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1.
Fam Process ; 2024 Mar 23.
Artículo en Inglés | MEDLINE | ID: mdl-38520285

RESUMEN

Eating disorders (ED) and affective disorders (AD) in adolescent population and several investigations have pointed out that specific family dynamics play a major role in the onset, course, and maintenance of both disorders. The aim of this study was to extend the literature of this topic by exploring differences between parents' personality traits, coping strategies, and expressed emotion comparing groups of adolescents with different mental conditions (anorexia nervosa vs. affective disorder vs. control group) with a case-control study design. A total of 50 mothers and 50 fathers of 50 girls with anorexia nervosa (AN), 40 mothers and 40 fathers of 40 girls with affective disorder (AD), and 50 mothers and 50 fathers of 50 girls with no pathology that conformed the control group (CG) were measured with the Temperament and Character Inventory (TCI), the COPE Inventory, the Family Questionnaire (FQ), and psychopathology variables, anxiety, and depression. Both parents of girls with AN showed a significant difference in personality, coping strategies, and expressed emotion compared to both parents in the CG, while they presented more similarities to parents of girls in the AD group. Identifying personality traits, expressed emotion, coping strategies, and psychopathology of parents and their daughters will allow improvements in the interventions with the adolescents, parents, and families.

2.
Nanotechnology ; 27(14): 145702, 2016 Apr 08.
Artículo en Inglés | MEDLINE | ID: mdl-26906237

RESUMEN

A large enhancement of the magnetic anisotropy of Ni nanowires (NWs) embedded in anodic aluminium oxide porous membranes is obtained as a result of an induced magnetoelastic (ME) anisotropy contribution. This unusual large anisotropy enhancement depends on the diameter of the NWs and exceeds the magnetostatic (MS) contribution. As a consequence, it leads to effective magnetic anisotropy energies as large as 1.4 × 10(6) erg cm(-3), which are of the same order of magnitude and comparable to the MS energies of harder magnetic materials like Co NWs. Specifically, from ferromagnetic resonance experiments, the magnetic anisotropy of the NWs has been observed to increase as its diameter is decreased, leading to values that are about four times larger than the corresponding value when only the MS anisotropy is present. Our results are consistent with the recently proposed growth mechanism of Ni NWs that proceeds via a poly-crystalline stage at the bottom followed by a single-crystalline stage with texture [110] parallel to the axis of the NWs. A strong correlation between reducing the diameter of the NWs with the decrease of the length of the poly-crystalline segment and the enhancement of the effective magnetic anisotropy has been shown. Magnetization curves obtained from alternating gradient magnetometry experiments show that the average ME anisotropy results from the competition between the magnetic anisotropies of both crystalline segments of the NWs. Understanding the influence of size and confinement effects on the magnetic properties of nanocomposites is of prime interest for the development of novel and agile devices.

3.
Andrologia ; 47(3): 286-94, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-24606016

RESUMEN

There is an interest in the nuclear degraded sperm subpopulation because, although it is present in a low percentage in all semen samples, patient groups such as varicocele and rearranged genome carriers show high levels of these degraded spermatozoa. This study is designed with two objectives in mind: first, incubations of H2 O2 and nuclease on DTT-treated and untreated samples to show the aetiology of this subpopulation and second, assessment of the correlation between the protamine ratio and nuclear degraded spermatozoa. A very high increase in the nuclear degraded subpopulation has been found with nuclease incubation, and it is even higher when it has been merged with nuclear decompaction using DTT. Alternatively, incubation with H2 O2 with and without DTT did not show such a significant increase in nuclear degraded spermatozoa. The protamine ratio correlated with this subpopulation, showing, in patients, that poor nuclear compaction would turn the sperm susceptible to degradation. Then, the assessment of nuclear degraded spermatozoa might not be only a measure of DNA degradation but also an indicator of chromatin compaction in the spermatozoa. Different patient groups would fit this model for sperm nuclear degradation, such as varicocele patients, who show a high percentage of immature spermatozoa and nuclear degraded spermatozoa, and reorganised genome carriers, where reorganisation might also cause poor chromatin compaction on the sperm nucleus.


