Metástasis única en los huesos carpianos como primera manifestación clínica de un hepatocarcinoma / A single metastasis in the carpal bones as the first clinical manifestation of a hepatocellular carcinoma

El carcinoma hepatocelular es el tumor primario más frecuente del hígado. La extensión extrahepática suele aparecer en estadios avanzados de la enfermedad y las metástasis óseas ocupan el tercer lugar en frecuencia. Presentamos un caso de carcinoma hepatocelular que comenzó con una metástasis única en los huesos del carpo. El interés del caso radica en la forma de presentación clínica del carcinoma hepatocelular y la localización poco frecuente en los huesos de la muñeca (AU)

Hepatocellular carcinoma is the most common primary tumor of the liver. Spreading outside the liver usually takes place in advanced stages of the disease, and bone is the third most common site of metastases. We present a case of hepatocellular carcinoma in which the first clinical manifestation was a single metastasis to the carpal bones. The interest of this case lies in the way this hepatocellular carcinoma manifested as well as in the unusual site of the metastasis (AU)

[A single metastasis in the carpal bones as the first clinical manifestation of a hepatocellular carcinoma]. / Metástasis única en los huesos carpianos como primera manifestación clínica de un hepatocarcinoma.

Hepatocellular carcinoma is the most common primary tumor of the liver. Spreading outside the liver usually takes place in advanced stages of the disease, and bone is the third most common site of metastases. We present a case of hepatocellular carcinoma in which the first clinical manifestation was a single metastasis to the carpal bones. The interest of this case lies in the way this hepatocellular carcinoma manifested as well as in the unusual site of the metastasis.

Resistencia a los antirretrovirales: Informe preliminar del capítulo de Guatemala, del estudio de epidemiología molecular del VIH en la región de mesoamerica / Antiretroviral resistance: initial report of Guatemala chapter, the study of molecular epidemiology of HIV in the region of Mesoamerica

El uso más extendido de los fármacos antirretrovirales ha traído como consecuencia la transmisión de variantes virales con mutaciones de resistencia que se pueden mantener en individuos sin tratamiento antirretroviral. La frecuencia de estas mutaciones de resistencia transmitida es relativamente alta en países desarrollados, muchas veces con tendencias de aumento. En países en vías de desarrollo, en los que la terapia antirretroviral (ARV) se introdujo posteriormente, las frecuencias de resistencia primaria tienden a ser menores, probablemente porque su uso se encuentra basado en una disponibilidad relativamente limitada...

Resistencia primaria del VIH a los antirretrovirales: informe preliminar del capítulo de Guatemala del estudio de epidemiología molecular del VIH en la región Mesoamericana / Primary HIV resistance to antiretroviral drugs: preliminary report of Guatemala chapter of molecular epidemiology study of HIV in Mesoamerica

Métodos: se seleccionaron pacientes adultos con diagnóstico reciente de infección por VIH, o con diagnóstico previo y que no habían iniciado terapia antirretroviral, que fueron enrolados como parte del estudio Epidemiología Molecular y vigilancia de farmacorresistencia del VIH-1 en la Región Mesoamericana, durante los meses de octubre de 2010 y agosto de 2011 en el Hospital Roosevelt, ciudad de Guatemala. La participación fue debidamente informada y voluntaria...

Antimalarial activity of some Colombian medicinal plants.

Antimalarial activity of 10 vegetal extracts (9 ethanolic extracts and 1 crude alkaloid extract), obtained from eight species traditionally used in Colombia to treat malaria symptoms, was evaluated in culture using Plasmodium falciparum chloroquine resistant (FcB2) strain and in vivo on rodent malaria Plasmodium berghei. The activity on ferriprotoporphyrin biomineralization inhibition test (FBIT) was also assessed. Against Plasmodium falciparum, eight extracts displayed good activity Abuta grandifolia (Mart.) Sandwith (Menispermaceae) leaves, Acacia farnesiana (L.) Willd. (Mimosaceae) leaves, Acnistus arborescens (L.) Schltdl. (Solanaceae) aerial part, Croton leptostachyus Kunth (Euphorbiaceae) aerial part, Piper cumanense Kunth (Piperaceae) fruits and leaves, Piper holtonii C. DC. (Piperaceae) aerial part and Xylopia aromatica (Lam.) Mart. (Annonaceae) bark with IC(50) values ranging from <1 to 2.1 microg/ml, while in the in vivo model only Abuta grandifolia alkaloid crude extract exhibits activity, inhibiting 66% of the parasite growth at 250 mg/kg/day. In the FBIT model, five extracts were active (Abuta grandifolia, Croton leptostachyus, Piper cumanense fruit and leaves and Xylopia aromatica).

