Intoxicación aguda por fosforo blanco: reporte de un caso / Poisoning acute with white phosphorus: report of the case

El fósforo blanco es un tóxico muy potente empleado en la elaboración de fuegos artificiales, su ingestión accidental o intencional causa un cuadro de intoxicación aguda que evoluciona en cuatro fases clínicas con una alta letalidad. El manejo mediante lavado gástrico con permanganato de potasio o peroxido de hidrogeno, la administración de N-acetyl cisteína y las medidas de soporte, constituyen las bases del tratamiento cuyo éxito depende del inicio precoz. Se presenta el caso de un lactante mayor de 12 meses con ingestión de “raspa-raspa”, en quien el manejo precoz, ante el riesgo de intoxicación por fósforo blanco, dio como resultado una evolución favorable del paciente.

Ciclo menstrual y crisis maniaco-depresivas / Menstrual cicle and crisis manic-depressive

This epidemiologic descriptive study was elaborated to determine wether there is relation between the beginning of the psychosis maniac-depressive (PMD) crisis and a specific moment in the chronology of the mestrual cicle. There are diverse etiologic factors mentioned in the PMD: genetic, pharmacological, biochemical, neuroendocrinological, etc. Different studies have shown significative association between Major Depression and low plasmatic levels of the lutheinic hormone (LH). Point in which we base our study. The universal sample was formed from 40 patients of the psychiatry clinics of La Paz, Montserat and Perpetuo Socorro. Patients, which should have by requirement suffered at least one episode of PMD, diagnosed by DSM III and in fertile age. They resolved a six item cuestionary, specially designed by the investigative group. We obtained as a result that women between 25 and 34 years of age, presented in the episodes of PMD a prevalence in the maniac syntoms over the depressive syntoms. As a final conclusion, it exists chronologic relation between the beginning of the crisis and the late lutheic phase