Asunto(s)
Núcleo Celular/metabolismo , Cromatina/metabolismo , Infertilidad Masculina/metabolismo , Espermatozoides/metabolismo , Núcleo Celular/efectos de los fármacos , Fragmentación del ADN , Desoxirribonucleasas/farmacología , Humanos , Peróxido de Hidrógeno/farmacología , Infertilidad Masculina/genética , Masculino , Estrés Oxidativo/efectos de los fármacos , Estrés Oxidativo/fisiología , Motilidad Espermática/efectos de los fármacos , Motilidad Espermática/fisiología , Espermatozoides/efectos de los fármacos
4.
Nanotechnology ; 25(24): 245707, 2014 Jun 20.
Artículo en Inglés | MEDLINE | ID: mdl-24870297

RESUMEN

The magnetic properties of arrays of nanowires (NWs) and nanotubes (NTs), 150 nm in diameter, electrodeposited inside nanoporous polycarbonate membranes are investigated. The comparison of the nanoscopic magnetic force microscopy (MFM) imaging and the macroscopic behavior as measured by alternating gradient force magnetometry (AGFM) is made. It is shown that MFM is a complementary technique that provides an understanding of the magnetization reversal characteristics at the microscopic scale of individual nanostructures. The local hysteresis loops have been extracted by MFM measurements. The influence of the shape of such elongated nanostructures on the dipolar coupling and consequently on the squareness of the hysteresis curves is demonstrated. It is shown that the nanowires exhibit stronger magnetic interactions than nanotubes. The non-uniformity of the magnetization states is also revealed by combining the MFM and AGFM measurements.

5.
Chemosphere ; 350: 141030, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38154668

RESUMEN

Corncob (CC) based solar evaporators were employed to desalinize seawater brought from the Vallarta coast in Mexico. The pure CC produced an evaporation-rate and evaporation-efficiency of 0.63 kg m-2 h-1 and 38.4%, respectively, under natural solar light. Later, the CC was coated with carbonized CC (CCCE evaporator) or was coated with graphene (CCGE evaporator). Those evaporators were used for the desalination of seawater and obtained higher evaporation rates of 1.59-1.67 kg m-2 h-1, and higher evaporation efficiencies of 92-94% (under natural solar light). The desalination experiments were repeated under artificial solar light and the evaporation-rates/evaporation-efficiencies slightly decreased to 1.43-1.52 kg m-2 h-1/88-92%. The surface analysis of the evaporators by FTIR, XPS and Raman revealed that the CCGE evaporator had on its surface a lower content of defects and a higher amount of OH groups than the CCCE evaporator. Therefore, the CCGE evaporator had higher evaporation-rates/evaporation-efficiencies in comparison with the CCCE evaporator. Furthermore, we purified water contaminated with three different herbicides (fomesafen, 2-6 dichlorobenzamide and 4-chlorophenol at 30 ppm) by evaporation and using natural solar light. Interestingly, the CCCE and CCGE evaporators also removed the herbicides by physical adsorption with efficiencies of 12-22.5%. Moreover, the CCGE evaporator removed vegetable oil from contaminated water by adsorption and its maximum adsorption capacity was 1.72 g/g. Overall, our results demonstrated that the corncob-based evaporators studied here are a low-cost alternative to obtain clean water under natural solar light and this one was more effective for the desalination of seawater than the artificial sunlight (Xe lamp).


