ABSTRACT
The disease by Hanta virus has a recent diagnose in our country. 218 cases have been reported to date and given its high mortality of 44 percent, a great epidemiological campaign has been implemented, for its isolation and control. The most severe form of this disease, Hanta virus, is the cardio pulmonary syndrome which present characterics that difference it from other similar disorders. The more frequent hemodynamics patrons to find are low cardiac indexes (CI) with pulmonary vascular resistences and elevated (RVS) systemic. On the other hand, the respiratory disorders correspond to a pulmonary edema non cardiogenic, similar to acute respiratory distress syndrome (SDRA). There are few reports of Hanta in pregnant patients described in literature and case present a high rate of fetal and maternal mortality and there is not a clear description of the hemodynamic compromise, or certitude if there is vertical transmission of the virus from the infected mother to the fetus. We described the clinical case of a 12 weeks pregnant patient with cardio pulmonary syndrome due to Hanta virus (SCPH) which shws a different hemodynamics patron than which has been published and who survives both she as well as her child and do not present virus transmission to the fetus
Subject(s)
Humans , Adult , Female , Pregnancy , Infant, Newborn , Orthohantavirus , Hantavirus Infections , Pregnancy Complications, Infectious , Hantavirus Infections , Hemodynamics , Pregnancy Complications, Infectious , Pulmonary Edema , Respiration, Artificial , Rural Population , Shock, Septic/etiology , Respiratory Distress Syndrome/etiologySubject(s)
Humans , Adult , Female , Echinococcosis , Albendazole , Cystectomy , Echinococcosis , Radiography, ThoracicABSTRACT
El golpe de calor es una entidad clínica que se clasifica dentro de los síndromes hipertérmicos. La hipertermia es el aumento de la temperatura corporal secundaria a un incremento en la producción de calor o a una disminución en su disipación. Presentamos el caso de un hombre joven intoxicado con insecticida organofosforado, que estando en tratamiento con atropina hace hipertermia severa con compromiso de conciencia y disfunción multiorgánica
Subject(s)
Humans , Male , Adult , Atropine/adverse effects , Heat Stroke/chemically induced , Insecticides, Organophosphate/poisoning , Diagnosis, Differential , Suicide, AttemptedSubject(s)
Humans , Respiratory Distress Syndrome, Newborn/physiopathology , Respiratory Distress Syndrome, Newborn/therapy , Adrenal Cortex Hormones/therapeutic use , Fluorocarbons/therapeutic use , Hemodynamics , Pulmonary Surfactants/therapeutic use , Respiration, Artificial/adverse effects , Respiration, Artificial/methods , Respiratory Distress Syndrome, Newborn/etiologySubject(s)
Humans , Male , Female , Lung Diseases/etiology , Respiratory Distress Syndrome/physiopathology , Sepsis/complicationsABSTRACT
El presente artículo tiene el propósito de discutir los principales logros en el conocimiento de los mecanismos etiopatogénicos del síndrome de distress respiratorio del adulto obtenidos con el empleo de diferentes modelos experimentales que simulan este síndrome. La participación de elementos celulares, como macrófagos, neutrófilos, plaquetas y diferentes mediadores humorales y locales como el complemento, los derivados del ácido araquidónico, del metabolismo del oxígeno, del sistema de la coagulación y otros, son analizados como probables factores involucrados en la patogenia de este daño pulmonar agudo