Language: English Portuguese. Through a systematic review, this essay aimed at revising the concepts of severe pertussis , updating the epidemiology, pathophysiology, clinical presentation, antibiotic therapy and auxiliary therapeutic options for symptomatology and complications. Duplicate studies and those with unavailable full-text were excluded. Among records found, 54 were selected for analysis. Pertussis , as a reemerging disease, has affected all age groups, evidencing the transient immunity conferred by infection and vaccination.

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Agranulocitosis inducida por metimazol en pacientes con enfermedad de Graves. Directory of Open Access Journals Sweden. Al ingreso, todos los pacientes presentaron fiebre y dolor de garganta. En todos los casos, el tratamiento definitivo fue yodo radioactivo. Nutritional support in patients with severe acute pancreatitis Soporte nutricional en pacientes con pancreatitis aguda grave.

Full Text Available Severe acute pancreatitis is associated with a systemic inflammatory response leading to a hypermetabolic, hypercatabolic condition; for those reasons, patients suffering from this disease require an excellent artificial nutritional support in order to maintain the structural integrity and the function of vital organs with minimal pancreatic secretion. Total parenteral nutrition has been the standard practice in the treatment of patients with severe acute pancreatitis because of the favorable outcomes of early nutritional support while avoiding pancreatic stimulation; however, recent evidence suggests there are potentially greater benefits with enteral as compared with parenteral nutrition, including fewer septic and metabolic complications and lesser costs.

That is why present guidelines for the management of acute pancreatitis recommend that enteral instead of parenteral nutrition be used in patients with severe acute pancreatitis. Se aportan propuestas de mejora. Osteoporosis grave con aplastamientos vertebrales en dermatomiositis juvenil: Efecto del tratamiento con alendronato oral Severe osteoporosis with vertebral crushes in juvenile dermatomyositis: Effect of oral alendronate therapy. Glucocorticoids are used for the treatment of inflammatory and autoimmune diseases, cancer, and in prevention of organ rejects.

A frequent secondary effect of longterm treatment with corticoids is the loss of bone mass, caused by several mechanisms: decrease in the intestinal calcium absorption, increase of the renal calcium excretion at the distal renal tubule, suppressive effect on the osteoblast and also in apoptosis of osteoclasts, inhibition in local production of IGF I Insulin-like growth factor and IGFBPs binding IGF I proteins necessary for bone metabolism, and decrease on osteocalcin production.

Longterm treatment with corticoids is associated with osteoporosis and vertebral fractures. To improve this condition, treatment with bisphosphonates has been proposed. We present here a clinical case of a girl with dermatomyositis and severe osteoporosis with vertebral crushes, who responded well to oral bisphophonate treatment.

Total average age of the injured was A predominance of males was observed. The cranioencephalic trauma was the most common and that with the highest mortality. Galactorrea grave tras aumento mamario con implantes Severe galactorrhea after mammary augmentation with implants. No se detectaron cambios en los valores de prolactina. Galactorrhea is a complication rarely observed after mammary plastic surgery.

The cause remains unknown although it's likely to be multifactorial. In the reported case, the patient described symmetric massive engorgement of both breasts after augmentation mammoplasty. No significant change was detected in the postoperative prolactin values. The condition was unresponsive to treatment with bromocriptine. Rev Med Hered ; Cardiovascular manifestations of hyperthyroidism are frequent and sometimes are relevant in the clinical picture.

Usually an hyperdynamic circulatory state hallmarks the disease with low peripheral resistance, increased intravascular volume and cardiac output. However, right chamber dilatation with tricuspid valve regurgitation and cardiac failure are unusual. We present the case of a young woman with Graves -Basedow disease without cardiovascular history who complained about palpitations, peripheral edemas, weight loss and.

Objetivos: caracterizar a los pacientes con paludismo grave por Plasmodium falciparum ingresados en una unidad de cuidados intensivos. Principales medidas de resultados: Valores de transaminasas, creatinina, hemograma completo y examen de orina. Pertussis or whooping cough is an acute, highly contagious respiratory infection, which is particularly severe in infants under one year old.

In classic disease, clinical diagnosis may present no difficulties. In other cases, it requires laboratory confirmation. Generally used methods are: culture, serology and PCR. For the latter, the sample of choice is a nasopharyngeal aspirate, and the simplest method for processing these samples uses proteinase K. Although results are generally satisfactory, difficulties often arise regarding the mucosal nature of. Estas medidas fueron implementadas en un contrato conductual. There were two groups: the study-group with patients with.

Full Text Available Objetivo. El instrumento construido tiene una adecuada consistencia. The case of an apparently healthy 40 year-old patient is reported, who was attended in "Dr.

