Subject(s)
Antitubercular Agents/therapeutic use , Mycobacterium tuberculosis , Otitis Media, Suppurative/drug therapy , Otitis Media, Suppurative/microbiology , Tuberculosis/drug therapy , Tuberculosis/microbiology , Chronic Disease , Coinfection , Facial Paralysis/etiology , Facial Paralysis/therapy , Female , Humans , Microbial Sensitivity Tests , Pseudomonas Infections/complications , Pseudomonas Infections/drug therapy , Pseudomonas Infections/microbiology , Young AdultSubject(s)
Apraxia, Ideomotor/etiology , Dysarthria/etiology , Spinocerebellar Degenerations/complications , Adult , Face , Female , Humans , MouthABSTRACT
No disponible
Subject(s)
Adult , Male , Female , Humans , Morganella morganii , Bacteroides fragilis , Spinocerebellar Degenerations , Sepsis , Mouth , Apraxia, Ideomotor , Bacteroides Infections , Dysarthria , Enterobacteriaceae Infections , Face , Gingivitis , Fever of Unknown OriginABSTRACT
No disponible
Subject(s)
Middle Aged , Male , Humans , Thoracic Vertebrae , Lumbar Vertebrae , Spinal Diseases , Staphylococcal Infections , Osteomyelitis , Pleural Effusion , Biopsy , Hemothorax , Liver , Jugular VeinsABSTRACT
Se presentan dos casos diagnosticados de nocardiosis en pacientes inmunocompetentes, diferentes en su clínica, evolución y tratamiento. El primero, un varón de 55 años con nocardiosis diseminada y el segundo otro varón de 32 años, esplenectomizado diagnosticado de nocardiosis pulmonar. Se revisa la literatura haciendo hincapié en los distintos cuadros clínicos y tratamiento de la nocardiosis (AU)
Subject(s)
Adult , Male , Middle Aged , Humans , Nocardia Infections , Splenectomy , Lung Diseases , Immune Tolerance , Nocardia Infections/diagnosis , Nocardia Infections/immunology , Nocardia Infections/drug therapy , Lung Diseases/diagnosis , Lung Diseases/immunology , Lung Diseases/microbiologyABSTRACT
No disponible
Subject(s)
Adult , Female , Humans , Adrenal Gland Diseases , Hemorrhage , Adrenal Insufficiency , Adrenal InsufficiencySubject(s)
Fibroma/complications , Heart Neoplasms/complications , Stroke/etiology , Adult , Humans , MaleABSTRACT
Two diagnosed clinical cases of nocardiosis in immunocompetent patients are presented, different in their clinical aspects, evolution and treatment. We report a 55 years-old man with disseminated nocardiosis and a 32 years-old man with splenectomy diagnosed of pulmonary nocardiosis. The medical literature is reviewed and emphasis is placed on the different illness and treatment of the nocardiosis.
Subject(s)
Immune Tolerance , Lung Diseases/diagnosis , Nocardia Infections/diagnosis , Adult , Humans , Lung Diseases/immunology , Lung Diseases/microbiology , Male , Middle Aged , Nocardia Infections/drug therapy , Nocardia Infections/immunology , SplenectomyABSTRACT
Five cases of leptospirosis diagnosed from 1978 to 1996 were retrospectively reviewed. The five patients were male and their mean age was 34.2 years. Epidemiologic factors were found in the 5 patients. The 3 common clinical findings: fever, myalgia and jaundice were found in the 5 patients. Hepatorenal involvement was observed in 4 cases (80%), bleeding episodes in 4 patients (80%), cardiac involvement in 4 (80%); in none case was observed central nervous system involvement. In one case (20%) was observed septic shock with acute respiratory failure. The Leptospira serogroups identified were icterohaemorrhagiae in 3 cases and could not be determined in 2. All the patients were amelioration with antibiotic therapeutic. The epidemiologic, clinical, analytical and therapeutic aspects are discussed.
Subject(s)
Leptospirosis/diagnosis , Adult , Anti-Bacterial Agents/therapeutic use , Antibodies, Bacterial/analysis , Clinical Enzyme Tests , Enzyme-Linked Immunosorbent Assay , Humans , Immunoglobulin M/analysis , Leptospira/immunology , Leptospira interrogans/immunology , Leptospirosis/complications , Leptospirosis/drug therapy , Male , Respiratory Distress Syndrome/etiology , Retrospective Studies , Shock, Septic/etiology , Weil Disease/complications , Weil Disease/diagnosis , Weil Disease/drug therapyABSTRACT
Se han revisado retrospectivamente 5 casos de leptospirosis entre 1978 y 1996. Los 5 casos eran varones con una edad media de 34,2 años. Los factores epidemiológicos se encontraron en los 5 pacientes. Todos los pacientes tenían la triada clínica clásica de fiebre, mialgias e ictericia. Observamos afectación hepatorrenal en 4 de los 5 pacientes (80%), fenómenos hemorrágicos en 4 pacientes (80%), en 4 pacientes observamos alteraciones del ritmo cardíaco (80%); no se diagnosticó afectación del sistema nervioso central en ninguno de los casos. Un paciente presentó shock séptico con insuficiencia respiratoria a aguda y síndrome de distrés respiratorio del adulto. Los serogrupos de Leptospira que se identificaron fueron icterohemorrágica en 3 casos y en los 2 restantes no se pudo definir. La recuperación con tratamiento antibiótico fue completa en todos los casos. En este artículo se discuten los aspectos epidemiológicos, clínicos, analíticos y terapéuticos (AU)
