ABSTRACT
Se presentan 4 casos de aneurismas o pseudoaneurismas de la arteria carótida interna extracraneal. A diferencia de la estenosis carotídea, esta patología es poco frecuente; por lo que las recomendaciones en cuanto al diagnóstico y tratamiento no son uniformes y aun están en discusión, representando así un reto para los médicos de la especialidad. Cada uno de los casos descritos fue tratado de forma particular a las características de anatomía, forma de presentación y riesgos de cada paciente. Los casos fueron de sexo masculino y con un rango etario desde 24 años hasta 77 años de edad. Dos de ellos fueron tratados de forma quirúrgica convencional y dos de forma endovascular. Se presenta las opciones de tratamiento quirúrgico y endovascular en nuestro medio en una enfermedad en la que se tiene experiencia limitada en la mayoría de centros médicos a nivel mundial. (AU)
We present 4 cases of extracranial internal carotid aneurisms or pseudo aneurisms. Opposite to carotid stenosis, this entity is rare, and recommendations for its diagnosis and treatment are not standardized and subject to controversy. Each of the cases presented here were treated differently. All cases were males ranging in age from 24 to 77 years of age; 2 were treated using conventional surgical methods and the remaining two using an endovascular approach. We present here the surgical options for a rare entity with limited worldwide experience. (AU)
Subject(s)
Humans , Male , Adult , Aged , Carotid Artery, Internal , Aneurysm , Aneurysm/surgerySubject(s)
Neglected Diseases/epidemiology , Neglected Diseases/prevention & control , Strongyloides stercoralis/isolation & purification , Strongyloidiasis/epidemiology , Strongyloidiasis/prevention & control , Animals , Anthelmintics/therapeutic use , Global Health , Humans , Neglected Diseases/diagnosis , Neglected Diseases/drug therapy , Strongyloidiasis/diagnosis , Strongyloidiasis/drug therapySubject(s)
Air Pollution, Indoor/adverse effects , Lung Diseases/pathology , Lung/pathology , Biomass , Female , Humans , Infant , Lung Diseases/chemically induced , MaleABSTRACT
Strongyloidiasis is extremely more frequent in immigrants than in travellers. Clinical presentations do not differ significantly between the two groups, and the most frequent picture is a chronic infection characterized by intermittent, mild, non-specific symptoms. Acute presentation is rare but it has been reported in travellers. Screening of asymptomatic subjects is not generally recommended, while a presumptive treatment with ivermectin might be justified for all travellers and immigrant patients presenting unexplained eosinophilia and/or compatible symptoms, even in case of negative test results. In fact, delayed diagnosis and treatment has life-threatening consequences in patients with conditions predisposing to development of hyperinfection and dissemination.