RESUMO
We report the case of a 49-year-old man that presented with persistent low back pain after being treated for vertebral osteomyelitis. An abdominopelvic CT scan with intravenous contrast showed a mycotic aneurysm of the abdominal aorta. The patient was taken to the operating room where a bypass reconstruction surgery was successfully performed. The history, pathophysiology, most common organisms, risk factors, and clinical presentation of mycotic aneurysms are discussed. The importance of a high index of suspicion for prompt and proper diagnosis and treatment, is emphasized to create awareness about this dreadful complication of vertebral osteomyelitis.
Assuntos
Aneurisma Infectado/etiologia , Aneurisma da Aorta Abdominal/etiologia , Osteomielite/complicações , Doenças da Coluna Vertebral/complicações , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Pregnancy-induced hypertension is one of the complications that obstetricians fear most due to its sudden appearance, its changing clinical presentation, its rapid evolution, and its association with high fetal and maternal morbidity and mortality. Because of these reasons, preeclampsia has been studied widely. But although the search for answers to many questions about its etiopathogenesis and physiopathology has led to numerous researches, after many years of studies and efforts there still exist obscure and enigmatic aspects about them. Today, various risk factors for the development of this entity have been identified, and a combination of different hypotheses has been proposed to try to find an approximation to the real solution for this problem, which could probably lead to better therapeutic management.
Assuntos
Endotélio Vascular/fisiopatologia , Pré-Eclâmpsia/epidemiologia , Pré-Eclâmpsia/fisiopatologia , Complicações Cardiovasculares na Gravidez/epidemiologia , Complicações Cardiovasculares na Gravidez/fisiopatologia , Gravidez de Alto Risco , Feminino , Humanos , Recém-Nascido , Inflamação , Troca Materno-Fetal , Estresse Oxidativo , Placentação , Pré-Eclâmpsia/diagnóstico , Gravidez , Complicações Cardiovasculares na Gravidez/diagnóstico , Resultado da Gravidez , Diagnóstico Pré-Natal , Fatores de RiscoRESUMO
Se realiza un estudio en 77 pacientes provenientes de la Consulta de Esterilidad para determinar la incidencia de la infección genital por mycoplasma en nuestro medio hospitalario y su responsabilidad en los problemas de fertilidad. A cada paciente se le tomaron muestras de vagina y del endocervical y se sembraron en cultivos especiales para ello. Los resultados obtenidos se compararon con un grupo de 38 pacientes con fertilidad comprobada, obteniéndose un alto porcentaje de cultivos positivos: 64,94%. El ureplasma urealiticum fue el género que más se aisló. De importancia es su localización endocervical; las pacientes con cultivos positivos para mycoplasma genital se trataron con doxiciclina según esquema presentado; las parejas también fueron tratadas. Observamos un alto índice de embarazos comprobados por clínica, gonadotropina y ecosonograma. Nuestra estadística se comparó con la de otros autores y observamos resultados similares. Siempre que se realice un plan de estudio para pacientes de las Consultas de Fertilidad, debe tomarse en cuenta la investigación del mycoplasma genital y tratarlo si se encuentra positivo