Se recogen valiosos pronunciamientos en la primera parte del presente número de Cuadernos de Debate y han de servir para esclarecer aquellas dudas, conjeturas y controversias que el hecho médico desencadenó, así como para enriquecer el conocimiento de las implicancias del acto médico y sus consecuencias, aproximándonos desde diferentes perspectivas. En la segunda parte de esta publicación, figura un análisis detallado del mal llamado “SOAT médico”, luego de explorar las diversas modalidades de seguro de compensación y protección del paciente recogidas de la experiencia internacional y las propuestas generadas a nivel nacional, evidenciándose que muchas de ellas responden a grupos de interés que –por encima del bien social– buscan nuevas oportunidades de rentabilidad económica a costa de la salud de la población peruana. Las conclusiones de lo actuado, demuestran qu...

We proceeded to do a review of 362 cases of neonatal tetanus , treated at the Department of Communicable Diseases Children's Hospital of Lima, between the years of 1959 to August 1963. From the clinical history relevant to these patients is inferred that neonatal tetanus in our environment is a serious public health problem , and one of the causes of infant depopulation in the first stage of life. In the period 1959-1963 , of 44,354 admitted to Children's Hospital of Lima , for various diseases , 362 cases were neonatal tetanus , representing an incidence of 8.11 per thousand. At the same time entered the Department of Communicable Diseases 5,831 patients, of which 362 corresponded to neonatal tetanus , or an incidence of 62.08 per thousand. Unlike the high incidence of neonatal tetanus , only 38 cases of tetanus were found child , which represents an incidence of 0.85 per thousand, comp...

We present a rare association of atypical Kawasaki disease and intussusception in a three month old male patient. It all began with high fever and an obstructive intestinal syndrome developed in the second day of hospitalization, diagnosed as a colo-colonic intussusception. Despite an adecuate postoperative antibiotic coverage the high fever continued, which made us pursue a diagnosis of a vasculitis syndrome among other entities. The echocardiogram showed dilatation of both coronary arteries. The currently accepted clinical criteria for Kawasaki disease may not always allow its identification in patients who are younger than six months of age. A diagnosis of Kawasaki disease and an echocardiographic evaluation of the coronary arteries should be considered in young infants with prolongued fever of unkown origin. ( Rev Med Hered 2001; 12: 37-41 ).