Asunto(s)
Herbicidas , Zea mays , Agua de Mar , Agua , Luz Solar
6.
J Pharmacol Exp Ther ; 336(3): 652-60, 2011 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-21148249

RESUMEN

Although several microtubule-targeting drugs are in clinical use, there remains a need to identify novel agents that can overcome the limitations of current therapies, including acquired and innate drug resistance and undesired side effects. In this study, we show that ELR510444 has potent microtubule-disrupting activity, causing a loss of cellular microtubules and the formation of aberrant mitotic spindles and leading to mitotic arrest and apoptosis of cancer cells. ELR510444 potently inhibited cell proliferation with an IC(50) value of 30.9 nM in MDA-MB-231 cells, inhibited the rate and extent of purified tubulin assembly, and displaced colchicine from tubulin, indicating that the drug directly interacts with tubulin at the colchicine-binding site. ELR510444 is not a substrate for the P-glycoprotein drug transporter and retains activity in ßIII-tubulin-overexpressing cell lines, suggesting that it circumvents both clinically relevant mechanisms of drug resistance to this class of agents. Our data show a close correlation between the concentration of ELR510444 required for inhibition of cellular proliferation and that required to cause significant loss of cellular microtubule density, consistent with its activity as a microtubule depolymerizer. ELR510444 also shows potent antitumor activity in the MDA-MB-231 xenograft model with at least a 2-fold therapeutic window. Studies in tumor endothelial cells show that a low concentration of ELR510444 (30 nM) rapidly alters endothelial cell shape, similar to the effect of the vascular disrupting agent combretastatin A4. These results suggest that ELR510444 is a novel microtubule-disrupting agent with potential antivascular effects and in vivo antitumor efficacy.


Asunto(s)
Microtúbulos/efectos de los fármacos , Microtúbulos/fisiología , Sulfonamidas/química , Sulfonamidas/farmacología , Tiofenos/química , Tiofenos/farmacología , Moduladores de Tubulina/química , Moduladores de Tubulina/farmacología , Animales , Apoptosis/efectos de los fármacos , Apoptosis/fisiología , Ciclo Celular/efectos de los fármacos , Ciclo Celular/fisiología , Línea Celular , Proliferación Celular/efectos de los fármacos , Relación Dosis-Respuesta a Droga , Células HeLa , Humanos , Ratones , Mitosis/efectos de los fármacos , Mitosis/fisiología , Ratas , Huso Acromático/efectos de los fármacos , Huso Acromático/fisiología , Porcinos
7.
Front Mol Biosci ; 8: 703417, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34589517

RESUMEN

The potential use of magnetic nanoparticles (MNPs) in biomedicine as magnetic resonance, drug delivery, imagenology, hyperthermia, biosensors, and biological separation has been studied in different laboratories. One of the challenges on MNP elaboration for biological applications is the size, biocompatibility, heat efficiency, stabilization in physiological conditions, and surface coating. Magnetoliposome (ML), a lipid bilayer of phospholipids encapsulating MNPs, is a system used to reduce toxicity. Encapsulated MNPs can be used as a potential drug and a gene delivery system, and in the presence of magnetic fields, MLs can be accumulated in a target tissue by a strong gradient magnetic field. Here, we present a study of the effects of DC magnetic fields on encapsulated MNPs inside liposomes. Despite their widespread applications in biotechnology and environmental, biomedical, and materials science, the effects of magnetic fields on MLs are unclear. We use a modified coprecipitation method to synthesize superparamagnetic nanoparticles (SNPs) in aqueous solutions. The SNPs are encapsulated inside phospholipid liposomes to study the interaction between phospholipids and SNPs. Material characterization of SNPs reveals round-shaped nanoparticles with an average size of 12 nm, mainly magnetite. MLs were prepared by the rehydration method. After formation, we found two types of MLs: one type is tense with SNPs encapsulated and the other is a floppy vesicle that does not show the presence of SNPs. To study the response of MLs to an applied DC magnetic field, we used a homemade chamber. Digitalized images show encapsulated SNPs assembled in chain formation when a DC magnetic field is applied. When the magnetic field is switched off, it completely disperses SNPs. Floppy MLs deform along the direction of the external applied magnetic field. Solving the relevant magnetostatic equations, we present a theoretical model to explain the ML deformations by analyzing the forces exerted by the magnetic field over the surface of the spheroidal liposome. Tangential magnetic forces acting on the ML surface result in a press force deforming MLs. The type of deformations will depend on the magnetic properties of the mediums inside and outside the MLs. The model predicts a coexistence region of oblate-prolate deformation in the zone where χ = 1. We can understand the chain formation in terms of a dipole-dipole interaction of SNP.

