Ectima gangrenoso en pacientes pediátricos hematooncológicos, infección oportunista. Revisión de casos clínicos en el Centro Médico Nacional 20 de Noviembre
Bibliographic record
Abstract
El ectima gangrenoso es una infeccin rara de la piel, clsicamente asociada con Pseudomonas aeruginosa, otros agentes causales tambin han sido descritos como Streptococcus pyogenes, Staphylococcus aureus, Klebsiella pneumoniae, etctera. En pacientes inmunocomprometidos con neutropenia, la mayora de los casos son debido a Pseudomonas aeruginosa, planteando desafos especialmente en el diagnstico microbiolgico y terapia antimicrobiana. El diagnstico es eminentemente clnico, pero se debe confirmar mediante auxiliares diagnsticos (biopsia-cultivo, tincin Gram, examen histopatolgico), lo cual es de suma importancia para iniciar un tratamiento antibitico de manera temprana eficaz, ya que es un factor clave en el pronstico para la supervivencia de los pacientes peditricos. En este artculo realizamos la revisin retrospectiva de tres casos de ectima gangrenoso (EG) en pacientes inmunocomprometidos en un hospital de tercer nivel en la Ciudad de Mxico.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.005 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.000 | 0.002 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".