Portopulmonary hypertension (POPH) is a rare and life-threatening complication in patients with portal hypertension, with a prevalence of 3 -8%. It is characterized by pulmonary arterial hypertension (PAH) and results from obstruction to arterial flow in the pulmonary arterial bed, leading to the progressive deterioration of both the pulmonary circulation due to arterial remodeling and of the heart, as a result of right ventricular failure. Its diagnosis is based on hemodynamic findings based on a mean pulmonary arterial pressure (mPAP) ≥ 25mmHg, an increase in pulmonary vascular resistance (PVR) > 3 Wood Units or > 240 dynes/s/cm -5 , a pulmonary artery occlusion pressure (PAOP) ≤ 15mmHg or an elevated transpulmonary gradient (mPAP -PAOP: > 12 mmHg). Right heart catheterization (RHC) should be appropriately interpreted since management and MELD exception criteria depend on it. Although most therapeutic modalities have been inferred from patients with PAH, currently, new treatments are available and also various POPH clinical trials are ongoing, so further research data will soon be available. LT is a pivotal therapeutic option, but LT candidates require careful monitoring before, during and after the procedure.
PALABRAS CLAVEColitis ulcerosa infecciosa; Aeromonas spp; Diarrea aguda; Gastroenteritis; México.Resumen Se presenta el caso de una paciente femenina de 34 años de edad, que consulta por diarrea intensa, con bandemia, sin responder a tratamiento convencional, por lo que se realizan estudios de extensión como cultivos y toxinas de , siendo negativos; en la Aunque el diagnóstico de las infecciones agudas entéricas suele ser fácil debido a los datos clí--son bacilos Gram negativos, facultativos, anaerobios, habitantes de ecosistemas acuáticos, resistentes a betalactámicos y mayormente sensibles a trimetoprima/sulfametoxazol, tetraciclimás en niños. Produce daño tisular importante por toxinas, secreción acuosa e incrementa la actividad de adenosin monofosfato. Puede afectar tejidos blandos en pacientes inmunocompro-
Infectious ulcerative colitis by Aeromonas sppAbstract We report a case of a female patient of 34 years that presents severe diarrhea, with bandemia and does not respond to conventional treatment. Extension studies were made like
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