RESUMEN
Introduction: Urogenital tuberculosis (UGTB) is a frequent presentation of extrapulmonary tuberculosis. Recognizing this condition is paramount for healthcare providers, especially in patients living with human immunodeficiency virus (HIV), as it significantly influences both mortality and quality of life. Case report: Case report This report presents the case of a 57-year-old male patient diagnosed with de novo HIV infection who presented with respiratory and urinary symptoms, and prostate abscess in a computed tomography. He was ultimately diagnosed with a tuberculous prostate abscess through real-time polymerase chain reaction. Conclusions: Conclusions This case underscores the importance of utilizing molecular diagnostic tools in identifying UGTB, shedding light on their invaluable role in timely diagnosis.
RESUMEN
Malnutrition is a prevalent condition in chronic diseases, significantly impacting morbidity and mortality. Point-of-care ultrasound (POCUS) is increasingly utilized in clinical practice as a rapid and accessible tool for evaluating muscle mass. Here, we present two cases of females with chronic diseases who presented with acute exacerbations of their conditions accompanied by fluid overload. Suspected of experiencing nutritional alterations, they underwent ultrasound evaluation to confirm muscle mass loss. These cases highlight the potential of ultrasound in guiding effective muscle mass assessment, particularly in pathologies prone to fluid overload, such as chronic kidney disease and heart failure.
RESUMEN
Tanto la lesión hepática inducida por drogas (DILI), así como la lesión hepática inducida por hierbas (HILI), son una preocupación creciente en la atención sanitaria contemporánea que plantea importantes desafíos clínicos debido a sus variadas etiologías, presentaciones clínicas y posibles resultados potencialmente mortales. Presentamos el caso de un paciente masculino de 38 años con antecedentes de cálculos renales que consultó por dolor lumbar y hematuria. Al ingreso presentó ictericia, hepatomegalia, dolor a la palpación en fosa ilíaca derecha y no tenía signos de hepatopatía crónica, con pruebas de función hepática anormales, que mostraron un patrón hepatocelular asociado con hiperbilirrubinemia. Se descartó obstrucción biliar, trombosis portal, hepatitis autoinmune y viral, con panel autoinmune negativo. El paciente refirió haber consumido un remedio herbario para los cálculos renales llamado "vino rompe cálculos (chancapiedra)", que se supone contiene Phyllanthus niruri, cinco días antes del inicio de los síntomas. Una biopsia hepática reveló hepatitis aguda con infiltrado inflamatorio mixto. Debido al empeoramiento de las pruebas de función hepática y la sospecha de DILI idiosincrásico, se inició un ensayo terapéutico con corticosteroides, que resultó en una mejoría clínica y del perfil hepático. La gravedad de este caso nos recuerda la necesidad de incrementar el seguimiento por parte de las autoridades reguladoras de medicamentos, implementar campañas educativas para los pacientes e informar a la comunidad sobre productos con alertas activas.
Both drug-induced liver injury (DILI) and herb-induced liver injury (HILI) are a growing concern in contemporary healthcare that poses significant clinical challenges due to their varied etiology, clinical presentations, and potential life-threatening outcomes. We present the case of a 38-year-old male patient with a history of kidney stones who consulted for low back pain and hematuria. On admission he presented with jaundice, hepatomegaly, pain on palpation in the right iliac fossa and no signs of chronic liver disease, with abnormal liver function tests, which showed a hepatocellular pattern associated with hyperbilirubinemia. Biliary obstruction, portal thrombosis, autoimmune and viral hepatitis were ruled out, with negative autoimmune panel. The patient reported consuming an herbal remedy for kidney stones called "stone-breaking wine (chancapiedra)", presumed to contain Phyllanthus niruri, five days before the onset of symptoms. A liver biopsy revealedacute hepatitis with mixed inflammatory infiltrate. Due to worsening liver function tests and suspicion of idiosyncratic DILI, a therapeutic trial with corticosteroids was initiated, which resulted in clinical and liver profile improvement. The severity of this case reminds us of the need to increase follow-up by drug regulatory authorities, implement educational campaigns for patients, and inform the community about products with active alerts.
