RESUMEN
Lyme disease is an affection caused by a spirochete infection called Borrelia Burgdorferi which may harbor a varied and misleading clinical symptomatology. The serology tests commonly used for diagnosis show a wide sensitivity varying from 34% to 70,5%, leaving many infected patients with false negative tests. Alternative techniques such as polymerase chain reaction (PCR) could be helpful but not conclusive enough. Using biofilm busters, such as stevia and serratiopeptidase, could lead to bacterial blood release, thus increasing the spirochete load, making PCR test more sensitive, thus improving the patient's diagnosis and management.
Asunto(s)
Biopelículas/efectos de los fármacos , Borrelia burgdorferi/aislamiento & purificación , Enfermedad de Lyme/diagnóstico , Péptido Hidrolasas/farmacología , Extractos Vegetales/farmacología , Reacción en Cadena de la Polimerasa/métodos , Stevia , Carga Bacteriana , Sangre/efectos de los fármacos , Sangre/microbiología , Western Blotting , Borrelia burgdorferi/clasificación , Borrelia burgdorferi/efectos de los fármacos , Borrelia burgdorferi/fisiología , Ensayo de Inmunoadsorción Enzimática , Ensayo de Immunospot Ligado a Enzimas , Reacciones Falso Negativas , Humanos , Sensibilidad y Especificidad , Serogrupo , Pruebas SerológicasRESUMEN
Primary lymphomas of the thyroid (LPT) are a rare entity. LPT represent between 5 and 15% of all thyroid neoplasms. Cytology has limited value; biopsy should be recommended. The differential diagnosis of thyroid carcinoma is differentiated forms indolent or aggressive forms for anaplastic and high grade that may occur by a mass rapidly progressive and compressive. LPT represent a histologically and clinically heterogeneous disease. The most common forms are high-grade LPT (DBLCL) of diffuse large cell type or mucosa-associated lymphoid tissue (MALT). DBLCL receive chemotherapy. The benefit of irradiation is highly debated in view of the data from randomized lymphoma studies (nodal with a minority of extranodal forms) versus those of retrospective studies specifically addressing the case of LPT. Localized MALT lymphomas can be treated with radiation alone. The treatment of other LPT is presented.