RESUMO
Background: There is paucity of information about viral etiology of community acquired pneumonia in adults. Aim: To investigate the viral etiology of pneumonia among hospitalized patients. Material and Methods: All adults with pneumonia that were hospitalized were prospectively enrolled at Puerto Montt hospital. A microbiological and viral assessment was carried out. Viral assessment included direct immunofluorescence of nasopharyngeal aspirates for influenza A and B virus and serum samples obtained during the acute phase of the disease and during convalescence for Hanta virus. Results: Between April 1 2005 and March 31 2006,159 adults aged 62 ± 20 years (58 % males), were admitted to the hospital for pneumonia. Mean hospital stay was 11.9 ± 8.6 days. Four patients had Hantavirus acute infection. Other viruses were identified in twelve patients (7.7%). Nine had influenza A, one syncytial respiratory virus, one syncytial and influenza A virus and one varicella zoster virus. Excluding patients with Hantavirus, no significant differences in age, clinical presentation, chest X ray findings, laboratory results and mortality were observed between patients with bacterial or viral etiology of the pneumonia. Conclusions: Viral etiology was confirmed in 10% of adult patients hospitalized with community acquired pneumonia.
Assuntos
Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pneumonia Viral/virologia , Infecções Comunitárias Adquiridas/diagnóstico , Infecções Comunitárias Adquiridas/microbiologia , Infecções Comunitárias Adquiridas/virologia , Hospitalização , Hospitais Gerais , Pneumonia Viral/diagnóstico , Pneumonia Viral/microbiologia , Estudos ProspectivosRESUMO
BACKGROUND: There is paucity of information about viral etiology of community acquired pneumonia in adults. AIM: To investigate the viral etiology of pneumonia among hospitalized patients. MATERIAL AND METHODS: All adults with pneumonia that were hospitalized were prospectively enrolled at Puerto Montt hospital. A microbiological and viral assessment was carried out. Viral assessment included direct immunofluorescence of nasopharyngeal aspirates for influenza A and B virus and serum samples obtained during the acute phase of the disease and during convalescence for Hanta virus. RESULTS: Between April 1 2005 and March 31 2006,159 adults aged 62 ± 20 years (58 % males), were admitted to the hospital for pneumonia. Mean hospital stay was 11.9 ± 8.6 days. Four patients had Hantavirus acute infection. Other viruses were identified in twelve patients (7.7%). Nine had influenza A, one syncytial respiratory virus, one syncytial and influenza A virus and one varicella zoster virus. Excluding patients with Hantavirus, no significant differences in age, clinical presentation, chest X ray findings, laboratory results and mortality were observed between patients with bacterial or viral etiology of the pneumonia. CONCLUSIONS: Viral etiology was confirmed in 10% of adult patients hospitalized with community acquired pneumonia.
Assuntos
Pneumonia Viral/virologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Infecções Comunitárias Adquiridas/diagnóstico , Infecções Comunitárias Adquiridas/microbiologia , Infecções Comunitárias Adquiridas/virologia , Feminino , Hospitalização , Hospitais Gerais , Humanos , Masculino , Pessoa de Meia-Idade , Pneumonia Viral/diagnóstico , Pneumonia Viral/microbiologia , Estudos ProspectivosRESUMO
We present a new method of myocardial revascularization. The radial artery is used in combination with the left internal mammary artery, thereby providing three distal end-to-side anastomoses to the left anterior descending coronary artery and other sites as determined by the coronary artery lesions. Arterial conduits form an anastomotic network between the left internal mammary artery and the radial artery in a horseshoe pattern. Three coronary arteries are revascularized by two arterial conduits in the left coronary system.
Assuntos
Ponte de Artéria Coronária/métodos , Artéria Radial/transplante , Anastomose Cirúrgica/métodos , Doença das Coronárias/cirurgia , HumanosAssuntos
Deficiência de Glucosefosfato Desidrogenase/complicações , Icterícia Neonatal/etiologia , Bilirrubina/sangue , Costa Rica , Feminino , Deficiência de Glucosefosfato Desidrogenase/sangue , Deficiência de Glucosefosfato Desidrogenase/epidemiologia , Humanos , Recém-Nascido , Icterícia Neonatal/enzimologia , MasculinoAssuntos
Eclampsia/epidemiologia , Adolescente , Adulto , Feminino , Morte Fetal , Humanos , Idade Materna , Mortalidade Materna , Paridade , Gravidez , VenezuelaRESUMO
Fetal abnormalities involving the skeletal system, central nervous system or soft tissue may be diagnosed by radiologic methods, as may fetal death. Occasionally standard X-ray is used, but often invasive techniques are required, and should be limited to those patients with valid indications. X-rays of specific fetal anomalies are presented.