RESUMEN
Sulfadiazine is one of the drugs of choice in the treatment of paracoccidioidomycosis. Side effects are uncommon. Cutaneous and gastrointestinal reactions and rarely leucopenia and jaundice may occur. A patient on sulfadiazine 6 g daily exhibiting a good response is reported. On the 12th day, he presented an intense abdominal pain and reduced urinary output. An ultrasonography revealed diffuse calculosis in urinary tract. Peritoneal dialysis, urinary alkalinization and rehydration were instituted with complete restoration of renal function. This case illustrates the importance of an adequate hydratation of patients receiving sulfadiazine, a simple measure in the prevention of this uncommon complication which carries a high morbidity.
Asunto(s)
Lesión Renal Aguda/inducido químicamente , Enfermedades Pulmonares Fúngicas/tratamiento farmacológico , Paracoccidioidomicosis/tratamiento farmacológico , Sulfadiazina/efectos adversos , Humanos , Masculino , Persona de Mediana Edad , Sulfadiazina/uso terapéuticoRESUMEN
A obstrucao de via aerea proximal levando a asfixia com risco de vida imediato e o evento mais importante na aspiracao de corpo estranho. Contudo, pequenos corpos estranhos que atravessam a laringe sao geralmente assintomaticos no inicio e provocam sintomas respiratorios semanas ou anos antes do diagnostico. Nos descrevemos tres pacientes com evolucao clinica diferente e revisamos tecnicas de diagnostico e abordagens terapeuticas.
Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Bronquios , Cuerpos Extraños/diagnóstico , Inhalación , Obstrucción de las Vías Aéreas/etiología , Broncoscopía , Cuerpos Extraños , Cuerpos Extraños/terapiaRESUMEN
Proximal airway obstruction and acute life-threatening asphyxia is the most important complication of foreign body aspiration. Small foreign bodies that transverse the larynx may be initially asymptomatic appearing serious respiratory disturbances only later. Three patients with different clinical evolutions are reported and the diagnostic and therapeutic approaches, discussed.