Inhibition of acute and chronic inflammatory responses by the hydroxybenzoquinonic derivative rapanone.

Rapanone (2,5-dihydroxy-3-tridecyl-1,4-benzoquinone), a natural compound isolated from Myrsine guianensis growing in the Andean highlands of Colombia, was studied in different in vitro and in vivo models as a potential antioxidant and anti-inflammatory drug. Rapanone showed a mild anti-lipoperoxidative profile in rat liver microsomes and inhibited potently degranulation (IC(50) of 9.8 microM) and superoxide chemiluminescence (IC(50) of 3.0 microM) in human neutrophils. In addition, rapanone is a selective and potent human synovial PLA(2) inhibitor (IC(50) of 2.6 microM). In vivo experiments using the carrageenan paw oedema and the zymosan air pouch model in mice as well as the adjuvant arthritis model in rats have proved that rapanone is very efficient in controlling the inflammatory process by different administration routes.

Alterations in the reproduction of mice induced by rapanone.

Oral administration of rapanone to a group of female mice at doses of 60 and 120 mg/kg, reduced the percentage of pregnancies compared to control group, suggesting an anovulatory effect. Postcoital administration induced uterine alteration in both the first and second gestation periods. These results seem to indicate inhibition of trophoblast implantation in the first period, and an abortive effect and/or reabsorption in the second. Daily administration of rapanone to a group of male mice resulted in fertility alteration, which is attributed to an antispermatogenic effect. Rapanone did not show acute toxic effects at the doses tested in this research.

Antinociceptive and uterine relaxant activities of Viburnum toronis alive (Caprifoliaceae).

Petroleum ether, ethyl acetate and methanolic leaf extracts of Viburnum toronis Killip et Smith were studied. From the petroleum ether extract, fatty acids of methyl esters such as methyl myristate, methyl palmitate, methyl stearate and methyl araquidonate were identified by means of GC-MS. From the ethyl acetate extract, 2-methylbutanoic, 2-methyl-2-butenoic, 3-methylbutanoic acids and 4-hydroxy-4-methylpentanone were identified by means of GC-MS. Through the isolated organ technique, uterine relaxant was verified; and through the method of writhings induced by acetic acid, the antinociceptive activity of methanolic extracts and the extract in ethyl acetate were verified. It was found that the extract in ethyl acetate showed the greatest in both uterine relaxant and antinociceptive activity at doses of 250 mg/kg.

Argentine plants as potential source of insecticidal compounds.

CH2Cl2 and MeOH extracts of 15 Argentine plants used locally as insecticides, were evaluated for their insecticidal activity. Chenopodium multifidum L. (Chenopodiaceae); Flaveria bidentis (L.) O.K. (Compositae); Aristolochia argentina Gris. (Aristolochiaceae) and Tagetes erecta L. (Compositae) showed a significant activity against Sitophilus oryzae.

Pancreatic carcinoma and Trousseau's syndrome: experience at a large cancer center.

It is common belief that carcinoma of the pancreas has an inherent and unique ability to induce a hypercoagulable diathesis that leads to clinically significant thrombosis. We evaluated 130 consecutive patients with adenocarcinoma of the pancreas to document the incidence and the predisposing factors related to the postulated increased association of thromboembolic disorder (TED) and pancreatic carcinoma. Only nine such patients (6.9%) demonstrated TED complications of the classical Trousseau syndrome. In these instances, the location of the tumor and its mucin-producing potential were significant predisposing factors. In our series, TED was usually associated with tumors of the body and tail, which had a greater likelihood to be mucinogenic as compared with those localized to the head of the pancreas. Routine tests for hemostasis were not helpful in predicting the development of TED except, perhaps, for decreased platelet counts. Therefore, we believe that the relationship between cancer of the pancreas and TED should be de-emphasized since it is neither unique nor especially common to pancreatic carcinoma and since it may be frequently encountered in other varieties of visceral malignancies of the cancer patient population.

Enzyme release of antigen from Streptococcus faecalis and Listeria monocytogenes cross-reactive with Lancefield group G typing reagents.

Enzyme extraction methods are commonly used to release antigen for Lancefield serogrouping of streptococci. Recently, up to 47% of enterococci have been found to possess antigens cross-reactive with both the group D and the group G grouping reagents. We investigated whether the organisms had recently emerged or whether changes in extraction methods (enzyme extraction) have resulted in our awareness of their existence. We found that approximately 20% of our enterococcal isolates released material cross-reactive with the group G reagents. These organisms have been present for at least 6 years, and probably for many more. In addition, we found that most strains of Listeria monocytogenes also released antigen cross-reactive with the group G reagent. The clinical significance of these findings is also discussed.