Subject(s)
HIV Infections/complications , Sleep Wake Disorders/etiology , Adult , Female , HIV Infections/physiopathology , Humans , Male , Middle Aged , Young AdultABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Sleep/physiology , Acquired Immunodeficiency Syndrome/complications , Acquired Immunodeficiency Syndrome/diagnosis , Quality of Life , Apnea/complications , Sleep Wake Disorders/complications , Sleep Wake Disorders/diagnosis , Heart Failure/complications , Cardiovascular Diseases/complications , Hypertension/complicationsABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Apoproteins/analysis , Apoproteins , Biomarkers/analysis , Diagnostic Techniques, Cardiovascular , Cholesterol/analysis , Arteriosclerosis/diagnosis , Arteriosclerosis/epidemiology , Arteriosclerosis/prevention & control , Cardiovascular Diseases/diagnosis , Cardiovascular Diseases/epidemiology , Cardiovascular Diseases/prevention & control , Cardiovascular System/pathology , Triglycerides/analysis , Lipoproteins/analysisABSTRACT
No disponible
Subject(s)
Humans , Biomarkers, Tumor , Neoplasms/diagnosis , Sensitivity and SpecificityABSTRACT
Four cases of malaria in patients who had travelled to Equatorial Guinea the previous weeks and had not received prophylaxis are presented. There were three men and one woman, two natives of Equatorial Guinea who had been living in Spain for a long time and the other two Spanish. Following a 15-30 day trip in Equatorial Guinea they all presented with fever, shivering, headache and diarrhea( two cases) five to ten days after their return. Only one patient presented splenomegaly. The thick blood smear showed plasmodia in all patients and P. falciparum was identified in only two patients. All of them were treated with doxycycline and quinine sulfate with a favourable outcome. Only one of the patients needed hospitalization. Following some aspects of the epidemiology, symptoms, diagnosis and treatment of this emerging disease are presented.
Subject(s)
Malaria , Travel , Adult , Female , Humans , Malaria/diagnosis , Malaria/drug therapy , Malaria/epidemiology , Male , Middle AgedABSTRACT
A case of a 30-year-old man is presented. He had a past medical history of asthma and presented with cough, shortness of breath, fever and chest pain. The chest X-ray showed cardiomegaly and a interstitial pattern. The echocardiogram revealed a severe pericardial effusion that required performing a pericardiocentesis. A CT scan showed mediastinal adenopathies and reticulonodular interstitial pattern. A bronchoscopy could not be completed because of non-tolerance. Finally a lung biopsy allowed us to reach a final diagnosis of lung adenocarcinoma. Following, some aspects of lung cancer in young people are commented, especially its incidence, histology, symptoms and a prognosis. A few aspects of the interstitial lung disease are also addressed and the differential diagnosis with lymphangitic carcinomatosis.
Subject(s)
Adenocarcinoma, Papillary/diagnosis , Lung Diseases, Interstitial/diagnosis , Lung Neoplasms/diagnosis , Adenocarcinoma, Papillary/complications , Adenocarcinoma, Papillary/diagnostic imaging , Adenocarcinoma, Papillary/drug therapy , Adenocarcinoma, Papillary/secondary , Adult , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Cardiac Tamponade/etiology , Cardiac Tamponade/surgery , Cardiomegaly/etiology , Cisplatin/administration & dosage , Deoxycytidine/administration & dosage , Deoxycytidine/analogs & derivatives , Dyspnea/etiology , Fibrosis , Humans , Lung Neoplasms/complications , Lung Neoplasms/diagnostic imaging , Lung Neoplasms/drug therapy , Lung Neoplasms/pathology , Lymphatic Metastasis , Male , Radiography , GemcitabineSubject(s)
Hospital Units/standards , Patient Satisfaction , Surveys and Questionnaires , Humans , SpainABSTRACT
No disponible
Subject(s)
Humans , Patient Satisfaction , Quality of Health Care , Hospital Departments/standards , Surveys and Questionnaires , SpainSubject(s)
C-Reactive Protein/analysis , HIV Infections/diagnosis , Adult , Biomarkers , Disease Progression , Female , HIV Infections/blood , Humans , Male , Middle AgedABSTRACT
Presentamos cuatro casos de paludismo en pacientes que habían viajado en las semanas previas a Guinea Ecuatorial, sin haber realizado profilaxis. Eran 3 varones y una mujer, dos naturales de Guinea Ecuatorial, pero residentes en España desde hace largo tiempo y otros dos de nuestro país. Tras realizar un viaje de una duración entre 15 y 30 días por su país, presentaron entre los días 5 y 10 de su regreso, un cuadro de fiebre, escalofríos, cefalea y en dos casos diarreas. Se palpó esplenomegalia en un solo paciente. Se observaron plasmodium en la extensión de sangre periférica en los cuatro enfermos, identificándose Plasmodium falciparum, en dos pacientes. Todos fueron tratados con sulfato de quinina y doxiciclina, evolucionando favorablemente. Un paciente fue tratado en régimen de hospitalización. Posteriormente comentamos algunos aspectos epidemiológicos, clínicos, diagnósticos y de tratamiento de esta enfermedad emergente
