BACKGROUND Tuberculous pericarditis (TP) remains a challenge for endemic countries. In developing countries, one to two percent of patients with pulmonary tuberculosis develops TP. CASE SUMMARY A 49-year-old woman presented with dyspnea, chest pain and dry cough. On physical examination, veiled heart sounds were found. The electrocardiogram showed low-voltage complexes and the transthoracic echocardiography revealed a large and free-looking pericardial effusion. The patient was taken for an open pericardiotomy. The pericardial fluid revealed high levels of adenosine deaminase and Ziehl-Neelsen stain showed acid-fast bacilli. Polymerase chain reaction study for Mycobacterium tuberculosis in pericardial fluid was positive. The patient received tetra conjugate management with adequate clinical response after the first week of treatment and resolution of fever and chest pain. CONCLUSION In cases of TP, obtaining pericardial fluid and/or pericardial biopsy is the most efficient strategy to confirm the diagnosis. Early diagnosis of this entity will allow physicians to initiate timely treatment, avoid complications and improve the patient's clinical outcome, so we consider the description of this case pertinent and its review in the literature.

Objective We aimed to describe the prevalence and factors associated with the need for supplemental oxygen and persistent symptoms 1 year after severe SARS-CoV-2 infection. Methods In this historical cohort and nested case–control study, we included adults with severe COVID-19 (requiring admission to the intensive care unit or invasive mechanical ventilation). We evaluated factors associated with a need for supplemental oxygen and persistent symptoms 1 year after severe infection. Results We included 135 patients (median age 62 years, 30% women). At 1-year follow-up, the main symptoms were dyspnea (32%), myalgia (9%), cough (7%), anxiety (4%), and depression (5%); 12.59% of patients had prolonged requirement for supplemental oxygen. Factors associated with a persistent requirement for supplemental oxygen were female sex (odds ratio 3.15, 95% confidence interval 1.11–8.90) and Charlson Comorbidity Index > 4 (odds ratio 1.60, 95% confidence interval 1.20–2.12). Conclusions We found that a high prevalence of supplemental oxygen requirement 1 year after severe COVID infection was associated with female sex and a baseline high rate of comorbidities. It is unknown whether this prevalence was related to other factors, such as the altitude at which patients lived. More than half of patients had prolonged post-COVID syndrome.

The municipality of Ovejas in the region of Montes de María has been historically affected by the internal armed conflict and the abandonment of the StateThe armed conflict made difficult to implement actions for territorial development and peace building; however, it is noteworthy the resistance and resilience of their inhabitants searching for peace trough organizational and participatory processes. Ovejas organized victims achieved through tenacity the materialization of effective participation to recover their rights lost due to the armed conflict, through the organizational processes of the Effective Participation of Victims Roundtables, EPVR or MPEV in Spanish, where they can advocate and influence public discourse and policies. The Final Peace Agreement established the importance of strengthening community participation in all of its points., In point one of the peace accord, integral rural reform, it mandates to implement the Development Programs with Territorial Approach (PDET) in that way. PDET participatory nature contributes to comprehensive reparation of the territories more affected by the armed conflict. This research seeks to understand and analyze how the process of victim's advocacy through their participation in Effective Participation of Victims Roundtables, EPVR to promote identification and implementation of PDET's eight pillar initiatives that contribute to Reconciliation, Coexistence and Peace Building in the territory. I will present in this text how state institutions haven't been able to guarantee useful participation through the Ovejas MPEV.

Desviación del eje cardiaco por una recidiva local mediastínica de un liposarcoma retroperitonealPalabras clave: Mediastino. Retroperitoneo. Liposarcoma. Recidiva local.