RESUMEN
We report a case of endogenous nocardial endophthalmitis in a 32-year-old man with systemic lupus erythematosus. The patient developed pulmonary and ocular disease while on systemic corticosteroid and cyclophosphamide treatment. The intraocular infection progressed to a scleral fistula, and was treated with pars plana vitrectomy, lensectomy, intravitreous and intravenous antibacterial therapy. The diagnosis of Nocardia asteroides was made by isolation and growth of colonies from samples of a vitreous specimen and bronchioloalveolar aspirates. The eye became phthisical, it was eviscerated, and histopathogical examination was carried out.(AU)
Se describe un caso de endoftalmitis endógena por nocardia en un varón de 32 años con diagnóstico de lupus eritematoso sistémico. El paciente desarrolló compromiso pulmonar y ocular luego de meses de tratamiento con corticoides y ciclofosfamida. La infección intraocular, de rápida evolución a fístula escleral, recibió tratamiento con vitrectomía, lensectomía y terapia antibacteriana intravítrea y endovenosa. Se aislaroncolonias de Nocardia asteroides a partir de material vítreo y aspirado bronquioloalveolar. El ojo afectado evolucionó a ptisis bulbi y fue posteriormente eviscerado, y se realizó el estudio histopatológico.(AU)
Asunto(s)
Adulto , Humanos , Masculino , Endoftalmitis/microbiología , Lupus Eritematoso Sistémico/complicaciones , Nocardiosis , Nocardia asteroides , Endoftalmitis/terapia , Nocardiosis/terapia , VitrectomíaRESUMEN
The case presented is a subperiosteal implantation in a human being, in chrome cobalt mollybdenum, with two years and a half of evolution. It has been studied from the morphological point of view on being extracted for the patients request, because of a prosthetic maladjustment; the existence of a epitheliarl adhesion and the subjacen tissue reaction have been documented.
RESUMEN
The case presented is a subperiosteal implantation in a human being, in chrome cobalt mollybdenum, with two years and a half of evolution. It has been studied from the morphological point of view on being extracted for the patients request, because of a prosthetic maladjustment; the existence of a epitheliarl adhesion and the subjacen tissue reaction have been documented.
RESUMEN
The bibliographical contributions on education in digestive endoscopy and the need of establishing in Argentina a curricular programming for its teaching-learning are considered. The experience of the authors acquired during the giving of eight Basic or initiation Courses and eight Advanced or Improvement Courses is presented. They used in them six didactic simulators and endoscopic cinematography that completed the written simulations. Conceptual and methodological aspects are exposed to perform the curricular programming of training comprising the student from the student of Medicine to the gastroenterologist or surgeon more devoted or specialist in digestive endoscopy.
RESUMEN
It is analyzed the use of different staining and observation techniques of Pyloric Campylobacter in gastric biopsies and brushings. Toe the ones already conventional of GRAM and W-S, the following are added: W-S + A.B.; P.A.S. + W-S; W-S; W-S + H-E; PAPANICOLAOU, MASSONS TRICHROMIC, GRAM in tissues and complements of observation with polarization phase contrast and fluorescence. The advantages and applications connected with the bacterium study (presence, morphology, identification, quantity, location) and alterations of the antral mucosa correlated to it (cellular lesions, mucino-genesis alterations, inflammatory component) of each of them are defined.