RESUMO
Crohn's disease is a chronic inflammatory disease of the gastrointestinal tract whose etiology is unknown, which can transmurally affect any segment of the intestine and/or the perineal region. Worldwide, the incidence of inflammatory bowel disease has increased in recent decades, and the same upward trend can be seen in South America. At national level, there are no official data, however, the increase in the number of publications in the last 20 years confirms this upward trend. Crohn's disease is a forgotten disease and does not have implemented clinical guidelines based on evidence that contribute to clinicians in decision making. In this sense, the Peruvian Association for the Study of the Intestine considers the preparation of this document relevant and timely. clinical contextualized for Peru.
Assuntos
Doença de Crohn , Humanos , Doença de Crohn/terapia , Doença de Crohn/diagnóstico , PeruRESUMO
Acute liver failure is the development of severe hepatic injury with deterioration of liver synthesis function and encephalopathy. Among all the variety of causes, neoplastic infiltration represents less than 0.5%. We present the case of a male patient with a past medical history of HTLV-1 infection, who reports symptoms of acute hepatitis, being diagnosed with Adult T-cell leukemia/lymphoma. Unfortunately, the patient had a rapid deterioration and passed away a few days after admission.
Assuntos
Infecções por HTLV-I/complicações , Leucemia-Linfoma de Células T do Adulto/diagnóstico , Falência Hepática Aguda/etiologia , Evolução Fatal , Humanos , Leucemia-Linfoma de Células T do Adulto/complicações , Leucemia-Linfoma de Células T do Adulto/virologia , Masculino , Pessoa de Meia-IdadeRESUMO
La falla hepática aguda es el desarrollo de injuria hepática severa con deterioro de la función de síntesis y encefalopatía. Dentro de la variedad de causas, las infiltraciones neoplásicas representan menos del 0,5%. Presentamos el caso de un paciente varón HTLV1 positivo que debuta con una clínica de hepatitis aguda, siendo posteriormente diagnosticado con diseminación de linfoma/leucemia de células T del adulto. Desafortunadamente el paciente presentó deterioro rápido y progresivo de la función hepática, falleciendo a los pocos días de la hospitalización
Acute liver failure is the development of severe hepatic injury with deterioration of liver synthesis function and encephalopathy. Among all the variety of causes, neoplastic infiltration represents less than 0.5%. We present the case of a male patient with a past medical history of HTLV-1 infection, who reports symptoms of acute hepatitis, being diagnosed with Adult T-cell leukemia/ lymphoma. Unfortunately, the patient had a rapid deterioration and passed away a few days after admission
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Infecções por HTLV-I/complicações , Leucemia-Linfoma de Células T do Adulto/diagnóstico , Falência Hepática Aguda/etiologia , Leucemia-Linfoma de Células T do Adulto/complicações , Leucemia-Linfoma de Células T do Adulto/virologia , Evolução FatalRESUMO
Infection by the Human T- Lymphotropic virus I (HTLV-1) causes Adult T cell Leukemia-lymphoma (ATLL), being the duodenal involvement rare. Commonly, patients co-infected with HTLV-1 and Strongyloides stercoralis are seen due to the lack of TH2 response found on these patients. We describe a 48-year- old woman, from the jungle of Peru, with a family history of HTLV-1 infection, who presented with a History of chronic diarrhea and weight loss. HTLV-1 infection with ATLL and strongyloidiasis were diagnosed. Ivermectin treatment and chemotherapy were initiated, being stabilized, and discharged. We report this case because of the unusual coexistence in the duodenum of ATLL and strongyloidiasis.
Assuntos
Coinfecção/diagnóstico , Neoplasias Duodenais/diagnóstico , Infecções por HTLV-I/diagnóstico , Leucemia-Linfoma de Células T do Adulto/diagnóstico , Strongyloides stercoralis/isolamento & purificação , Estrongiloidíase/diagnóstico , Animais , Neoplasias Duodenais/parasitologia , Neoplasias Duodenais/virologia , Feminino , Humanos , Pessoa de Meia-IdadeRESUMO
La infección por el virus linfotrópico de células T humanas tipo 1 (HTLV-1), es causante de la leucemia/linfoma de células T del Adulto (ATLL), siendo la afectación duodenal poco usual. La coinfección de HTLV-1 con Strongyloides stercolaris es común en los pacientes con HTLV- 1 debido a la inadecuada respuesta TH2 que presentan estos sujetos. Describimos a una paciente mujer de 48 años de edad, natural y procedente de la selva del Perú con historia familiar de infección por HTLV- 1 quien acude con diarrea crónica y baja de peso. Se le diagnosticó infección por HTLV-1 así como ATLL duodenal y estrongiloidiasis. Se inició tratamiento con ivermectina y quimioterapia, siendo estabilizada y dada de alta. Reportamos el presente caso debido a la poca frecuencia de coexistencia en duodeno de ATLL y estrongiloidiasis.
