RESUMEN
Q fever is a rare zoonotic infection caused by Coxiella burnetii. Tumor necrosis factor-alpha (TNF-α) has an important role in the early control of this infection. However, TNF-α blockers increase the risk of infectious diseases. We present herein a patient who developed acute Q fever under anti-TNF-α who had a good evolution after anti-TNF stoppage and treatment with doxycycline.
RESUMEN
Giant-cell arteritis (GCA), also referred to as temporal arteritis, is the most common primary vasculitis of the elderly involving the extracranial branches of the carotid arteries, in particular, the temporal artery. Patients usually present with temporal headaches, visual impairment, fever, and scalp tenderness. Scalp necrosis associated with GCA is a rare occurrence with approximately 100 cases reported in the literature to date. It is a therapeutic emergency requiring urgent management as it may lead to irreversible loss of vision. To increase awareness of this severe complication, we report a patient with a scalp necrosis revealing a GCA.
RESUMEN
A new radio frequency coil design for NMR experiments is presented. The coil generates a magnetic field purely perpendicular to the longitudinal axis of the main magnet, and its sensitivity is higher than the traditional transversal resonators. This is achieved by adding the contribution of two tilted solenoid coils fed with opposite currents. The work presents the mathematical model for the new coil, numerical simulations performed to validate that model and a comparison with an equivalent saddle coil. The new design is tested experimentally in low- and high-field NMR experiments and compared with results obtained with equivalent saddle coils. The results lead to conclude that the new design provides better sensitivity than the transverse resonators commonly used in NMR.