8.
Sci Rep ; 10(1): 21396, 2020 Dec 07.
Artículo en Inglés | MEDLINE | ID: mdl-33288826

RESUMEN

First-order reversal curve diagrams, or FORC diagrams, have been studied to determine if the widths of their distributions along the interaction and coercivity axes can be related to the mean-field magnetization dependent interaction field (MDIF). Arrays of nanowires with diameters ranging from 18 up to 100 nm and packing fractions varying from 0.4 to 12% have been analyzed. The mean-field MDIF has been measured using the remanence curves and used as a measuring scale on the FORC diagrams. Based on these measurements, the full width of the interaction field distribution and the full width at half maximum (FWHM) of the FORC distribution profile along the interaction field direction are shown to be proportional to the MDIF, and the relation between them is found. Moreover, by interpreting the full width of the coercive field distribution in terms of the dipolar induced shearing, a simple relation is found between the width of this distribution and the MDIF. Furthermore, we show that the width of the FORC distribution along the coercive field axis is equal to the width of the switching field distribution obtained by the derivation of the DC remanence curve. This was further verified with the switching field distribution determined using in-field magnetic force microscopy (MFM) for very low density nanowires. The results are further supported by the good agreement found between the experiments and the values calculated using the mean-field model, which provides analytical expressions for both FORC distributions.

9.
Psychiatry Res ; 284: 112768, 2020 02.
Artículo en Inglés | MEDLINE | ID: mdl-31931274

RESUMEN

Anorexia nervosa (AN) is a multifactorial illness. Although several studies have determined which factors could predispose AN, few studies have determined which factors could precipitate it. What is more, it has been suggested that having experienced stressful life events (SLE) could be related to the onset of AN. The aim of this study was to explore specific psychosocial and familial correlates and the impact of SLE in the onset of AN. Following a case-control design, 40 adolescents diagnosed with AN were matched to three control groups, 40 healthy adolescents, 40 adolescents with affective disorders, 40 adolescents with asthma and their families by sex, age and socioeconomic status. Diagnostic interviews K-DSADS and questionnaires were used. The results empathised that no specific predisposing correlates were found for AN. Similarly, the increase of the amount of SLE prior to the onset is an overall characteristic for psychiatric disorders, which in AN it is only specifically related to psychological correlates, but no to cortisol. In terms of specific SLE, those related to interpersonal problems were frequent at the onset of AN. The results highlight the consequences of SLEs in the emotional well-being of the AN adolescents, that could be specific for this psychopathology.


Asunto(s)
Anorexia Nerviosa/psicología , Relaciones Familiares/psicología , Relaciones Interpersonales , Acontecimientos que Cambian la Vida , Estrés Psicológico/psicología , Adolescente , Adulto , Anorexia Nerviosa/diagnóstico , Anorexia Nerviosa/epidemiología , Estudios de Casos y Controles , Niño , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estrés Psicológico/diagnóstico , Estrés Psicológico/epidemiología , Encuestas y Cuestionarios
10.
J Hazard Mater ; 372: 94-102, 2019 06 15.
Artículo en Inglés | MEDLINE | ID: mdl-29728280