Four cases of malaria in patients who had travelled to Equatorial Guinea the previous weeks and had not received prophylaxis are presented. There were three men and one woman, two natives of Equatorial Guinea who had been living in Spain for a long time and the other two Spanish. Following a 15-30 day trip in Equatorial Guinea they all presented with fever, shivering, headache and diarrhea( two cases) five to ten days after their return. Only one patient presented splenomegaly. The thick blood smear showed plasmodia in all patients and P. falciparum was identified in only two patients. All of them were treated with doxycycline and quinine sulfate with a favourable outcome. Only one of the patients needed hospitalization. Following some aspects of the epidemiology, symptoms, diagnosis and treatment of this emerging disease are presented
Subject(s)
Male , Female , Adult , Middle Aged , Humans , Malaria/complications , Malaria/epidemiology , Communicable Diseases, Emerging/complications , Communicable Diseases, Emerging/diagnosis , Communicable Diseases, Emerging/therapy , Plasmodium/isolation & purification , Quinine/therapeutic use , Doxycycline/therapeutic use , Radiography, Thoracic , Communicable Diseases, Emerging/etiology , Communicable Diseases, Emerging/physiopathologyABSTRACT
Presentamos el caso de un varón de 30 años de edad, con antecedentes de asma bronquial, que presentó un cuadro de tos, disnea, fiebre y dolor torácico. En la radiografía de tórax se observó cardiomegalia y un patrón intersticial bilateral. En el ecocardiograma, se apreció un derrame pericárdico severo, que obligó a la realización de una pericardiocentésis. En una TAC torácica se observaron adenopatías mediastínicas y un patrón intersticial retículo nodular bilateral. No se pudo completar la broncoscopia por mala tolerancia. Finalmente una biopsia pulmonar permitió el diagnóstico de adenocarcinoma de pulmón. Posteriormente se comentan algunos aspectos del cáncer de pulmón en pacientes jóvenes (menores de 40 años), destacando datos sobre su incidencia, anatomía patológica, clínica y pronóstico. Referimos algunos aspectos de la enfermedad intersticial pulmonar y su diagnóstico diferencial con el carcinoma de pulmón con linfangitis carcinomatosa
history of asthma and presented with cough, shortness of breath, fever and chest pain. The chest X-ray showed cardiomegaly and a interstitial pattern. The echocardiogram revealed a severe pericardial effusion that required performing a pericardiocentesis. A CT scan showed mediastinal adenopathies and reticulonodular intertitial pattern. A bronchoscopy could not be completed because of non-tolerance. Finally a lung biopsy allowed us to reach a final diagnosis of lung adenocarcinoma. Following, some aspects of lung cancer in young people are commented, especially its incidence, histology, symptoms and a prognosis. A few aspects of the interstitial lung disease are also addressed and the differential diagnosis with lymphangitic carcinomatosis
Subject(s)
Male , Adult , Humans , Adenocarcinoma/diagnosis , Lymphangitis/diagnosis , Lung Neoplasms/diagnosis , Lung Diseases, Interstitial/diagnosis , Adenocarcinoma/pathology , Diagnosis, Differential , Radiography, Thoracic , Pericardiocentesis/methods , Biopsy/methods , Lung Neoplasms/pathology , Lung Diseases, InterstitialABSTRACT
No disponible
Subject(s)
Male , Female , Adult , Middle Aged , Humans , Acquired Immunodeficiency Syndrome/drug therapy , Zidovudine/pharmacology , Lamivudine/pharmacology , Treatment Outcome , Drug Combinations , Anti-Retroviral Agents/adverse effects , Anti-Retroviral Agents/pharmacologySubject(s)
Age Factors , Glomerular Filtration Rate/physiology , Aged, 80 and over , Creatinine , Female , Humans , Kidney Function Tests/standards , MaleSubject(s)
Antiviral Agents/therapeutic use , HIV Infections/drug therapy , Hepatitis C/drug therapy , Interferon-alpha/therapeutic use , Polyethylene Glycols/therapeutic use , Ribavirin/therapeutic use , Drug Therapy, Combination , HIV Infections/complications , Hepatitis C/complications , Humans , Interferon alpha-2 , Recombinant Proteins , Treatment OutcomeABSTRACT
No disponible
Subject(s)
Male , Female , Adult , Middle Aged , Humans , Acquired Immunodeficiency Syndrome/diagnosis , C-Reactive Protein , HIV Infections/diagnosis , AIDS Serodiagnosis/methods , HIV Antigens , HIV Antigens/pharmacologyABSTRACT
No disponible
