Acute meningitis in children is a medical emergency that must be addressed appropriately and expeditiously to avoid the development of complications, sequelae and death. As a result of the alert generated by the possibility of a painting by N. meningitidis meningitis, in 2011 that was treated at the Ycaza Francisco Bustamante Hospital, it became clear that very little is known of this disease, so it was decided to correct this problem. Objectives: To establish the characteristics of the pictures of meningitis diagnosed in pediatric patients treated at the hospital "Ycaza Francisco Bustamante" in the period 2010. Methodology: A study transversal type which included a non-random and convenience 35 patients diagnosed with meningitis treated at the hospital, "Dr. Ycaza Francisco Bustamante "in the period from January 1 to December 31, 2010. Statistical analysis: For quantitative variables mean and standard deviation for qualitative variables simple frequencies and percentages. Results: in May and October were the months with highest incidence (n = 6). The average monthly number of cases is 3.1 ± 2.3. The proportion of men and women was similar (46% and 54%). 86% of the victims belonged to the group of 0 to 4 years with a mean age of 1.6 years. 74% came from the province of Guayas. 40% of the pictures were caused by bacteria, and 46% is not met the agent. 54% had a hospital stay of 1 to 14 days with an average of 20.2 ± 17.4 days. The 20% required intensive care. Mortality was 29%.

Resumen La incompatibilidad Rh en el embarazo se presenta en paciente Rh negativo cuyo padre es Rh positivo dando en el producto un trastorno de incompatibilidad sanguínea que ocasiona una enfermedad hemolítica en el feto. Es una afección inmunológica aloinmune donde anticuerpos maternos atacan la membrana de los eritrocitos fetales produciendo hemolisis. Se presenta el caso de una paciente Rh (-) secundigesta de 31 años de edad, primer embarazo con evolución normal y con prevención de la vacuna anti-D cuya evolución llego a su feliz término teniendo su test de Coombs negativo y con la vacunación consiguiente. En su segunda gestación a pesar de la vacunación se produce la sensibilización a las 30 a 31 semanas aproximadamente con la sintomatología correspondiente, llegando hasta las 35 semanas gestacionales, siendo el momento apropiado de su extracción.