Infection by the Human T- Lymphotropic virus I (HTLV-1) causes Adult T cell Leukemia-lymphoma (ATLL), being the duodenal involvement rare. Commonly, patients co-infected with HTLV-1 and Strongyloides stercoralis are seen due to the lack of TH2 response found on these patients. We describe a 48-year-old woman, from the jungle of Peru, with a family history of HTLV-1 infection, who presented with a History of chronic diarrhea and weight loss. HTLV-1 infection with ATLL and strongyloidiasis were diagnosed. Ivermectin treatment and chemotherapy were initiated, being stabilized, and discharged. We report this case because of the unusual coexistence in the duodenum of ATLL and strongyloidiasis.
Assuntos
Animais , Feminino , Humanos , Pessoa de Meia-Idade , Estrongiloidíase/diagnóstico , Infecções por HTLV-I/diagnóstico , Leucemia-Linfoma de Células T do Adulto/diagnóstico , Strongyloides stercoralis/isolamento & purificação , Neoplasias Duodenais/diagnóstico , Coinfecção/diagnóstico , Neoplasias Duodenais/parasitologia , Neoplasias Duodenais/virologiaRESUMO
We report the first case of colitis due to Mycobacterium avium in a Peruvian patient with HIV/AIDS.
Assuntos
Colite/complicações , Colite/microbiologia , Infecções por HIV/complicações , Mycobacterium avium , Tuberculose Gastrointestinal/complicações , Síndrome da Imunodeficiência Adquirida/complicações , Adulto , Feminino , HumanosRESUMO
amos el primer caso de colitis por Mycobacterium avium en un paciente peruano con infección por VIH /SIDA.
We report the first case of colitis due to Mycobacterium avium in a Peruvian patient with HIV/AIDS.
Assuntos
Adulto , Feminino , Humanos , Colite/complicações , Colite/microbiologia , Infecções por HIV/complicações , Mycobacterium avium , Tuberculose Gastrointestinal/complicações , Síndrome da Imunodeficiência Adquirida/complicaçõesRESUMO
Hepatic Angiosarcoma is an uncommon neoplasia with an incidence between 0.5 to 2 % of primary hepatic tumors. Due to a nonspecific presentation it is very difficult to reach the diagnosis which is usually late and by that time the organ has been involved by tumor and surgical treatment is not possible. Because of CT limitations for staging and metastasis diagnosis, laparoscopy is used because it gives us better vision of the abdominal cavity and reliable information about tumor staging and prognosis. Final diagnosis is pathological and require inmunohistochemical confirmation with CD-31 and CD-34. Chemotherapy and radiotherapy have not demonstrated an improvement in the survival rate which is 6 months without treatment since diagnosis.We present a case of a 41 yo male patient without significant history with 2 months of nonspecific symptoms related to an hepatic tumor and ascites.
Assuntos
Hemangiossarcoma/diagnóstico , Neoplasias Hepáticas/diagnóstico , Adulto , Humanos , MasculinoRESUMO
El angiosarcoma hepático es una neoplasia rara cuya incidencia se reporta del 0,5 û 2% de las tumoraciones hepáticas primarias. Es de difícil diagnóstico debido a lo inespecífico de su presentación. Habitualmente el diagnóstico es tardío, cuando el órgano ya está muy comprometido y no es posible el tratamiento quirúrgico. A pesar de ello la laparoscopía es la técnica indicada debido a las limitaciones del estadiaje por tomografía, porque nos permite una visión directa de la cavidad y nos brinda información del estadío y pronóstico del tumor. El diagnóstico definitivo es anatomo-patológico y requiere confirmación por marcadores inmunohistoquímicos como el CD-31 y CD-34. La quimioterapia no ha demostrado mejorar la supervivencia al igual que la radioterapia. La supervivencia de estos pacientes sin tratamiento es de 6 meses aproximadamente desde el momento del diagnóstico. Presentamos el caso de un paciente de género masculino de 41 años sin mayores antecedentes de importancia con un tiempo de enfermedad de 2 meses, que se presenta con una tumoración hepática y ascitis, acompañado de síntomas inespecíficos.
Hepatic Angiosarcoma is an uncommon neoplasia with an incidence between 0.5 to 2 % of primary hepatic tumors. Due to a nonspecific presentation it is very difficult to reach the diagnosis which is usually late and by that time the organ has been involved by tumor and surgical treatment is not possible. Because of CT limitations for staging and metastasis diagnosis, laparoscopy is used because it gives us better vision of the abdominal cavity and reliable information about tumor staging and prognosis. Final diagnosis is pathological and require inmunohistochemical confirmation with CD-31 and CD-34. Chemotherapy and radiotherapy have not demonstrated an improvement in the survival rate which is 6 months without treatment since diagnosis. We present a case of a 41 yo male patient without significant history with 2 months of nonspecific symptoms related to an hepatic tumor and ascites.