ABSTRACT: The cryopreservation of plant germplasm at ultralow temperatures is an alternative technique for the long-term storage of seeds of the genus Coffea sp. However, for this technique to be successful, cell integrity must be maintained at all stages of the process on the basis of scientific research. The present study investigated validated cryopreservation protocols for Coffea arabica L. seeds and evaluate the effects on the physiological and biochemical characteristics of the seeds at each stage of the process. Seeds were dried on silica gel or with saturated saline solution, precooled or not in a biofreezer, immersed in nitrogen, and reheated in a water bath. After each of these steps, the physiological and biochemical quality of the seeds was determined. Pre-cooling is a step that can be dispensed with in the cryopreservation of Coffea arabica seeds, direct immersion in liquid nitrogen being more indicated. Coffea arabica L. seeds tolerate cryopreservation after rapid drying in silica gel up to water contents of 17 or 20% (wb), with greater survival at 17%. The enzyme activities of catalase, polyphenol oxidase and peroxidase are indicators of the quality of C. arabica L. seeds subjected to cryopreservation.

RESUMO: A criopreservação de germoplasma vegetal em temperaturas ultrabaixas é uma alternativa para o armazenamento em longo prazo de sementes do gênero Coffea sp. Entretanto, para que essa técnica apresente sucesso, a realização de pesquisas que garantam a manutenção da integridade celular em todas as etapas do processo é de fundamental importância. O objetivo com o presente trabalho foi investigar protocolos de criopreservação validados para sementes de Coffea arabica L., avaliando separadamente, os efeitos sobre as características fisiológicas e bioquímicas das sementes, em cada etapa do processo. As sementes foram secadas em sílica gel ou em solução salina saturada, submetidas ou não ao pré-resfriamento em biocongelador, em seguida imersas no nitrogênio e reaquecidas em banho-maria. Após cada uma dessas etapas, a qualidade fisiológica e bioquímica das sementes foi determinada. O pré-resfriamento é uma etapa que pode ser dispensada na criopreservação de sementes de Coffea arabica, sendo mais indicada a imersão direta em nitrogênio líquido. Sementes de Coffea arabica L. toleram a criopreservação após secagem rápida em sílica gel até teores de água de 17 ou 20% (wb), com maior sobrevivência a 17%. A atividade das enzimas catalase, polifenoloxidase e peroxidase são indicadoras da qualidade de sementes de Coffea arabica L. submetidas à criopreservação.

Abstract In view of the morphological similarity between gastrointestinal stromal tumors (GIST) and other sarcomas of the intestine of dogs, the aim was to carry out the histomorphological and immunohistochemical diagnosis of these tumors, associating breed, sex and age, location and tumor invasion. 217 cases were evaluated by histopathology and 36 diagnosed by immunohistochemistry were included (24 GIST and 12 other intestinal sarcomas). Mixed breed dogs were the most diagnosed with GIST, mainly elderly females (9.5±2.2 years); in the other intestinal sarcomas, crossbreeds and Dachshunds, males and females, were equally affected. The cecum was the most affected by GISTs, with tumor invasion of the intestinal layers in all cases. The small intestine was the most affected by the other intestinal sarcomas, with invasion of the layers in most of these tumors. GISTs expressed markers such as CD117 and DOG-1, unlike other intestinal sarcomas. GIST and other intestinal sarcomas denoted histomorphological and immunophenotypic characteristics similar to histopathology, justifying the association of immunohistochemistry for the definitive diagnosis.

Resumo Tendo em vista a semelhança morfológica entre tumores estromais gastrointestinais (GIST) e outros sarcomas do intestino de cães, objetivou-se realizar o diagnóstico histomorfológico e imunoistoquímico desses tumores, associando raça, sexo e idade, localização e invasão tumoral. Foram avaliados 217 casos por histopatologia e incluídos 36 diagnosticados por imuno-histoquímica (24 GIST e 12 outros sarcomas intestinais). Cães sem raça definida foram os mais diagnosticados com GIST, principalmente fêmeas idosas (9,5±2,2 anos); nos demais sarcomas intestinais, mestiços e Dachshunds, machos e fêmeas, foram igualmente acometidos. O ceco foi o mais acometido pelos GISTs, com invasão tumoral das camadas intestinais em todos os casos. O intestino delgado foi o mais acometido pelos demais sarcomas intestinais, com invasão das camadas na maioria desses tumores. GISTs expressaram marcadores como CD117 e DOG-1, ao contrário de outros sarcomas intestinais. O GIST e outros sarcomas intestinais denotaram características histomorfológicas e imunofenotípicas semelhantes à histopatologia, justificando a associação da imuno-histoquímica para o diagnóstico definitivo.

