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11.282  Articles
1 of 1.129 pages  |  10  records  |  more records»
Objective. We aimed to investigate the causes and factors predictive of in-hospital death among patients with systemic lupus erythematosus (SLE) admitted to a tertiary care hospital in Thailand.Materials and Methods. We retrospectively reviewed the record... see more

Systemic Lupus Erythematosus (SLE) is a chronic autoimmune inflammatory disease with various complications, including osteoporosis. However, Bone Mineral Density (BMD) examination, a gold standard for diagnosing and monitoring osteoporosis, is static. Alk... see more

The aetiology of Kikuchi’s Disease (KD), a benign condition associated with multiple lymph node enlargements, remains unknown but several reported cases associate it with systemic lupus erythematosus (SLE). A 34-year-old Indonesian woman presented with mu... see more

Complicaciones y evaluación terapéutica de la meningoencefalitis bacteriana / Complications and therapeutic assessment of the bacterial meningoencephalitisComplicaciones y evaluación terapéutica de la meningoencefalitis bacteriana / Complications and therapeutic assessment of the bacterial meningoencephalitisSe realizó un estudio descriptivo, longitudinal y prospectivo a los pacientes con el diagnóstico de meningoencefalitis bacteriana en el Hospital General Docente Abel Santamaría de Pinar del Río, durante 2 años. Se pesquisaron las complicaciones, los exámenes paraclínicos, el tratamiento y respuesta al mismo. Se aplicaron las pruebas para la comparación de proporciones de un mismo grupo, test para la comparación de proporciones de grupos independientes y técnicas estadísticas descriptivas para la estimación porcentual de parámetros. Se encontraron el mayor número de casos en el grupo de edades entre 30 y 59 años, seguido del grupo entre 60 y 79 años. Las convulsiones y el edema cerebral fueron las complicaciones neurológicas más frecuentes mientras que la neumonía fue la complicación sistémica más frecuente. La tinción de Gram del líquido cefalorraquídeo identificó diplococos Gram positivos mayoritariamente y su cultivo constató que el Streptococcus pneumoniae fue el germen más periódico. Las cefalosporinas de tercera generación siguen siendo los medicamentos de elección para iniciar tratamiento empírico de las meningoencefalitis bacteriana extrahospitalarias.Palabras Clave: MENINGOENCEFALITIS/complicaciones, EDEMA CEREBRAL/líquido cefalorraquídeo, NEUMONÍA/diagnóstico.ABSTRACTA descriptive, longitudinal and prospective study was conducted with patients suffering from bacterial meningoencephalitis at "Abel Santamaria Cuadrado" University Hospital, Pinar del Rio during two years. Complications, paraclinical examinations, treatment and response were screened and tests were applied to assess the comparison of proportions to the same group, independent groups and descriptive statistical techniques to estimate the percentage of the parameters. The majority of the cases were found in the age-bracket between 30-59 years old, followed by the group of ages from 60 to 79. The seizures and brain edema were the most usual neurological complications while pneumonia was the most frequent systemic complication. Finding in the stain of the spinal fluid a Gram-positive diplococcus and in the culture a Streptococcus pneumoniae was verified as the most periodic germen. Cephalosporin of third generation is still the elective medications to start the empiric treatment of the extrahospital bacterial meningoencephalitis.Key words: bacterial meningoencephalitis, brain edema, pneumonia

ABSTRACTA descriptive, longitudinal and prospective study was conducted with patients suffering from bacterial meningoencephalitis at "Abel Santamaria Cuadrado" University Hospital, Pinar del Rio during two years. Complications, paraclinical examinations,... see more

Sarcoidoisis ocular: presentación de un caso / Ocular Sarcoidosis: a case reportSarcoidoisis ocular: presentación de un caso / Ocular Sarcoidosis: a case reportLa sarcoidosis es una enfermedad granulomatosa multifactorial que afecta principalmente ganglios linfaticos, pulmones, piel, ojos, hígado, bazo y parótidas. Con menor frecuencia también puede afectar el sistema nervioso central, corazón, tracto respiratorio alto y hueso. No es frecuente en Pinar del Río observar  complicaciones oftalmológicas en la sarcoidosis.  Objetivo: Reportar el primer caso de sarcoidosis con complicaciones oculares y tratamiento de las mismas.   Presentación de caso: Paciente masculino de 55 años que fue ingresado por un síndrome general y que se diagnosticó como portador de sarcoidosis en la UCI del  Hospital General Docente Abel Santamaría Cuadrado que además presentaba complicaciones  oftalmológicas graves tales como: atalamia bilateral, hipotonía ocular, ausencia de lágrimas, queratitis, desdoblamiento corneal con degeneración del tercio inferior de la misma, cataratas, sinequias posteriores y disminución de la agudeza visual bilateral.   Ante la gravedad del estado ocular se recurrió a medidas quirúrgicas como la aplicación intra cameral de sustancia visco elástica para reponer el tono ocular; se usaron además lágrimas artificiales, esteroides  sistémicos y tópicos, midriáticos.   Se  logró preservar la morfología ocular y poder posteriormente, tratar las cataratas,  preservándole una visión útil, con alta calidad de vida.Palabras Clave: Sarcoidosis, granuloma, oftalmopatías/complicaciones.ABSTRACTSarcoidosis is a multifactorial granulomatose disease that affects lymphatic ganglia, lungs, skin, eyes, liver, spleen and parotids.  It rarely affects central nervous system, heart, upper respiratory tract and bones. Ophthalmic-sarcoidosis complications are not frequently found in Pinar del Rio province, Cuba. Objective: To report the first case presented with sarcoidosis with ocular complications and treatment. Case: A 55 years-old male patient was admitted in the ICU ("Abel Santamaria Cuadrado" University Hospital) presenting a general syndrome and diagnosed as a carrier of Sarcoidosis with severe ophthalmic complications such as: bilateral athalamia, ocular hypotonia, absence of tears, keratitis, corneal unfold with degeneration of the inferior third of it, cataracts, posterior synechia and decrease of the bilateral visual acuteness. Due to the severity of the ocular conditions surgical measures were taken:  an intra-chamber elastic-viscous substance was applied to replace the ocular tone; using also artificial tears, systemic, topic and mydriatic steroids. Ocular morphology was protected to facilitate the treatment of cataracts and preserving the usefulness of vision with quality of life. Key words: Sarcoidosis, granuloma, eye diseases/complications.

ABSTRACTSarcoidosis is a multifactorial granulomatose disease that affects lymphatic ganglia, lungs, skin, eyes, liver, spleen and parotids.  It rarely affects central nervous system, heart, upper respiratory tract and bones. Ophthalmic-sarcoidosis c... see more

Nowadays, the majority of young women with systemic lupus erythematosus (SLE) can successfully become pregnant, carry pregnancy to term and give birth to a healthy child due to improved therapeutic approaches and consequently reduction in morbidity and mo... see more

Bacterial infection is an important factor causing morbidity and mortality in different populations. Every time exacerbation of infectious response (strength, time of symptom severity, time of progression) and whole cascade of inflammatory reaction is dep... see more

Brucellosis is a worldwide spread bacterial zoonosis, causing the globality of the problem. Brucellosis is a systemic disease with a wide range of clinical features that can cause pathological changes in any organ of the human body. The purpose of our stu... see more

Background: Complete Congenital Heart Block (CCHB) is a rare disease of the newborn that carries significant morbidity and mortality. CCHB can be diagnosed early or late in life. In newborns, it is usually associated with maternal autoantibodies or a cong... see more

1 of 1.129 pages  |  10  records  |  more records»