Having emerged as an ideal solution against pathogenic microorganisms, antimicrobial medication seems to have lost the battle today. The ability of the living world to survive and adapt exceeds the synthetic products power of action, leading us today to a real crisis of microbial resistance to antibiotics. An unexpected solution may come also from the bosom of nature, by reconsidering the role and place of the essential oils as antimicrobial combat weapons. Defensive mechanisms created by nature, the essential oils demonstrate extraordinary antibacterial, antiviral and antifungal activity. They also help the synthetic antibiotics in their battle. Among the essential oils and the antibiotics, often intervene synergistic or additive interactions. The essential oils favor the antibiotics to penetrate through the cell wall and to extend their action spectrum. Undoubtedly, essential oils can be of crucial help in the current medical practice, through their complex antibacterial, antiviral and antifungal action.
Introducere. Apneea în somn (SA) la copil este subdiagnosticată. Compromiterea dezvoltării somatice şi alterarea calităţii vieţii sunt frecvent prezente. Apneea centrală în somn (CSA) poate reprezenta cauza episoadelor convulsive morfeice sau poate fi consecinţa acestora. Polisomnografi a reprezintă gold-standardul evaluării obiective a SA. Material şi metodă. Prezentăm un băiat în vârstă de 7 ani internat în septembrie 2013 pentru episoade de sufocare survenite în timpul somnului. Evaluarea s-a realizat prin anamneză, examen clinic, investigaţii paraclinice (funcţionale, imagistice, biologice) şi consulturi interdisciplinare. Rezultate. Repetate infecţii de căi respiratorii şi istoric de aproximativ 20 de zile al episoadelor de sufocare s-au stabilit anamnestic. Au fost diagnosticate următoarele: hipotrofie ponderală; rinită cronică; hipertrofie amigdaliană; disfuncţie ventilatorie obstructivă; apnee în somn formă mixtă predominant centrală; status atopic; sindrom convulsiv. Explorările imagistice au relevat aspecte normale. Tratamentul complex igieno-dietetic şi medicamentos a condus la dispariţia tulburărilor respiratorii în somn, cu normalizarea parametrilor spirometrici şi a statusului nutriţional. Concluzii. Studiul poligrafic al somnului a identificat apneea în somn, precizând predominanţa componentei centrale şi facilitând diagnosticul etiologic. Managementul interdisciplinar a condus la evoluţia favorabilă a cazului.
Introduction. Sleep apnea (SA) in children is underdiagnosed. Compromising somatic development and altered quality of life are frequently present. Central sleep apnea (CSA) may be the cause of convulsive episodes in sleep or could be their result. Polysomnography is the gold-standard of SA objective assessment. Material and methods. We present a 7-year-old boy hospitalized in September 2013 for choking episodes occurred during sleep. The assessment was made by history, clinical examination, laboratory investigations (functional, imaging, biological) and interdisciplinary checkups. Results. Repeated respiratory tract infection and a history of about 20 days of episodes of choking were established by anamnesis. Were diagnosed: underweight status; chronic rhinitis; tonsillar hypertrophy; obstructive ventilatory dysfunction; mixed sleep apnea with predominant central component; atopic status; convulsions. Imaging explorations revealed normal aspects. Complex hygienic-dietary and medical treatment has led to the disappearance of respiratory disorders during sleep, with normalization of spirometric parameters and nutritional status. Conclusions. Polygraphic sleep study identified sleep apnea, indicating the predominance of the central component and facilitating etiologic diagnosis. Interdisciplinary management led to favorable evolution of the case.
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