RESUMEN

This study explores the enhancement of UV-C tertiary treatment by sulfate radical based Advanced Oxidation Processes (SR-AOPs), including photolytic activation of peroxymonosulfate (PMS) and persulfate (PS) and their photocatalytic activation using Fe(II). Their efficiency was assessed both for the inactivation of microorganisms and the removal or micropollutants (MPs) in real wastewater treatment plant effluents. Under the studied experimental range (UV-C dose 5.7-57 J/L; UV-C contact time 3 to 28 s), the photolysis of PMS and PS (0.01 mM) increased up to 25% the bacterial removal regarding to UV-C system. The photolytic activation of PMS led to the total inactivation of bacteria (≈ 5.70 log) with the highest UV-C dose (57 J/L). However, these conditions were insufficient to remove the MPs, being required oxidant's dosages of 5 mM to remove above 90% of carbamazepine, diclofenac, atenolol and triclosan. The best efficiencies were achieved by the combination of PMS or PS with Fe(II), leading to the total removal of the MPs using a low UV-C dosage (19 J/L), UV-C contact time (9 s) and reagent's dosages (0.5 mM). Finally, high mineralization was reached (>50%) with photocatalytic activation of PMS and PS even with low reagent's dosages.

11.
Sci Total Environ ; 630: 1216-1225, 2018 Jul 15.
Artículo en Inglés | MEDLINE | ID: mdl-29554743

RESUMEN

The high chemical stability and the low biodegradability of a vast number of micropollutants (MPs) impede their correct treatment in urban wastewater treatment plants. In most cases, the chemical oxidation is the only way to abate them. Advanced Oxidation Processes (AOPs) have been experimentally proved as efficient in the removal of different micropollutants at lab-scale. However, there is not enough information about their application at full-scale. This manuscript reports the application of three different AOPs based on the addition of homogeneous oxidants [hydrogen peroxide, peroxymonosulfate (PMS) and persulfate anions (PS)], in the UV-C tertiary treatment of Estiviel wastewater treatment plant (Toledo, Spain) previously designed and installed in the facility for disinfection. AOPs based on the photolytic decomposition of oxidants have been demonstrated as more efficient than UV-C radiation alone on the removal of 25 different MPs using low dosages (0.05-0.5 mM) and very low UV-C contact time (4-18 s). Photolysis of PMS and H2O2 reached similar average MPs removal in all the range of oxidant dosages, obtaining the highest efficiency with 0.5 mM and 18 s of contact time (48 and 55% respectively). Nevertheless, PMS/UV-C reached slightly higher removal than H2O2/UV-C at low dosages. So, these treatments are selective to degrade the target compounds, obtaining different removal efficiencies for each compound regarding the oxidizing agent, dosages and UV-C contact time. In all the cases, H2O2/UV-C is more efficient than PMS/UV-C, comparing the ratio cost:efficiency (€/m3·order). Even H2O2/UV-C treatments are more efficient than UV-C alone. Thus, the addition of 0.5 mM of H2O2 compensates the increased of UV-C contact time and therefore the increase of electrical consumption, that it should be need to increase the removal of MPs by UV-C treatments alone.

14.
Acta Otorrinolaringol Esp ; 57(4): 165-70, 2006 Apr.
Artículo en Español | MEDLINE | ID: mdl-16686225

RESUMEN

OBJECTIVE: To review our experience and results in the diagnosis and treatment of acute mastoiditis, a pathology with an increasing incidence in the recent years. METHODS: The study reviewed 49 pediatric patients diagnosed and treated of acute mastoiditis between 1994 and 2003 in our hospital. We summarize epidemiologic, laboratory and clinical features. RESULTS: The mean age was 2.5 years. Seventy-five percent of cases were in autumn and winter months and nearly twenty-five percent had been diagnosed in the last year. S. pneumoniae was the most commonly isolated pathogen (28.6%), although a sterile result was the most frequent (38.1%). Twenty-four patients (48.9%) required surgical treatment. Only five patients (10.2%) developed complications. CONCLUSIONS: Acute mastoiditis is a pathology with an important incidence and is generally the consequence of an untreated otitis or an insufficient treatment. Due to the low number of complications, we can not estimate through statistical analysis valid markers like predictors for complication.


