RESUMO
Wolff-Parkinson-White (WPW) syndrome, a congenital heart abnormality, is the most common of the pre-excitation syndromes. The prevalence of WPW syndrome ranges from 0.1 to 3 cases per 1000 people. A large majority (80%) of patients with WPW syndrome develop supraventricular tachycardia, between 15% and 30% atrial fibrillation, and atrial flutter 5%. The clinical presentation can vary from vertigo, palpitations, breathlessness, chest tightness, to sudden death in rare cases. We report the case of a patient presenting with WPW syndrome after a stressful work situation.
Assuntos
Síndrome de Wolff-Parkinson-White/diagnóstico , Adulto , Feminino , Humanos , Estresse Psicológico/complicações , Síndrome de Wolff-Parkinson-White/complicaçõesRESUMO
El síndrome de Wolff-Parkinson-White (WPW) es el más frecuente de los síndromes de preexcitación, una alteración cardiaca congénita. La prevalencia del síndrome de WPW oscila de 0,1 a 3 casos por cada 1.000 habitantes. El 80% de los pacientes con síndrome de WPW desarrollarán taquicardia supraventricular; entre un 15 y un 30%, fibrilación auricular, y un 5%, flutter auricular. La forma de presentación clínica puede ser muy variada, desde palpitaciones a vértigo, disnea, opresión torácica, hasta la muerte súbita en raras ocasiones. Exponemos el caso de una paciente que presenta síndrome de WPW después de una situación laboral estresante (AU)
Wolff-Parkinson-White (WPW) syndrome, a congenital heart abnormality, is the most common of the pre-excitation syndromes. The prevalence of WPW syndrome ranges from 0.1 to 3 cases per 1000 people. A large majority (80%) of patients with WPW syndrome develop supraventricular tachycardia, between 15% and 30% atrial fibrillation, and atrial flutter 5%. The clinical presentation can vary from vertigo, palpitations, breathlessness, chest tightness, to sudden death in rare cases. We report the case of a patient presenting with WPW syndrome after a stressful work situation (AU)
Assuntos
Humanos , Feminino , Adulto , Arritmias Cardíacas/complicações , Arritmias Cardíacas , Taquicardia/complicações , Taquicardia , Estresse Psicológico/complicações , Eletrocardiografia/instrumentação , Eletrocardiografia/métodos , Atenção Primária à Saúde/métodos , Atenção Primária à Saúde/normas , Atenção Primária à Saúde , Eletrofisiologia/métodos , Eletrofisiologia/tendências , Eletrofisiologia Cardíaca/métodos , Eletrofisiologia Cardíaca/tendênciasRESUMO
No disponible
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Infecções por Mycobacterium não Tuberculosas/complicações , Infecções por Mycobacterium não Tuberculosas/diagnóstico , Infecções por Mycobacterium não Tuberculosas/tratamento farmacológico , Mycobacterium marinum/isolamento & purificação , Biópsia/métodos , Biópsia , Combinação Amoxicilina e Clavulanato de Potássio/uso terapêutico , Claritromicina/uso terapêutico , Diagnóstico Diferencial , Eritema/complicações , Eritema/diagnóstico , Dermatite/complicações , Dermatite/tratamento farmacológicoRESUMO
El cáncer pulmonar es la primera causa de muerte de origen tumoral en los países desarrollados. Las manifestaciones iniciales de una neoplasia pulmonar pueden ser variadas, podemos encontrar desde el paciente asintomático hasta el que presenta signos y síntomas de enfermedad metastásica. Presentamos el caso de un tumor pulmonar con ausencia de manifestaciones respiratorias cuyo diagnóstico se realizó a partir de una metástasis cutánea (AU)
Lung cancer is the leading cause of death of tumor origin in developed countries. The initial signs of lung cancer may vary, and we may find patients who are asymptomatic up to those presenting signs and symptoms of metastatic disease. We report the case of a lung tumor with absence of respiratory problems, where the diagnosis was made from a cutaneous metastasis (AU)
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Pulmonares/complicações , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/terapia , Metástase Neoplásica/diagnóstico , Metástase Neoplásica/patologia , Neoplasias Cutâneas/complicações , Neoplasias Cutâneas/diagnóstico , Neoplasias Pulmonares/fisiopatologia , Neoplasias Pulmonares , Metástase Neoplásica , Neoplasias Cutâneas/patologia , Neoplasias CutâneasRESUMO
La glucosa-6-fosfato deshidrogenasa (G6PD) es una enzima presente en los glóbulos rojos. La mayoría de las personas que presentan déficit de esta enzima se encontraran asintomáticas a lo largo de toda la vida. Pero si el paciente entra en contacto con alguno de los factores desencadenantes (habas, algunos antibióticos, infecciones) puede presentar una anemia hemolítica severa que debutará con icteria, astenia y coluria. El déficit de esta enzima es hereditario ligado al cromosoma X, así pues es transmitida por las madres portadoras a la mitad de sus hijos varones, las hijas que reciben el gen pueden verse afectadas o ser portadoras, siendo importante el consejo genético. Glucose-6-phosphate dehydrogenase (G6PD) is an enzyme present in red blood cells. Most people who have this enzyme deficiency were asymptomatic throughout life. But if a patient comes into contact with one of the triggers (beans, some antibiotics, infections) may present a severe hemolytic anemia with icteria debut, asthenia and coluria. The deficit of this enzyme is linked to hereditary X chromosome, so it is transmitted by mothers to half their sons, daughters who receive the gene may be affected or be carriers,being the important genetic counseling (AU)
Glucose-6-phosphate dehydrogenase (G6PD) is an enzyme present in red blood cells. Most people who have this enzyme deficiency have been asymptomatic throughout their life. However, when a patient comes into contact with one of the triggering factors (beans, some antibiotics, infections), they may present with severe hemolytic anemia that debuts with jaundice, asthenia and coluria. The deficiency of this enzyme is hereditary and is linked to the X chromosome. It is transmitted by mothers to half of their sons. The daughters who receive the gene may be affected or be carriers, so that genetic counseling is important (AU)