RESUMO As causas da baixa tolerância à dessecação e baixa longevidade de sementes de café não foram ainda completamente elucidadas e o entendimento da sua complexa fisiologia é de grande interesse. Dentre várias alternativas, a perda da capacidade antioxidante nas sementes pode estar relacionada à rápida perda de qualidade durante o armazenamento. O objetivo neste estudo foi determinar a capacidade antioxidante total em café colhido em diferentes estádios de maturação, antes e após o armazenamento das sementes com diferentes teores de água, relacionando à qualidade fisiológica. Sementes nos estádios verde-cana ou cereja, recém colhidas ou armazenadas por nove meses em 10 °C com 40, 30, 20 e 12% de teor de água (bu), foram submetidas à avaliação da qualidade fisiológica, bioquímica e à determinação da capacidade antioxidante equivalente ao Trolox (TEAC). Observou-se que a germinação e a protrusão radicular de sementes de café nos estádios verde-cana e cereja não são afetadas pela secagem, mas sementes colhidas na maturidade fisiológica tem maior vigor com a redução da umidade. A qualidade das sementes de café é reduzida durante o armazenamento, sendo esta redução maior em sementes armazenadas com teores de água mais elevados. Sementes de café no estádio verde-cana tem maior capacidade antioxidante do que no estádio cereja quando recém colhidas, porém ocorre redução drástica desta capacidade durante o armazenamento, em ambos estádios de maturação. Em sementes de Coffea arabica L., os perfis isoenzimático do processo antioxidativo são pouco influenciados pelos estádios de maturação das sementes. A deterioração das sementes de café durante o armazenamento está relacionada à redução de sua capacidade antioxidante total, independentemente do estágio de maturação, sendo esta mais pronunciada no estágio verde-cana.

ABSTRACT The causes of the low desiccation tolerance and low longevity of coffee seeds have not yet been fully elucidated, and a full understanding of their complex physiology is of great interest. Among several alternatives, the loss of antioxidant capacity in seeds may be related to their rapid loss in quality during storage. The objective of this study was to determine the total antioxidant capacity of coffee harvested at different ripeness stages before and after the storage of seeds with different water contents and to relate antioxidant capacity to physiological quality. Seeds in the greenish-yellow or cherry stages, recently harvested or stored for nine months at 10 °C with 40, 30, 20 and 12% water content (wet basis - wb), were submitted to physiological and biochemical quality evaluations, and the Trolox equivalent antioxidant capacity (TEAC) was determined. The germination and root protrusion of coffee seeds from greenish-yellow and cherry fruits were not affected by drying, but seeds harvested at physiological maturity had greater vigor when the moisture content was lower. The quality of coffee seeds decreased during storage, and this decrease was greater in seeds stored with higher water contents. Coffee seeds in the greenish-yellow stage had a higher antioxidant capacity than those in the cherry stage when recently harvested, but there was a substantial reduction in this capacity during storage at both maturation stages. Coffee seed deterioration is related to a reduction in antioxidant capacity, and the isoenzymatic profiles of the antioxidant process are little affected by the seed maturation stage. The deterioration of coffee seeds during storage is related to a reduction in their total antioxidant capacity, regardless of their maturation stage, being more pronounced in the greenish-yellow stage.

Resumen Para el control de la pandemia por COVID-19 es indispensable contar con ensayos confiables para la detección de anticuerpos anti-síndrome respiratorio agudo severo por coronavirus 2 (SARS-CoV-2). Por este motivo el Laboratorio de Serología y la Residencia de Bioquímica Clínica del Hospital Garrahan desarrollaron el primer Programa Piloto Alternativo de evaluación externa de la calidad para serología de SARS-CoV-2 en la Argentina, destinado a evaluar comparativamente el desempeño de los métodos disponibles de los participantes con el fin de asegurar resultados confiables y clínicamente útiles. El esquema constó de 4 envíos con 5 muestras cada uno, con reactividad variable contra SARS-CoV-2 en las que se evaluaron anticuerpos totales, IgG e IgM. Participaron 21 laboratorios, tanto públicos como privados, de la Provincia y de la Ciudad de Buenos Aires de forma gratuita. Informaron metodología utilizada y resultados. Al finalizar cada entrega se enviaron los reportes individuales y se realizó un informe final global con los resultados totales del ciclo. El mismo se llevó a cabo a lo largo del segundo semestre de 2020. Se informó un total de 643 resultados, 239 de anti- SARS-CoV-2 IgM, 365 de IgG y 39 de anticuerpos totales. Se observó mayor concordancia en las metodologías anti-SARS-CoV-2 IgG que en las IgM. ELISA/ COVIDAR fue la metodología más utilizada para IgG y ELFA/bioMérieux para IgM. El espectro de metodologías fue amplio. El programa fue útil para asegurar la calidad de los resultados y brindó a los participantes el marco necesario para emitir resultados confiables y armonizados.