The results of additional tests confirmed a pericardial effusion of hypothyroid cause. A replacement therapy was administered with thyroid hormones sodium levothyroxine.

He made good progress and was discharged from the hospital, but he was reevaluated at 3 months and a significant improvement was observed. Rev Med Hered ; Graves ' Disease.

Journal of Clinical Endocrinology and Metabolism. Se proponen estrategias para la mejor vigilancia y control de esta enfermedad. The objective of this study was to analize data of pertussis morbidity and mortality in Argentina and vaccination coverage with combined pertussis vaccine DwPT, which was available from until inclusive, and to investigate their interrelation. A retrospective study was performed based on National Registers. Notification and mortality annual mean variation rates and geometric mean rates, by periods, were analyzed, and correlation coefficients between each one of them and with vaccination coverage were calculated.

Notification annual mean. The aim of this study was to analyze the dose variation in contrast to the fixed a ctivity regimen. Comparative dose calculations were carried out assuming that the individual patients had been treated according to MBq activity administration. Activity or dose was reduced by an average factor of 2. The implemen ted method seeks a balance among the accuracy of the calculations, resource consumption and patient comfort.

El rango total del score fue de 6,5. Resuscitation fluid therapy in patients with severe trauma: Is a change necessary? Registro de pacientes con esclerodermia. Poliartritis y tenosinovitis grave por Streptococcus agalactiae en un paciente con hipoesplenia funcional Severe polyarthritis and tenosynovitis caused by Streptococcus agalactiae in a patient with functional hyposplenia. Full Text Available La artritis por Streptococcus agalactiae es infrecuente.

Como antecedentes presentaba carcinoma papilar de tiroides e hipoesplenia funcional. Presentaba tenosinovitis en ambos pies y en la mano izquierda. Los hemocultivos y el cultivo de la bursa olecraniana derecha fueron positivos para S.

Cases of arthritis caused by Streptococcus agalactiae are infrequent and in our knowledge there are no case reports of tenosynovitis caused by S. A year-old woman presented with fever, polyarthralgia, myalgia, diarrhea and vomiting. She had a history of papillary thyroid carcinoma and functional hyposplenia.

She was febrile, with arthritis in hands, wrists, elbows, right shoulder and left ankle joints, and presented tenosynovitis in both feet and left hand. Blood and right olecranon bursa sample cultures were positive for S. An ultrasound scan made at the musculus tibialis anterior of left foot revealed signs of tenosynovitis. She was treated with intravenous cefazolin for 20 days and oral cefuroxime for 12 days.

The joint involvement completely subsided in 60 days. Streptococcus agalactiae can cause, infrequently, a polyarthritis and tenosynovitis syndrome similar to disseminated gonococcal.

Atresia biliar: una enfermedad grave. Full Text Available Vocational rehabilitation represents an important element within the mental health care system. Rehabilitation success must be examined multidimensionally and not be reduced to the mere integration into competitive employment.

Success is also represented by progress in the level of vocational integration, strengthening of work capabilities, the improvement of the functional level, and in a better quality of life. Rehabilitation needs to start in the clinic; with psychiatric help sustained during the rehabilitation process to prevent illness exacerbation and premature program termination.

Training for cognition and social skills should be integrated into rehabilitation programs to compensate individual deficits.

Las necesidades de. Siete pacientes del grupo I presentaron complicaciones graves frente a 4 del grupo II. La estancia hospitalaria fue similar en los dos grupos.

Dos pacientes del grupo I fallecieron. Objective: to compare the efficacy of early total enteral nutrition TEN vs. Acute inflammatory response CRP, TNF-alpha, IL-6, visceral proteins pre-albumin, albumin, complications systemic inflammatory response syndrome, multiorgan failure, infections, surgical interventions, length of hospital stay and mortality were. Genetics Home Reference: Graves disease. Description Graves disease is a condition that affects the function of Hallazgo de Lophomonas sp.

Full Text Available Lophomonas sp. Sin embargo, en la literatura mundial existen escasos reportes de Lophomonas sp. Presentamos evidencias de Lophomonas sp. Lophomonas sp. Nevertheless, in the world literature are few reports of Lophomonas sp. We present evidences of Lophomonas sp. Five of them had pneumonia and one atelectasis, four were hospitalized in the intensive care unit.

Increase knowledge about the presence of this organism in respiratory infections is needed, as its real pathogenic role. Full Text Available This article presents a comparative study of the care of students with severe and permanent educational needs in the six EU countries with greater rates of educational inclusion, Italy, Greece, Portugal, Norway, Cyprus and Iceland.










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