ABSTRACT
Las relaciones padre/cuidador y niño son fundamentales y tienen un impacto significativo sobre la salud de los individuos. Estas relaciones pueden tener efectos en la protección de la salud, ser neutras o tener resultados perjudiciales. En casos extremos, estas relaciones pueden incluir maltrato o abandono, lo que tendrá consecuencias médicas y psicológicas para el individuo (1). Estas relaciones pueden llamar la atención clínica por ser el motivo de consulta del individuo o por ser un problema que afecte al curso, pronóstico o tratamiento de otro trastorno. Presentamos el caso clínico de una paciente que ingresa en la Unidad de Psiquiatría Infanto-Juvenil con la finalidad de suspender la medicación antipsicótica con la que lleva 8 años y la valoración de la sintomatología durante el proceso, tras el fracaso de los intentos de retirada de forma ambulatoria. En la discusión exponemos las patologías psiquiátricas relacionadas con la familia y el caso
Parent / caregiver and child relationships are critical and have a significant impact on the health of individuals. These relationships can have effects on health. They can protect it, be neutral or have detrimental results. In extreme cases, these relationships may include abuse or neglect, which will have medical and psychological consequences for the individual (1). These relationships can be the reason for consulting the individual or they can be a problem that affects the course, prognosis or treatment of another disorder. We present the case of a patient who entered the Unit of Child and Adolescent Psychiatry with the purpose of suspending the antipsychotic medication with which it takes 8 years and the evaluation of the symptomatology during the process. In the discussion we expose the psychiatric pathologies related to the family and the case
Subject(s)
Humans , Female , Adolescent , Stress, Psychological/drug therapy , Drug Recalls , Antipsychotic Agents/administration & dosage , Aggression/psychology , Family Relations/psychology , Parent-Child Relations , PsychopathologyABSTRACT
CASO CLÍNICO: Paciente con sida y uveítis por virus Epstein-Barr (VEB). La PCR de VEB fue positiva para humor acuoso y vítreo. Las cuantificaciones del virus fueron 56,602 × 106 copias/ml en humor vítreo, 173.400 copias/ml en sangre periférica y negativo en líquido cefalorraquídeo (LCR). El paciente desarrolló un linfoma no-Hodgkin (LNH) diagnosticado en la necropsia. CONCLUSIÓN: La uveítis por VEB es poco frecuente y para el diagnóstico es necesario realizar una PCR cuantitativa. Una elevada cantidad de DNA de VEB se ha asociado con mayor incidencia de LNH
CLINICAL CASE: Patient with AIDS and Epstein-Barr virus (EBV) uveitis. The PCR of the aqueous and vitreous humor was positive for EBV, and DNA quantification was 56.602 × 106 copies/ml in the vitreous humor, 173,400 copies/ml in the peripheral blood, and negative in the cerebrospinal fluid (CSF). The patient developed a non-Hodgkin's lymphoma (NHL), diagnosed in the autopsy. CONCLUSION: The EBV is a rare cause of uveitis and it may be necessary to perform a quantitative PCR to reach the diagnosis. High amounts of EBV DNA are associated with a greater incidence of NHL
Subject(s)
Humans , Male , Lymphoma/metabolism , Lymphoma/pathology , Lymphoma, Non-Hodgkin/genetics , Lymphoma, Non-Hodgkin/metabolism , Central Nervous System/abnormalities , Central Nervous System/metabolism , Toxoplasma/genetics , Hepatitis/metabolism , Hepatitis/pathology , Lymphoma/classification , Lymphoma/complications , Lymphoma, Non-Hodgkin/complications , Lymphoma, Non-Hodgkin/diagnosis , Central Nervous System/cytology , Central Nervous System/injuries , Toxoplasma/metabolism , Hepatitis/complications , Hepatitis/diagnosisABSTRACT
CLINICAL CASE: Patient with AIDS and Epstein-Barr virus (EBV) uveitis. The PCR of the aqueous and vitreous humor was positive for EBV, and DNA quantification was 56.602×10(6) copies/ml in the vitreous humor, 173,400 copies/ml in the peripheral blood, and negative in the cerebrospinal fluid (CSF). The patient developed a non-Hodgkin's lymphoma (NHL), diagnosed in the autopsy. CONCLUSION: The EBV is a rare cause of uveitis and it may be necessary to perform a quantitative PCR to reach the diagnosis. High amounts of EBV DNA are associated with a greater incidence of NHL.
Subject(s)
Brain Neoplasms/pathology , Epstein-Barr Virus Infections/pathology , Lymphoma, AIDS-Related/pathology , Lymphoma, B-Cell/pathology , Panuveitis/pathology , AIDS-Related Opportunistic Infections/complications , Adult , Antiviral Agents/therapeutic use , Brain Neoplasms/virology , Chorioretinitis/drug therapy , Chorioretinitis/pathology , DNA, Viral/analysis , Epstein-Barr Virus Infections/drug therapy , Fatal Outcome , Ganciclovir/therapeutic use , Herpesvirus 4, Human/isolation & purification , Humans , Lymphoma, AIDS-Related/virology , Lymphoma, B-Cell/virology , Male , Panuveitis/drug therapy , Panuveitis/virology , VitrectomyABSTRACT
Oral thyroid preparations, which were first administered in 1892 to treat myxedema, are the oldest effective endocrine medications. Since thyroxin became available, such drugs have been dispensed without a physician's prescription and have come to be mistakenly referred to as "diet pills". Self-prescription of such products can cause changes in thyroid function, with systemic repercussions. We report the case of a woman who took thyroid extracts, among other diet drugs to enhance weight loss without medical supervision. The patient failed to report taking such drugs during the preanesthetic visit. Interrupting therapy several days before surgery produced a state of hypothyroidism that led to marked postoperative hemodynamic changes necessitating transfer to the intensive care unit.
Subject(s)
Appetite Depressants/adverse effects , Hypothyroidism/chemically induced , Postoperative Complications/chemically induced , Thyroxine/adverse effects , Triiodothyronine/adverse effects , Female , Hemodynamics/drug effects , Humans , Middle AgedABSTRACT
We report a case of anaphylaxis during surgery as a result of reaction to latex. The patient was a 26-year old woman undergoing emergency exploratory laparotomy. Sixty minutes after the start of the procedure, rash, confluent cutaneous wheals and severe bronchospasm appeared. An allergic reaction was suspected and treatment with corticoids, H1 and H2 antihistamines, theophylline and adrenalin was begun, after which the symptoms disappeared. We wish to emphasize that in the presurgical taking of the patient's case history, no relevant diseases or known allergies were mentioned, and that all complementary analytical data obtained before surgery were within the normal limits. The woman had had a cesarean section seven months before, with no anesthetic complications. Later, the patient mentioned suffering sinusitis and food allergies, describing a clear history of atopy.
