RESUMO
The aim of this study is to describe epidemiology, patogénesis, pulmonary manifestations and Rx findings in adult patients with varicella pneumonia (VP). Four patients were studied. The diagnosis was established by clinical and radiologic criteria. All had fever , esanthem, 3 cough, 2 dyspnea. Chest X-ray showed interstitial micronodular pattern at bases. 1 case developed airspace consolidation by Staphylococcus aureus. 2 were admitted to ICU. The four received IV acyclovir. We concluded that adults patients with VP usually show nodular infiltrates, with favourable course.
Assuntos
Varicela/diagnóstico por imagem , Pneumonia Viral/diagnóstico por imagem , Radiografia Torácica , Tomografia Computadorizada por Raios X , Aciclovir/administração & dosagem , Aciclovir/uso terapêutico , Adulto , Fatores Etários , Antivirais/administração & dosagem , Antivirais/uso terapêutico , Varicela/tratamento farmacológico , Feminino , Herpesvirus Humano 1 , Humanos , Masculino , Pneumonia Viral/tratamento farmacológico , Fatores de Tempo , Resultado do TratamentoRESUMO
El propósito de este estudio es describir epidemiología, patogénesis, manifestaciones pulmonares y hallazgos radiológicos en pacientes adultos con neumonía varicelosa (NV). Presentamos a 4 pacientes adultos, el diagnóstico de establecido según clínica y radiología. Todos presentaron fiebre y exantema, 3 tos y 2 disnea. La radiología demostró patrón intersticial micronodular basal. 1 caso de sobreinfección por Staphilococcus aureus. 2 ingresaron en UCI. Todos recibieron tratamiento intravenoso con aciclovir. La NV, suele presentar infiltrados nodulares, siendo generalmente de curso favorable
The aim of this study is to describe epidemiology, patogénesis, pulmonary manifestations and Rx findings in adult patients with varicella pneumonia (VP). Four patients were studied. The diagnosis was established by clinical and radiologic criteria. All had fever , esanthem, 3 cough, 2 dyspnea. Chest X-ray showed interstitial micronodular pattern at bases. 1 case developed airspace consolidation by Staphylococcus aureus. 2 were admitted to ICU. The four received IV acyclovir. We concluyed that adults patients with VP usually show nodular infiltrates, with favourable course
Assuntos
Masculino , Feminino , Adulto , Humanos , Pneumonia/complicações , Pneumonia , Herpes Simples/diagnóstico , Exantema/diagnóstico , Aciclovir/uso terapêutico , Staphylococcus aureus/isolamento & purificação , Radiografia Torácica/métodos , Radiografia Torácica/tendências , Fatores de Risco , Dispneia/complicações , Dispneia/diagnóstico , Varicela/complicações , Varicela/diagnóstico , Diagnóstico DiferencialRESUMO
Objetivos. Estudiar la variación en la pérdida de masa ósea que se produce en la columna lumbar y cadera durante los años previos a la aparición de la menopausia y durante la misma. Material y método. Análisis prospectivo de la masa ósea mediante densitometría ósea a mujeres sin medicación previa. Resultados. Estudio de 316 mujeres, el 81,6% con menopausia. Existe relación lineal negativa significativa entre la masa ósea y la menopausia en la columna lumbar y la cadera, con una fuerza de relación homogénea en la columna lumbar, siendo ésta más intensa en la cadera. Al nivel lumbar se aprecia una pérdida de hueso global del 17,6%, siendo más rápida en los 10 primeros años; en la cadera el porcentaje de pérdida es mayor. Discusión. Existe importante pérdida de masa ósea con la menopausia, mayor que la esperable sólo por la edad, más intensa en triángulo de Ward seguido del cuello, trocánter y columna lumbar; esto mismo aunque en menor intensidad ocurre en la época de la premenopausia
Objectives. To study the variation in bone loss in the lumbar spine and hip during pre- and postmenopausal periods. Material and method. Prospective analysis of the bone mass assessing the bone mineral density in women without previous medication. Results. Three hundred-sixteen women were studied, 81.6% of them were menopausal. We found a statistically significant negative linear correlation at lumbar spine and hip in all locations, with a homogenous force in lumbar spine, this being the most intense in the hip. On the lumbar level there was a decrease of 17.6% of the global bone mass, this loss being faster during the first ten years. The loss was greater in the hip. Conclusions. There is a clear loss of bone mass during the menopause, greater than that expected only due to age. The location with the most bone loss is the Ward's triangle, followed by the neck and the trocanter of the hip and the lumbar spine. The same, although on a smaller scale, was found during premenopause
