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3.936  Articles
1 of 395 pages  |  10  records  |  more records»
We report a case of a 14-year-old male patient referred to us as a case of right-sided lung abscess. The patient was treated for the entericperforation elsewhere, following which he developed productive cough, which progressively worsened. The preoperativ... see more

Background:A lung abscess is characterized by a necrotic lesion with marked cavitation and exudate within the lung parenchyma. The objective of this study was to identify the most common causative agent of lung abscess within our target population.Methods... see more

BACKGROUND: The incidence of lung abscess acquired in the community is unknown, but this is a common clinical problem encountered in developing countries. The incidence of lung abscess was high in the pre-antibiotic era but the advent of susceptible antib... see more

Neumonía complicada adquirida en la comunidad: Resolución de los hallazgos clínicos y radiológicos en niños Neumonía complicada adquirida en la comunidad: Resolución de los hallazgos clínicos y radiológicos en niñosIntroducción: las infecciones respiratorias agudas, sobre todo la neumonía, constituyen un grave problema de salud al ser causa frecuente de morbilidad y mortalidad infantil en el mundo. Objetivo: determinar la evolución de los hallazgos clínicos y radiológicos. Material y métodos: se realizó un estudio descriptivo longitudinal;  207 pacientes ingresaron en el Servicio de Neumología del Pediátrico "Juan Manuel Márquez", con diagnóstico de Neumonía Complicada adquirida en la comunidad  del 2008 al 2012. Se estudiaron la edad, el sexo, las características clínicas y radiológicas. Todos los pacientes fueron seguidos a su egreso en una consulta especializada, hasta la desaparición de las lesiones pulmonares. Se utilizó el test Chi cuadrado para conocer la posible homogeneidad de grupo. Resultados: hubo un predominio de pacientes en el grupo de edades de 1-4 años (126 para un 61%). Fueron afectados por igual los varones y las hembras. Los hallazgos clínicos más frecuentes fueron la fiebre, en 207 (100%), el murmullo vesicular disminuido, en 197 (95%) y la polipnea, en 148(71%). Las complicaciones más frecuentes fueron: el derrame pleural y el absceso pulmonar, en 176 pacientes (85%) y 35(16.9%), respectivamente. La resolución de los hallazgos clínicos y radiológicos se produjo en más de la mitad de los pacientes en menos de 2 semanas, seguido de 2-4 semanas, excepto en los pacientes con absceso pulmonar y neumatocele. Conclusiones: la duración de los hallazgos radiológicos fue más prolongada que los clínicos y de estos los que más se prolongaron fueron el murmullo vesicular disminuido, la submatidez y los estertores.Palabras clave: neumonía complicada, neumonía comunitaria, derrame pleural, absceso pulmonar, resolución lenta, características imaginológicas.ABSTRACTIntroduction: acute respiratory diseases overall pneumonia are a critical health problem because are frequent causes of infant morbidities and mortalities around the world. Objective: to determine the evolution of clinical and radiological finding. Material and Methods: a descriptive and longitudinal study was performed it  included 207 patients admitted at the Respiratory Service of the Pediatric University Hospital "Juan Manuel Márquez" with diagnose of Complicated community acquired pneumonia from 2008 up to 2012. The age, sex clinical and radiological characteristics were studied. The entire patient enrolled was following up from the hospital discharged up to lung lesions disappear in the respiratory outpatient consult. Chi-square test was used to know the possible homogeneity’s group. Results: there was a preponderance of patient aged from 1 to 4 years old and were affected male and female equally. The clinical findings most frequent were fiber in 207(100%) vesicular breath sound diminished in 197(95%) and polypnea in 148(71%). The most frequent complications were pleura effusion and lung abscess in 176 (85%) patients and 35(16.9%) respectively. The solution of clinical and radiological findings appeared in the half of patients in less than 2 weeks, followed of 2-4 weeks excepting in patients with lung abscess and pneumatocele. Conclusions:  length of radiological findings was more extended than clinical and from these the most extended were vesicular breath sound diminished, sub dullness and the rattles.Key words: complicated pneumonia, community pneumonia, pleura effusion, slow solution, images characteristics.

Objetivo: determinar la evolución de los hallazgos clínicos y radiológicos. Material y métodos: se realizó un estudio descriptivo longitudinal;  207 pacientes ingresaron en el Servicio de Neumología del Pediátrico "Juan Manuel Márquez", con diagnóst... see more

Echinococcosis is caused primarily by one of two species of cestodes. Echinococcus granulosus and Echinococcus multilocularis. Here we present a case history of 18-year-old non-smoker farmer presented to the OPD with a one month history of moderate grade ... see more

A 63-year old diabetic male patient carrying an implantable cardioverter defibrillator (ICD) was hospitalized with a 7- day history of fever, notwithstanding an antibiotic therapy. The white-blood cell count was 11,000/mm3, the platelet count was 135,000/... see more

Background: Melioidosis is an infectious disease caused by Burkholderia pseudomallei. It is most prevalent in South-East Asia, northern Australia, and the Indian subcontinent. Septic arthritis is a rare manifestation of melioidosis. Melioidosis is usually... see more

Klebsiella pneumoniae is an increasingly recognized cause of a unique invasive syndrome manifesting as pyogenic liver abscess and hematogenous extrahepatic dissemination to a variety of sites, including the lung. Originally described only in Asia, this en... see more

Background: Melioidosis is an infectious disease caused by Burkholderia pseudomallei. It is most prevalent in South-East Asia, northern Australia, and the Indian subcontinent. Septic arthritis is a rare manifestation of melioidosis. Melioidosis is usually... see more

1 of 395 pages  |  10  records  |  more records»