Abstract For the control of COVID-19 pandemic it is essential to have reliable tests for the detection of antibodies against severe acute respiratory syndrome due to coronavirus 2 (SARS-CoV-2). For this reason, the Serology Laboratory and the Residence of Clinical Biochemistry of Hospital Garrahan developed the first Alternative Pilot Programme for external quality assessment for SARS-CoV-2 serology in Argentina, aimed at comparatively evaluating the actuaperformance of the available methods of the participants using different anti-SARS-CoV tests in order to ensure reliable and clinically useful results. The scheme consisted of 4 deliveries with 5 samples each throughout the second semester of 2020, with variable reactivity against SARS-CoV-2 in which total antibodies, IgG and IgM were evaluated. Twenty one public and private laboratories participated in the Province and the City of Buenos Aires for free. The methodology applied and the results were informed. At the end of each delivery, individual reports were sent and a final global report was made with the total results of the cycle. A total of 643 results were reported, 239 for anti-SARS-CoV-2 IgM, 365 for IgG and 39 for total antibodies. There was greater agreement in the anti-SARS-CoV-2 IgG methodologies than in IgM. ELISA/COVIDAR was the most frequently used methodology for IgG and ELFA/bioMérieux for IgM. The spectrum of methodologies was wide. The programme was useful to ensure the quality of the results, providing the participants with the necessary framework to issue reliable and harmonised results.

Resumo Para o controle da pandemia de COVID-19, é imprescindível a existência de testes confiáveis para a detecção de anticorpos anti síndrome respiratória aguda grave por coronavírus 2 (SARS-CoV-2). Por esse motivo o Laboratório de Sorologia e a Residência de Bioquímica Clínica do Hospital Garrahan desenvolveram o primeiro Programa Piloto Alternativo de avaliação externa da qualidade para sorologia de SARS-CoV-2 na Argentina, com o objetivo de avaliar comparativamente o desempenho dos métodos disponíveis dos participantes para garantir resultados confiáveis e clinicamente úteis. O esquema consistiu em 4 remessas com 5 amostras cada uma, com reatividade variável contra SARS-CoV-2 em que foram avaliados anticorpos totais, IgG e IgM. Participaram 21 laboratórios públicos e privados da Província e da Cidade de Buenos Aires que participaram em forma gratuita. Eles relataram a metodologia utilizada e os resultados. Ao final de cada entrega, foram enviados relatórios individuais e foi feito um relatório final global com os resultados totais do ciclo. Ele foi realizado ao longo do segundo semestre de 2020. Um total de 643 resultados foram relatados, 239 de anti-SARS-CoV-2 IgM, 365 de IgG e 39 de anticorpos totais. Foi observada maior concordância nas metodologias anti-SARS-CoV-2 IgG do que nas IgM. ELISA/COVIDAR foi a metodologia mais utilizada para IgG e ELFA/bioMérieux para IgM. O espectro de metodologias foi amplo. O programa foi útil para garantir a qualidade dos resultados, proporcionando aos participantes o enquadramento necessário para a emissão de resultados confiáveis e harmonizados.

Background: Facing a severe life-threatening disease has physical and emotional consequences for patients. Aim: To evaluate the physical and emotional sequelae in patients who survived COVID-19 pneumonia. Material and Methods: This cross-sectional study collected data from post-COVID-19 pneumonia patients admitted to an outpatient follow-up program in a public hospital in Chile. One month after hospital discharge, the evaluation of physical capacity was carried out through the 1-minute sit-to-stand test (1STST). In addition, the Clinical Frailty Scale (CFS) and the Hospital Anxiety and Depression scale were applied. Results: We included 70 patients aged 63 ± 13 years (54% women). Eighty-five percent of the patients were able to execute the 1STST with an average of 20.6 ± 4.8 repetitions. Forty-eight percent of the patients had a performance below the 2.5th percentile according to the reference values and 28% of patients had exertional desaturation. The CFS classified as mildly vulnerable or with some degree of frailty to 33% of patients. Twenty-five percent of the patients presented symptoms of depression and 33% of anxiety. Conclusions: Patients who survived COVID-19 have a decrease in physical capacity and a significant proportion of depression and anxiety one month after hospital discharge.

