RESUMO
Case report of a patient with ergotism. ergotism is a complication of acute intoxication of chronic abuse of ergot derivates. Ergot is a fungus that grows on rye and less commonly on other grases such as wheat. Ergotism is a severe reaction to ergocontaminated food (such as rye bread). Ergot refers to a group of fungi of the genus Claviceps. It is a condition that develops of longterm ingestion of ergotamines. In excess, ergotamine can cause symptos such as hallucinations, severe gastrointestinal upset, a type-of dry gangrene and a pain-ful sensation in the extremities. Our patient is presented with anterior unilateral ischemic optic neuropathy. The studies performed and the clinical evaluatiion, are presented, and the treatment the same as the follow-up, are described in the article.
Assuntos
Humanos , Adulto , Ergotismo/diagnóstico , Neuropatia Óptica Isquêmica/terapia , Ritonavir/efeitos adversos , Ritonavir/uso terapêutico , Interações Medicamentosas , Ergotaminas/efeitos adversos , Ergotaminas/uso terapêutico , Uso Indevido de MedicamentosRESUMO
Unos de los problemas de salud que aumenta la morbilidad en el servicio de neonatología es el nacimiento de niños macrosómicos, sobre este tema existen pocos estudios en nuestro municipio Isla de la Juventud.Se realizó un estudio retrospectivo descriptivo longitudinal del comportamiento de la macrosomìa fetal en el Hospital Docente Héroes del Baire durante el período comprendido desde el 1ro. de enero de 2008 hasta el 31 de diciembre de 2010; para identificar su incidencia, los antecedentes maternos más frecuentes, valorar la vía del parto y morbimortalidad perinatal. Los datos fueron tomados del libro de partos y de morbilidad del servicio de neonatología. Además de las historias clínicas maternas y de los recién nacidos, procesándose estadísticamente. Se analizaron un total de 254 casos de recién nacidos que pesaron 4000g o más, se encontró una incidencia de macrosomía de un 9 por ciento. Los principales antecedentes maternos fueron: embarazo prolongado (62 por ciento), la obesidad (29 por ciento) y diabetes mellitus familiar (21 por ciento). El tipo de parto que predominó fue el distócico (52 por ciento), la paridad de 1-2 hijos (76 por ciento) y el sexo masculino (67 por ciento). No existió mortalidad perinatal y la complicación que con más frecuencia se encontró fue el traumatismo del parto que represento el 59 por ciento(AU)
Some of the problems of health that the morbidity increases in our neonatology service are the birth of macrosómic´s children about this topic exist a few studies in our Municipality Island of the Youth.It was carried out a longitudinal descriptive retrospective study of the behaviour of the fetal macrosomic in the Hospital Heroes del Baire during the period understood from the 1ro. of January of 2008 up to December 31 the 2010, to identify their incidence, the most frequent maternal antecedents, to value the road of the childbirth and morbidity and mortality per natal. The data were taken of the childbirth book and of mobility of the neonatology service and of the maternal clinical histories and of those recently born ones, and processed statistically. They were analyzed a total of 254 cases whose recently born they weighed 4000g or more, in those that he/she was an incidence of macrosomìc of a (9 percent), as main maternal antecedents: I embarrass lingering a (62 percent), the obesity the (29 percent) and family diabetes (21 percent). The childbirth type that prevailed was the dystocic with a (52 percent), the parity of 1-2 children (76 percent) and the masculine sex the (67 percent).No fetal mortality and the complications that met with more frequency existed the traumatisms of the childbirth that I represent the were (59 percent)(AU)