Asunto(s)
Antiinfecciosos/uso terapéutico , Mastoiditis/tratamiento farmacológico , Enfermedad Aguda , Distribución por Edad , Niño , Preescolar , Humanos , Incidencia , Mastoiditis/epidemiología , Recurrencia , Estudios Retrospectivos , Estaciones del Año
15.
J Nanosci Nanotechnol ; 5(3): 372-89, 2005 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-15913242

RESUMEN

This article is focused on the use of electrodeposition and of various nanoporous templates for the fabrication of metallic nanowires made from single metals (Ni, Co, Pb, Sn), alloys (NiFe, CoFe, CoPt), and multilayers (Co/Cu, NiFe/Cu). An overview is given of our recent studies performed on both magnetic and superconducting nanowires. Using different approaches entailing measurements on both single wires and arrays, numerous interesting physical properties have been identified in relation to the nanoscopic dimensions of these materials. Finally, various novel applications of the nanowires are also discussed.


Asunto(s)
Cristalización/métodos , Instalación Eléctrica , Electroquímica/métodos , Magnetismo/instrumentación , Metales/química , Nanotecnología/métodos , Nanotubos/química , Cristalización/tendencias , Conductividad Eléctrica , Electroquímica/instrumentación , Nanotecnología/instrumentación , Nanotecnología/tendencias , Nanotubos/análisis
16.
Vet Parasitol ; 37(2): 145-53, 1990 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-2251748

RESUMEN

Ornithodoros erraticus is known to transmit the virus that causes the highly contagious disease, African Swine Fever, in Spain. As part of the disease eradication campaign, an ELISA test to detect specific antibodies against the tick was developed. The ELISA, using salivary gland preparations as an antigen, showed high sensitivity and was able to detect as few as 10 adult ticks. The specific antibodies were detected in the sera 6 weeks after the primary infestation and strongly increased after the challenge. The utility of this test under field conditions was also tested.


Asunto(s)
Anticuerpos/sangre , Ensayo de Inmunoadsorción Enzimática , Enfermedades de los Porcinos/inmunología , Infestaciones por Garrapatas/veterinaria , Garrapatas/inmunología , Animales , Formación de Anticuerpos , Antígenos/inmunología , Femenino , Masculino , Valor Predictivo de las Pruebas , Glándulas Salivales/inmunología , Proteínas y Péptidos Salivales/inmunología , Porcinos , Infestaciones por Garrapatas/inmunología
17.
J Pediatr Surg ; 32(4): 624-6, 1997 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-9126770

RESUMEN

A 3-month-old boy was operated on for an inguinal tumor. Histological diagnosis was neuroblastoma. This is the second known case of primary paratesticular neuroblastoma reported in the literature. The treatment of choice for Evan's stage I is surgery.


Asunto(s)
Neoplasias de los Genitales Masculinos/diagnóstico , Neuroblastoma/diagnóstico , Cordón Espermático , Diagnóstico Diferencial , Neoplasias de los Genitales Masculinos/patología , Neoplasias de los Genitales Masculinos/cirugía , Humanos , Lactante , Masculino , Neuroblastoma/patología , Neuroblastoma/cirugía
18.
J Physiol Biochem ; 54(1): 41-7, 1998 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-9732107

RESUMEN

In 16 women and 66 men, aged 14 to 36 years, 10 sedentary and 72 athletes, the histochemical characteristics of the vastus muscle fibres have been studied. Muscle biopsies were processed histochemically using the myofibrillar ATPase method, and were classified according to gender, sport activity and type of exercise. The average diameter of muscle fibres was larger in men than in women and in trained individuals than in sedentary ones. The largest percentage of Type I fibres was found in long distance runners; the smallest in those performing karate and triple jump. The largest percentage of Type IIA fibres was found in swimmers and the smallest in footballers. The largest percentages of Type IIB and IIC fibres were found in footballers. The largest average diameters of Type I and Type II fibres were found in swimmers and in long distance athletes respectively. Type I and Type II fibres were dominant in the aerobic group and the anaerobic one, respectively; the percentage of Type IIC fibres was smaller in the anaerobic group.