ABSTRACT Objectives: The severity of pulmonary Covid-19 infection can be assessed by the pattern and extent of parenchymal involvement observed in computed tomography (CT), and it is important to standardize the analysis through objective, practical, and reproducible systems. We propose a method for stratifying the radiological severity of pulmonary disease, the Radiological Severity Score (RAD-Covid Score), in Covid-19 patients by quantifying infiltrate in chest CT, including assessment of its accuracy in predicting disease severity. Methods: This retrospective, single-center study analyzed patients with a confirmed diagnosis of Covid-19 infection by real-time reverse-transcriptase polymerase chain reaction, who underwent chest CT at hospital admission between March 6 and April 6, 2020. CT scans were classified as positive, negative, or equivocal, and a radiological severity score (RAD-Covid Score) was assigned. Clinical severity was also assessed upon hospital admission. Results: 658 patients were included. Agreement beyond chance (kappa statistic) for the RAD-Covid Score was almost perfect among observers (0.833), with an overall agreement of 89.5%. The RAD-Covid Score was positively correlated with clinical severity and death, i.e., the higher the RAD-Covid Score, the greater the clinical severity and mortality. This association proved independent of age and comorbidities. Accuracy of this score was 66.9%. Conclusions: The RAD-Covid Score showed good accuracy in predicting clinical severity at hospital admission and mortality in patients with confirmed Covid-19 infection and was an independent predictor of severity.

RESUMO A Perspectiva Histórico-Cultural tem defendido a centralidade da imaginação para o desenvolvimento infantil e a necessidade de se entender a deficiência por uma via mais positiva, social e inclusiva. Neste trabalho teórico-argumentativo nosso objetivo foi problematizar como as atividades criadoras se desenvolvem em crianças com deficiência visual. Partindo do pressuposto de que essas crianças apresentam particularidades no modo de percepção e produção de imagens e configuram formas alternativas de organização da atividade criadora, realizou-se um levantamento bibliográfico sobre a produção científica de matriz Histórico-Cultural que envolve essas temáticas entre os anos de 2007-2017, nas bases de dados da Biblioteca Digital Brasileira de Teses e Dissertações, PROQUEST e B-ON (Portugal). Identificamos que os estudos sobre essas temáticas são reduzidos, mas avançam no sentido de defenderem que as situações de brincadeira, a atividade criadora e a autoria são espaços privilegiados para as crianças com deficiência visual interagirem com o ambiente, os objetos e os pares sociais.

ABSTRACT The Historical-Cultural Perspective has defended the centrality of imagination for child development and the need to understand disability in a more positive, social and inclusive way. In this theoretical-argumentative work, our objective was to problematize how creative activities are developed in children with visual impairment. Based on the assumption that these children have particularities in the way of perception and production of images and configure alternative forms of organization of creative activity, a bibliographic survey was carried out on the scientific production of the Historical-Cultural matrix that involves these themes between the years of 2007 -2017, in the databases of the Brazilian Digital Library of Theses and Dissertations, PROQUEST and B-ON (Portugal). We identified that the studies about these themes are reduced, but they move towards defending that situations of play, creative activity and authorship are privileged spaces for children with visual impairment to interact with the environment, objects and social peers.

RESUMEN La Perspectiva Histórico-Cultural ha defendido la centralidad de la imaginación para el desarrollo infantil y la necesidad de entenderse la deficiencia por un sendero más positivo, social e inclusiva. En ese estudio teórico-argumentativo nuestro objetivo fue problematizar cómo las actividades creadoras se desarrollan en niños con deficiencia visual. Partiéndose del presupuesto que esas presentan particularidades en el modo de percepción y producción de imágenes y configuran formas alternativas de organización de la actividad creadora, se realizó una recopilación bibliográfica sobre la producción científica de matriz Histórico-Cultural que abarcan esas temáticas entre los años de 2007-2017, en las bases de datos da Biblioteca Digital Brasileña de Tesis y Tesinas, PROQUEST y B-ON (Portugal). Identificamos que los estudios que abarcan esas temáticas son escasos, pero avanzan en el sentido de defender que las situaciones de juegos, la actividad creadora y la autoría son espacios privilegiados para los niños con deficiencia visual interactuar con el ambiente, los objetos y los pares sociales.

