Introduction: one of the most common pathologies is the genital herpes that affects worldwide and every year increases more, it is part of the sexually transmitted diseases, it is important to recognize the clinical manifestations that suffer patients to achieve a prompt diagnosis, since there are people who are asymptomatic, but the most common manifestations are the vesicles and the pruritus in the genital areas. Objective: to explain the clinical characteristics of genital herpes in adults Methods: the literature review was carried out by means of a virtual search of the databases found such as PubMed, Scopus and ScienceDirect, where articles published from 2017 to 2021 were found. Results: among the most recurrent results we find manifestations such as myalgia, erythema, pruritus, adenopathies, genital, inguinal and buttocks vesicles, followed by fever, dysuria, urinary retention, nausea and neck stiffness. Conclusions: it is concluded that there are different types of clinical manifestations and not all people will be the same; however, vesicles and pruritus in the genital areas are clinical characteristics that will be found in all cases.
It is currently known that cancer is a prothrombotic state, in which certain coagulation factors are altered, and due to this presence of malignancy, pro-coagulation factors are secreted that contribute to a state of hypercoagulability, which triggers rapid metastasis. In addition, an increased excretion of thrombin is also evidenced, favoring clot formation. We present the clinical case of a 65-year-old man with multiple pathologies without adequate control, who presented with a neurological condition manifested by left facial paralysis, deviation of the labial commissure to the left, in addition to presenting horizontal nystagmus and gait disorders. Physical examination revealed a bluish coloration at the level of the fingers of the right lower extremity, with suspicion of vasculitis in the first instance. After several studies, a diagnosis of prostate cancer was made, bilateral orchiectomy was performed and the patient was sent for oncological pharmacological treatment. Due to his other pathologies, he is treated with antihypertensive drugs, oral antidiabetic and oral anticoagulation.
Idiopathic interstitial pneumonia is a group of progressive diseases affecting the lower respiratory tract of unknown origin, characterized by diffuse alveolitis and disorders in the alveolar structures. We present a case of a 52-year-old male patient with a history of pulmonary nodule with suspected tuberculosis and a positive PCR test, who came to the clinic for a 15-day evolution, which is characterized by high termination and general malaise. Physical examination revealed dyspneic facies with semi fowler attitude and preserved psychomotor activity as well as the presence of dry oral mucosa, the other parameters were within normal. After several studies, a diagnosis of COVID-19 viral pneumonia and acute respiratory distress syndrome was made, given the severity of the patient, he was transferred to the ICU and treatment was started with oxygen therapy by mask with reservoir for SAT > 90 %, ringer’s lactate 1000 cubic centimeters + 2 grams of vitamin C + 5 cubic centimeters of B complex (40 milliliters per hour) and antibiotic therapy with Piperacillin Tazobactam 4,5 grams in slow dilution over 3 hours every 6 hours.
Introducción: La necesidad por la que surge este trabajo de investigación es el de conocer la información actualizada de del uso y beneficios de la trombectomía mecánica en pacientes post Evento Cerebrovascular Isquémico (ECV). El evento cerebrovascular (ECV) isquémico constituye un problema de salud mundial el cual se realizan intervenciones con mejores resultados en fase aguda como la trombectomía mecánica que ha demostrado efectividad ya que permite la extracción del coagulo de cualquier área cerebral intervenida dependiendo de sus complicaciones del tipo de localización de acceso, antecedentes patológicos, tipo de stent utilizado y el tiempo de intervención que determinara su mayor eficacia y menor grado de complicaciones Objetivo: consiste en la identificación de la efectividad de la trombectomía mecánica en pacientes post ECV isquémico mediante la obtención de información actualizada y previamente seleccionada. Metodología: Se realizó estudio no experimental de tipo descriptivo: revisión bibliográfica, los criterios de elegibilidad se basaron en el método prisma. Resultados: Roaldsen y compañía, realizaron una recopilación de información de 19 estudios en donde los pacientes evaluados fueron tratados con TM 6 horas posteriores a la presencia de síntomas, en donde concluyeron en la mejoría del resultado en la funcionalidad reducción en la mortalidad sin evidencia del aumento de complicaciones, mayor puntuación neurológica según la escala de NIHSS, y más recomendada por aumento en las posibilidades de supervivencia en oclusiones de circulación anterior. Conclusiones: La trombectomía es una técnica efectiva hasta después de 24 horas del inicio de los síntomas del evento cerebrovascular isquémico, demostrado en altas tasas de recanalización de hasta un 95, 8%, grado de funcionalidad alto a los 90 días y complicaciones muy poco frecuentes considerado como un costo útil a largo plazo.
