Análisis de un caso de hemorragia asociada a shock séptico tratada exitosamente con factor VII activado recombinante / Bleeding associated with septic shock treated successfully with recombinant activated factor VII: a case report

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[Four patients with mucormycosis in a postoperative recovery unit]. / Estudio descriptivo de cuatro pacientes afectados de mucormicosis ingresados en nuestra unidad de reanimación.

Mucormycosis, a rare opportunistic infection caused by fungi belonging to the Mucorales order, is a potentially fatal disease. We describe 4 patients with mucormycosis. Risk factors (chronic renal insufficiency and chronic lung disease treated with corticosteroids) were identified for 2 of the patients who did not respond favorably to appropriate surgical and medical treatment. Of the 2 remaining patients, only the one with milder disease responded to treatment. The prognosis for this opportunistic infection, whose low incidence has increased in postoperative intensive care units, is very poor if early treatment is not given.

[Fulminant pulmonary lymphangioleiomyomatosis: a case report and review of the literature]. / Linfangioleiomiomatosis pulmonar: presentación de un caso de evolución fulminante y revisión de la literatura.

Pulmonary lymphangioleiomyomatosis is a very rare disease that affects women of childbearing age. It presents a challenge for the anesthesiologist during mechanical ventilation because of the restrictive pattern caused by the disease and because of such complications as recurrent pneumothorax and hemoptysis. We report the fulminant course of lymphangioleiomyomatosis in a 38-year-old woman with a history of recurrent spontaneous pneumothorax whose condition was unsuspected. The literature is reviewed.