This work proposes the reuse of spent ground coffee waste (SCG) extracts as eco-friendly corrosion inhibitors for carbon steel in acid medium, and the correlation between their anticorrosive efficiency and chemical composition. The extraction method was optimized using a central composite design, and the chemical composition of the extracts was accessed using UV-Vis spectrometry, HPLC, and ICP-OES. EIS and Potentiodynamic Polarization (PP) tests evaluated the anticorrosive properties of the extracts. Total phenol content ranged from 93 mg L-1 to 219 mg L-1 Gallic Acid Equivalent. The highest concentration of phenolic compounds was observed for syringic acid (78.67 mg L-1), while the lowest concentration was verified for (-)-epigallocatechin-3-O-gallate (0.01 mg L-1). The Pearson correlation coefficient showed no correlation between the Rct and the total phenol content, although, positive correlations with the Rct was observed for caffeic acid, (+)-catechin, ferulic acid, and protocatechuic acid. EIS analysis revealed that all of the extracts could act as corrosion inhibitors. The best performance was verified for C3 extract (IE % = 94.83%). PP tests showed that this extract acted as a mixed inhibitor, with a predominant cathodic effect. Therefore, the valorization of the extracts as corrosion inhibitors was successfully achieved.

Abstract In a climate change context, the buildup of CO2 will affect plant communities worldwide. This study evaluated the effects of CO2 enrichment on the development and defense of two Cerrado native species Baccharis dracunculifolia and B. platypoda and their associated endophytic fungi richness. The study took place in Open-Top Chambers, two with ambient CO2 concentration (~400 ppm) and two in an enriched environment (~800 ppm). Baccharis platypoda developed 20% more leaves under enriched CO2 conditions, whereas B. dracunculifolia was 30% taller and showed 27% more leaves than those under ambient conditions. In both species, leaf polyphenol concentration did not differ between treatments. Nevertheless, polyphenol content had a positive correlation with plant height on both species’ individuals grown under CO2 enriched conditions. Endophytic fungi richness and colonization rate on both plant species did not differ between ambient and enriched conditions. Our results show the positive effect of CO2 fertilizer in at least one of the measured growth parameters. An important new finding was a synergistic increase in growth and chemical defense in both studied species under enriched CO2 conditions, suggesting higher carbon assimilation and accumulation. This study suggests that the effects on primary productivity and secondary metabolites of Baccharis species will potentially reflect on the diversity and distribution of Cerrado plants and their associated animal communities.

BACKGROUND Paracoccidioides spp. causes paracoccidioidomycosis (PCM), an important and frequent systemic mycosis that occurs in Latin America. The infectious process begins with contact between the fungus and lung cells, and the molecular pattern of this interaction is currently poorly understood. MicroRNAs (miRNAs) are small non-coding RNAs that regulate the gene expression in many biological processes, including in the infections. OBJECTIVE This study aimed to analyse the expression of miRNAs in lung cells as response to infection by Paracoccidioides spp. METHODS A quantitative real-time polymerase chain reaction (RT-qPCR) based screening was employed to verify differentially expressed miRNAs in human lung cells infected with three different species; Paracoccidioides lutzii, Paracoccidioides americana, and Paracoccidioides brasiliensis. Furthermore, the in silico predictions of target genes and pathways for miRNAs were obtained. FINDINGS The results showed that miRNAs identified in the lung cells were different according to the species studied. However, based on the predicted targets, the potential signaling pathways regulated by miRNAs are common and related to adhesion, actin cytoskeleton rearrangement, apoptosis, and immune response mediated by T cells and TGF-β. MAIN CONCLUSIONS In summary, this study showed the miRNAs pattern of epithelial cells in response to infection by Paracoccidioides species and the potential role of these molecules in the regulation of key pathogenesis mechanisms of PCM.

