Leptospirosis sistémica: una etiología de falla multiorgánica en un caso / Systemic leptospirosis: an etiology of de multiple organ failure in 1 case

Leptospirosis is a world-spread zoonosis that is incidentally acquired by humans. It causes a diphasic febrile illness in which the Weil syndrome is its severest form, with renal, hepatic, clotting and central nervous system involvement. We report a 73 years old male, that was admitted to an intensive care unit with multiple organ failure due to leptospirosis. The clinical picture initially resembled a sepsis due to biliary tract obstruction and was operated, not finding a biliary tract obstruction. Considering the history of a fall to sewed waters, leptospirosis was suspected and treatment with penicillin was started, obtaining a full recovery of the patient

Hemangioma hepático gigante y embarazo / Giant hepatic hemangioma and pregnancy

Se presenta el caso clínico de un embarazo concomitante con un hemangioma hepático extenso. A las 38 semanas evolucionó con coagulopatía de consumo. Trombocitopenia. El Doppler color materno y fetal fue dentro de límites normales. El resultado perinatal fue óptimo