ABSTRACT
We report a 16-year-old boy, who suffered a right vent ride penetrating injury caused by a sharp blade that evolved to cardiac tampon. He underwent surgery and was discharged four days later. Thirteen days later, a cardiac murmur was found. An echocardiography showed an aorta-right ventricular fistula. Surgical closure was performed through an aortotomy on cardiopulmonary by pass. The control echocardiography showed a small residual fistula, which closed spontaneously three months later.
Subject(s)
Adolescent , Humans , Male , Heart Injuries/surgery , Vascular Fistula/surgery , Wounds, Gunshot/complications , Aorta/injuries , Cardiac Tamponade/etiology , Cardiac Tamponade/surgery , Echocardiography, Transesophageal , Heart Ventricles/injuries , Remission, Spontaneous , Vascular Fistula/etiologyABSTRACT
La leptospirosis es una enfermedad infecciosa causada por un tipo de espiroquetas, grupo de microorganismos cuyos distintos serotipos pueden causar manifestaciones clínicas diversas.Entre ellos los más relevantes son la meningitis aséptica y el síndrome de Weil, caracterizado por fiebre ictericia, insuficienciarenal y hemorragias. En chile, son pocos los casos comunicados, al ser una patología infrecuente en nuestro medio. Se presenta el caso de un paciente diagnosticado y tratado con éxito en el Hospital Dr. G. Fricke