Resumo Este artigo apresenta os resultados de um estudo cujo objetivo foi identificar as representações, compreendidas na acepção de Chartier, a respeito das dimensões emocionais do trabalho dos professores primários em São Paulo, entre as décadas de 1950 e 1970. Utilizaram-se, para tanto, romances autobiográficos de professoras que exerceram o magistério no período, as revistas produzidas pelo Centro do Professorado Paulista - CPP, bem como as produções da Revista Brasileira de Estudos Pedagógicos – RBEP, como forma de comparar as representações acerca das dimensões emocionais do trabalho docente produzidas pelos próprios professores e as representações produzidas pelos pesquisadores em educação, divulgadas pela RBEP. As emoções são definidas, a partir de Estrela e Damásio, como um sistema dinâmico que proporciona o lidar com o desconhecido e tomadas de consciência, além do julgamento constante (inconsciente e consciente) das ameaças e das oportunidades do cotidiano. As dimensões emocionais do trabalho docente são entendidas como um conjunto de emoções resultantes das interações dos professores no exercício da docência: a relação com os alunos, família, os demais profissionais do ambiente escolar, bem como as emoções decorrentes das condições de trabalho e as mudanças na estrutura educacional. A análise das fontes permitiu identificar em que medida as representações sobre as emoções no trabalho docente estavam relacionadas com a produção do discurso acerca da formação e da prática do professor primário, bem como com a constituição e divulgação da representação do professor primário pelo CPP.

Abstract This paper presents the results of a research whose objective was to identify the representations, according to Chartier’s use of the concept, about the emotional dimensions of the work by elementary school teachers in São Paulo, between the 1950s and 1970s. For this purpose, autobiographical novels by teachers of the period, magazines produced by the São Paulo Teachers Center - CPP, as well as the productions of the Brazilian Journal of Pedagogical Studies - RBEP, were used as a way to compare the representations about the emotional dimensions of teaching produced by the very teachers and the representations produced by education researchers, published by RBEP. Emotions are defined, drawing from Estrela and Damásio, as a dynamic system that makes possible to deal with the unknown and awareness, as well as the constant (unconscious and conscious) judgment of everyday threats and opportunities. The emotional dimensions of teaching are understood as a set of emotions that emerge with the teachers´ interactions in their everyday activities: the relationship with students, family and other professionals in the school environment, as well as the emotions arising from working conditions and changes in the educational structure. The analysis of the sources allowed us to identify to what extent the representations about emotions in teaching were related to the production of a discourse about the education and the practice of the elementary teacher, as well as to the constitution and dissemination of the representation of elementary school teachers by CPP.

Syphilis shows marked increase in its prevalence in Argentina and the world. The World Health Organization estimates that annually there are 12 million people infected in the world, 270,000 corresponding to newborns with congenital syphilis. We describe an 8-year-old girl who was undergoing mononucleosis due to Epstein-Barr virus and presented syphilis as a diagnostic finding, confirmed by two different positive treponemal tests, assuming a compatible picture of late latent congenital asymptomatic syphilis.

La sífilis presenta un marcado aumento de su prevalencia en Argentina y en el mundo. La Organización Mundial de la Salud estima que, por año, hay 12 millones de personas infectadas mundialmente, y 270 000 corresponden a recién nacidos con sífilis congènita. Se presenta a una niña de 8 años de edad con mononucleosis por virus de Epstein-Barr, que mostró como hallazgo diagnóstico sífilis confirmada por dos pruebas treponémicas positivas; se interpretó el cuadro como compatible con sífilis congènita latente tardía asintomática.

Mycoplasma pneumoniae (Mp) is responsible for 30% of the respiratory manifestations of the general population. Pneumonia occupies the first place within this group. Among the extra-respiratory forms (40%), the neurological ones are the most frequent. Meningoencephalitis and aseptic meningitis are the most common. The presentation of more than one clinical variant in the same patient associated with primoinfection by Mp is possible. In relation to the serological diagnosis, controversies in interpretation sometimes occur. This is a 7-year-old girl with conjunctival injection, cervical adenopathy, photophobia with bilateral papilla pseudoedema, and scaly rash that develops peripheral facial paralysis and aseptic meningitis. We will discuss diagnostic controversies.

Mycoplasma pneumoniae (Mp) es el agente causal de un 30% de las manifestaciones respiratorias de la población general. La neumonía ocupa el primer lugar dentro de este grupo. Las manifestaciones neurológicas representan las formas más frecuentes de presentación clínica extrapulmonar (40%). Las encefalitis y meningoencefalitis son las formas más habituales de sintomatología neurológica asociada a infección por Mp. La presentación de más de una variante clínica en un mismo paciente asociada a primoinfección por Mp es posible. El diagnóstico serológico plantea, habitualmente, controversias en su interpretación. A partir del caso de una niña de 7 años con inyección conjuntival, adenopatía cervical, rash descamativo y fotofobia con "pseudoedema de papila bilateral", que desarrolla durante su evolución parálisis facial periférica y meningitis aséptica, se analizarán las controversias que se plantean en relación con la interpretación diagnóstica asociada al compromiso neurológico por Mp.