ABSTRACT
El arsénico es un metal que se encuentra ampliamente distribuido por la naturaleza. Actualmente la mayoría de las intoxicaciones, tanto agudas como crónicas, se ven en el medio laboral, pudiendo darse casos de intoxicación no industrial, a partir de la contaminación de productos domésticos o alimenticios por desechos industriales con arsénico o sus derivados. Sin embargo son excepcionales las intoxicaciones suicidas como el caso que nosotros describimos u homicidas por vía digestiva. En estos casos el tratamiento antídoto, basado en la reactividad química que poseen los agentes quelantes para formar complejos atóxicos e hidrosolubles que se eliminan por la orina, es vital para poder evitar las graves consecuencias incluso letales de dicha intoxicación aguda(AU)
Arsenic is a metal that is widely distributed in nature. Nowadays, most of the poisonings, both acute and chronic, can be seen in the work environment, with some cases of non-industrial contamination reported, caused by contamination of domestic or food products from industrial wastes containing arsenic or its derivatives. Even though, cases of self-poisoning via the digestive tract like the one we describe, or homicide, are exceptional. In these cases, antidotes based on the chemical reactivity owned by the chelating agents to form a non-toxic and water-soluble complex that can be eliminated in urine, are vital to avoid serious or even lethal consequences caused by acute poisoning(AU)
Subject(s)
Humans , Male , Female , Arsenic/adverse effects , Arsenic Poisoning/epidemiology , Arsenic Poisoning/prevention & control , Chelating Agents/adverse effects , Chelating Agents/toxicity , Occupational Health/legislation & jurisprudence , Waste Products/analysis , Waste Products/classification , Toxic Wastes/analysis , Toxic Wastes/prevention & control , Poisoning/complications , Poisoning/diagnosisSubject(s)
Moraxella catarrhalis , Neisseriaceae Infections/diagnosis , Adenocarcinoma, Bronchiolo-Alveolar/diagnosis , Adenocarcinoma, Bronchiolo-Alveolar/microbiology , Aged , Female , Humans , Lung Neoplasms/diagnosis , Lung Neoplasms/microbiology , Moraxella catarrhalis/isolation & purification , Neisseriaceae Infections/microbiology , Sputum/microbiologyABSTRACT
A rare case of left atrial dissection as a consequence of infectious endocarditis is reported. We present a patient with infectious endocarditis with involvement of mitral and aortic valves; in whom the trans-esophageal echocardiography was able to visualise the left atrial dissection. This complication has been reported after surgical repair of the mitral valve, but never in infectious endocarditis.