RESUMEN
Introducción. La satisfacción es la experiencia individual de plenitud en relación a una necesidad o deseo. Es un indicador de bienestar y calidad de vida que incide en el desempeño escolar, laboral, social y familiar, por lo que su alteración puede comprometer estos dominios e incluso afectar el acceso a servicios de salud. Objetivos. Establecer el nivel de satisfacción personal en estudiantes de medicina de la Universidad El Bosque (Bogotá D.C., Colombia) y correlacionarlo con su desempeño académico en el contexto de sus prácticas asistenciales y condiciones sociodemográficas. Materiales y métodos. Se realizó un estudio transversal en el cual se aplicó de manera presencial la Escala de Satisfacción Vital Multidimensional del Estudiante (MSSLS) a alumnos entre tercer y décimo semestre de medicina en el año 2018, previo consentimiento informado. El análisis se realizó con el programa IBM-SPSS Statistics-25.0. Se calcularon estadísticos descriptivos y se establecieron correlaciones entre el grado de satisfacción y tiempo de movilización de la casa al sitio de rotación y de este a la casa, tiempo de estadía en el sitio de rotación (universidad u hospital), lugar de rotación, semestre, estrato socioeconómico, edad, sexo y promedio ponderado académico. Resultados. Se evaluaron 404 estudiantes (67 % mujeres) con un promedio de edad de 20 años (rango 18 a 28), una media de tiempo de movilización desde la casa al sitio de rotación de 45 minutos, un tiempo máximo de estadía en la rotación de 568 minutos, un promedio académico generalizado de 3,92 y un grado de satisfacción personal de 84,7 %. La satisfacción fue directamente proporcional al promedio ponderado académico (p<0,001) e inversamente proporcional al tiempo de movilización (p<0,001). Conclusiones. El grado de satisfacción personal en la población estudiada fue alto y se asoció al promedio ponderado académico. Los tiempos de movilización, el semestre académico cursado y el sitio de rotación fueron factores que influyeron directamente la satisfacción de los encuestados.
Introduction: Satisfaction is the individual experience of fullness in relation to a need or desire, being an indicator of well-being and quality of life, which affects school, work, social and family performance. Therefore, its alteration can compromise these domains and even affect access to health services. The objective of this study was to establish the level of personal satisfaction in medical students of Universidad El Bosque (Bogotá) and correlate with their academic performance in the context of their care practices and sociodemographic conditions. Methods: Cross-sectional study, the Student Multidimensional Vital Satisfaction Scale (MSSLS) was applied in person to students between the third and tenth semester in 2018, with prior informed consent. The analysis was performed with the IBM-SPSS Statistics-25.0 program; descriptive statistics were calculated, and correlations were established between the grade of satisfaction with sociodemographic characteristics, academic performance, rotation sites and mobilization times. Results: They were evaluated 404 students in total, 67 % women and 33 % men; the average age was 21 years (range 18 and 28); the average time of mobilization house to place rotation was 45 minutes; the maximum time of stay in the rotation was 568 minutes, the generalized academic average was 3.92. The overall satisfaction level was 84.7 % satisfied. Satisfaction is directly proportional to the weighted academic average (p <0.001), and inversely proportional to the mobilization time (p <0.001). Conclusions: The grade of personal satisfaction is high in the university population, and was associated with the average weighted academic. On the other hand, mobilization times, academic semester and rotation site directly influence the grade of satisfaction
Introdução. Satisfação é a experiência individual de realização de necessidades ou desejos, constitui um indicador de bem-estar e qualidade de vida que condiciona o desempenho escolar, profissional, social e familiar, portanto a insatisfação pode alterar o comportamento nesses domínios e comprometer os serviços de saúde. Objetivos. Estabelecer o nível de satisfação pessoal dos estudantes de medicina da Universidad El Bosque (Bogotá D.C., Colômbia) e correlacioná-lo com seu desempenho acadêmico no contexto de suas práticas de cuidado e condições sociodemográficas. Materiais e métodos. Foi realizado um estudo transversal, aplicando a Escala Multidimensional de Satisfação com a Vida do Estudante (MSSLS) a estudantes entre o terceiro e o décimo semestre de medicina em 2018, com consentimento prévio informado. A análise foi realizada com o programa IBM-SPSS Statistics-25.0. Estatísticas descritivas foram calculadas e correlações foram estabelecidas entre o grau de satisfação e o tempo gasto no deslocamento entre casa e local de rotação, tempo gasto no local de rotação (universidade ou hospital), local de rotação, semestre, estrato socioeconômico, idade, sexo e média acadêmica ponderada. Resultados. Foram avaliados 404 alunos (67% mulheres) com idade média de 20 anos (variação de 18 a 28), tempo médio de mobilização de casa para o local de rotação de 45 minutos, tempo máximo de permanência na rotação de 568 minutos, média acadêmica geral de 3,92 e grau de satisfação pessoal de 84,7%. A satisfação foi diretamente proporcional à média ponderada acadêmica (p <0,001) e inversamente proporcional ao tempo de mobilização (p <0,001). Conclusões. O grau de satisfação dos estuddantes foi alto e esteve associado à média ponderada acadêmica. Os tempos de deslocamento e transporte, o semestre letivo cursado e o local de rotação foram fatores que influenciaram diretamente na satisfação dos respondentes