Introducción: la viruela del mono o viruela símica (MPV) es una enfermedad autolimitada y poco común. Es endémica de África occidental y central. Inicialmente la sintomatología es inespecífica como cefalea, astenia, letargo, mialgia, y fiebre que inicia antes de la aparición de las erupciones cutáneas las cuales pasan por etapas de evolución (desde máculas hasta costras).Objetivo: describir las características clínicas de la viruela del mono en el adulto.Métodos: se realizó una revisión bibliográfica, mediante una búsqueda electrónica en las principales bases de datos (PubMed, Taylor & Francis, Scopus y ScienceDirect). Se incluyó artículos publicados entre el 01 de enero de 2018 hasta 25 de octubre de 2022.Resultados: Se identificaron las características de la viruela del mono en las distintas etapas de la enfermedad. Dentro de las lesiones más prevalentes se encuentran las lesiones en la piel tipo vesiculo-pustuloso, seguido de fiebre, cefalea y prurito; y dentro de las menos frecuentes se encontraron la artralgia, mialgia, odinofagia, y lesiones en región oral y perioral.Conclusiones: Se concluye que hay diferentes características clínicas en cada etapa de la viruela del mono.
Introduction: Lesions of odontogenic origin such as cysts with benign characteristics but which; however, they can cause great destruction and facial deformities. The "Cysts" become a type of benign affectation, which form either lumps or a pathological cavity with liquid or semi-liquid content and is covered by epithelium on the inside and by connective tissue on the outside. Objective: Describe the characteristics and how dental cysts manifest. Methods: a bibliographic review was carried out, through an electronic search in the main databases (PubMed, Taylor & Francis, Scopus and ScienceDirect). Articles published between 2016 and 2022 were included. Results: the characteristics of cysts were identified, such as their manifestation, their characteristics, types, etc., so it was found that common cysts such as ondontogenic and dentigerous. Conclusions: it is concluded that there are different characteristics of dental cysts depending on their manifestations, clinic, radiography, etc.
Introducción: La vitamina D se ha considerado como un componente protector para la diabetes mellitus tipo II, esto se debe a que la sensibilidad a la insulina se estimula por la expresión de los receptores insulínicos y la activación de los receptores de la proliferación de peroxisomas, la cual se estimula de una manera indirecta sobre la secreción insulínica y va a estar regulada por la calbindina. La deficiencia de la vitamina D, de igual forma es un problema de salud a nivel mundial, donde en nuestro país, Ecuador, tras ubicarse en la zona ecuatorial, existe pocos estudios que comprueben que al estar en una zona de alta radiación solar influye o no en los valores de la vitamina D, ya que únicamente se comprobó la deficiencia de la vitamina D en enfermedades como la Esclerosis múltiple, con una prevalencia del 42 %.Objetivo: describir el rol de la vitamina D en pacientes con diabetes mellitus tipo 2.Metodología: es una revisión bibliográfica de tipo narrativa. Se recopilo la información por medio de base de datos como: Pubmed y Scopus. Límite de tiempo 5 años, idioma inglésResultados: La suplementación de vitamina D en los pacientes diabéticos, contribuye a disminuir la resistencia a la insulina y durante los análisis de los controles glicémicos, se observó una disminución de la glucosa como también de la hemoglobina glicosilada.Conclusiones: La vitamina D tiene cierta aceptación como un tratamiento en si para la diabetes mellitus tipo 2.
Introduction: The next case report corresponds to a female patient of 30 years and 12 days old from the canton of La Troncal and mixed ethnicity on admission to the right lumbar fossa with the presence of a 5 cm orifice with a large amount of fetid purulent content that evolves to a diagnosis of septic shock of urinary vs. abdominal origin, acute perforated abdomen and retroperitoneal collection, for which on November 30, 2022 an exploratory laparotomy, ileostomy, right hemicolectomy, right nephrectomy, retroperitoneal collection drainage and drain placement were performed. Jackson Pratt's patient remains under sedoanalgesia with midazolam and fentanyl RASS -4. She is coupled to mechanical ventilation, afebrile with antibiotic therapy with meropenem and vancomycin, who presents elevated acute phase reactants with rising leukocytosis and neutrophilia. In addition, the culture revealed the presence of Gram-negative bacilli in the surgical wound. Case report: to present a complex clinical case where the post-surgical patient's condition was complicated, causing septic shock Conclusion: post-surgical complications are rare; however, they can be deadly and very complicated to treat, which urges health professionals to take the necessary measures to minimize this postoperative risk.
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