description of the topic you
want to talk about here. For example, if you want
to talk about Mercury, you can say that it’s the
smallest planet in the entire Solar System

10. Mercury is the closest planet to
the Sun and the smallest one in
the Solar System
Venus has a beautiful name and
is the second planet from the
Sun. It’s terribly hot
BACKGROUND
DIGESTIVE DISORDERS ENZYMATIC THERAPY

11. GOALS
TREAT DISORDER
Earth is the only planet that
harbors life in the Solar System
GIVE MEDICINE
Despite being red, Mars is
actually a cold place
IDENTIFY FACTORS
Jupiter is the biggest planet in
the Solar System
EFFECTIVE THERAPY
Saturn is a gas giant and has
several rings

12. A PICTURE IS WORTH
A THOUSAND WORDS

13. AWESOME
WORDS

14. METHODS
TREATMENTS
Neptune is the farthest
planet from the Sun
RADIATION
Venus is the second planet
from the Sun
MEDICATION
Earth is the third planet
from the Sun
SURGERY
Mercury is the closest
planet to the Sun

15. Big numbers catch your audience’s attention

16. RESEARCH AND PUBLICATIONS
BY MARS
“Despite being red, Mars
is actually a cold place”
BY JUPITER
“Jupiter is the biggest
planet of them all”
BY SATURN
“Saturn is a gas giant and
has several rings”

17. RESEARCH RESOURCES

18. DISORDERS WORLDWIDE
PLUTO
Pluto is considered
a dwarf planet
NEPTUNE
Neptune is very far
away from Earth

19. “This is a quote, words full of
wisdom that someone
important said and can make
the reader get inspired.”

20. Images reveal large amounts of
data, so remember: use an image
instead of a long text. Your
audience will appreciate it
A PICTURE
REINFORCES
THE CONCEPT

21. FACTORS TO CONSIDER
FACTOR 1
Mercury is the closest
planet to the Sun
FACTOR 2
Venus is the second
planet from the Sun
FACTOR 4
Despite being red, Mars
is actually a cold place
FACTOR 5
Jupiter is the biggest
planet of them all
FACTOR 3
Earth is the third planet
from the Sun
FACTOR 6
Saturn is a gas giant and
has several rings

22. CLINICAL TRIAL
PRECLINICAL
Lab studies
PHASE 1
Human safety
PHASE 2
Expanded safety
PHASE 3
Efficacy & safety
100% 20% 60% 80%

23. TRIAL TIMELINE
RESEARCH
Saturn is a gas giant
and has rings
CONCLUSIONS
Jupiter is the biggest
planet of them all
EXPERIMENTATION
Earth is the third planet from
the Sun and has life
PRECLINICAL
Venus is the second
planet from the Sun
RESULTS
Despite being red,
Mars is a cold place

24. Pluto is now a dwarf planet
80%
Success rate
PHASE 1
Participants
6 DAYS
Experimentation time
The Sun is the star at the center of the Solar System

25. TENDENCY
PHASE 1 - 35%
Saturn is a gas giant. It's composed of
hydrogen and helium
Follow the link in the graph to modify its data and then
paste the new one here. More info
PHASE 3 - 45%
The Sun is the star at the center of the
Solar System
PHASE 2 - 20%
Neptune is the farthest planet from the
Sun and the fourth-largest
100
0
25
50
75
Phase I Phase II Phase III

26. RESULTS
EXPERIMENT A
TEST 1 TEST 2 TEST 3 TEST 4
GROUP 1 455 23 167 100
GROUP 2 567 234 1000 23
GROUP 3 468 897 567 237
EXPERIMENT B
TEST 1 TEST 2 TEST 3 TEST 4
GROUP 1 789 309 237 12
GROUP 2 349 873 192 50
GROUP 3 598 984 289 40

27. You can replace the image on
the screen with your own
work. Just right-click on it and
select “Replace image”
KEEP TRACK OF THE PROCESS

28. RESULTS ANALYSIS
GROUP 1
Mercury - 100%
Saturn - 60%
Jupiter - 40%
Mars - 20%
Earth - 80%
Venus - 60%
GROUP 2
Ceres
Neptune Pluto
GROUP 3
Mercury is the closest planet to the Sun and
the smallest one in the Solar System. This
planet's name has nothing to do with the liquid
metal, since Mercury was named after a god

29. SUCCESS RATE
MERCURY 50%
Mercury is the closest
planet to the Sun
VENUS 05%
Venus is the second
planet from the Sun
EARTH 15%
Earth is the third
planet from the Sun
MARS 20%
Despite being red,
Mars is a cold place
JUPITER 10%
Jupiter is the biggest
planet of them all

30. CONCLUSIONS
○ You can write your conclusions here
○ You can write your conclusions here
○ You can write your conclusions here
○ You can write your conclusions here
○ You can write your conclusions here
○ You can write your conclusions here
○ You can write your conclusions here
○ You can write your conclusions here
○ You can write your conclusions here

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