Asunto(s)
Fibras Musculares Esqueléticas/ultraestructura , Músculo Esquelético/ultraestructura , Deportes , Adenosina Trifosfatasas/metabolismo , Adolescente , Adulto , Factores de Edad , Femenino , Histocitoquímica , Humanos , Pierna/fisiología , Masculino , Fibras Musculares de Contracción Rápida/enzimología , Fibras Musculares de Contracción Rápida/ultraestructura , Fibras Musculares Esqueléticas/enzimología , Fibras Musculares de Contracción Lenta/enzimología , Fibras Musculares de Contracción Lenta/ultraestructura , Músculo Esquelético/enzimología , Miofibrillas/enzimología , Miofibrillas/ultraestructura , Factores Sexuales
19.
Arch Bronconeumol ; 33(6): 306-8, 1997 Jun.
Artículo en Español | MEDLINE | ID: mdl-9289327

RESUMEN

Acute eosinophilic pneumonia is a recently described pulmonary phenomenon involving rapidly progressing respiratory insufficiency. Although it can appear at any age, it has never been reported during pregnancy and its impact on gestation is therefore unknown. We describe the clinical signs and course of disease in this first report of acute eosinophilic pneumonia in a pregnant woman. We emphasize the diagnostic utility of bronchoalveolar lavage, the resolution of symptoms without corticoid treatment and, mainly, the absence of adverse repercussions of the disease on pregnancy.


Asunto(s)
Complicaciones del Embarazo , Eosinofilia Pulmonar , Enfermedad Aguda , Adulto , Líquido del Lavado Bronquioalveolar , Broncoscopía , Femenino , Estudios de Seguimiento , Humanos , Recién Nacido , Embarazo , Complicaciones del Embarazo/diagnóstico , Complicaciones del Embarazo/diagnóstico por imagen , Eosinofilia Pulmonar/diagnóstico , Eosinofilia Pulmonar/diagnóstico por imagen , Radiografía Torácica , Factores de Tiempo
20.
Rev Neurol ; 34(9): 830-2, 2002.
Artículo en Español | MEDLINE | ID: mdl-12134344

RESUMEN

INTRODUCTION: Infection of the central nervous system by Listeria monocytogenes appears in most cases as acute meningitis which is indistinguishable from other types of acute meningitis. Rombencephalitis is a rare form of neurolisteriosis, localized to the brainstem. The initial non specific symptoms may make early diagnosis difficult. CASE REPORT: We describe the clinical case of a previously healthy woman who had L. monocytogenes infection localized to the brainstem. Her initial symptoms were fever and headache followed by signs of brainstem involvement, deterioration of consciousness and severe respiratory insufficiency which made mechanical ventilation necessary. Study of the cerebrospinal fluid showed lymphocytic pleocytosis, raised protein and normal glucose levels. L. monocytogenes was isolated on blood culture. Cranial computerized tomography was normal and magnetic resonance showed a right pontobulbar lesion. After receiving specific antibiotic treatment the infectious condition improved. However, the neurological symptoms started to improve when dexamethasone was added to the antibiotic treatment twelve days later. The patient was discharged from hospital with slight neurological sequelas. CONCLUSION: In a febrile patient with signs of brainstem involvement, neurolisteriosis should be suspected and ampicillin and gentamycin added to the treatment. The possibility of acute respiratory arrest occurring makes it necessary to monitor these patients closely. The association of dexamethasone to the antibiotic treatment may be useful in some cases of rombencephalitis due to L. monocytogenes.


Asunto(s)
Antibacterianos/uso terapéutico , Dexametasona/uso terapéutico , Glucocorticoides/uso terapéutico , Meningitis por Listeria/tratamiento farmacológico , Rombencéfalo , Ampicilina/uso terapéutico , Quimioterapia Combinada , Femenino , Fiebre/etiología , Gentamicinas/uso terapéutico , Cefalea/etiología , Humanos , Imagen por Resonancia Magnética , Meningitis por Listeria/diagnóstico , Meningitis por Listeria/fisiopatología , Persona de Mediana Edad
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