RESUMEN
In January 2019, the European Committee for the Study of Antimicrobial Susceptibility (EUCAST) introduced some changes in the definitions of clinical categories for antibiotic susceptibility. The objective of these changes was to improve the credibility of category I, optimizing and lengthening the survival and use of available antibiotics in the face of increasing antimicrobial resistance. This article aims to describe and explain these changes in the EUCAST criteria as well as make a short review about the factors on which the antibiotic susceptibility criteria depend. (AU)
Asunto(s)
Humanos , Antibacterianos/farmacocinética , Antibacterianos/uso terapéutico , Comité de Profesionales , Unión Europea , Antiinfecciosos , Pruebas de Sensibilidad MicrobianaRESUMEN
El acantoma de la vaina pilosa es un tumor benignode piel muy poco frecuente. Suele presentarse comouna pápula asintomática, con un orificio central y lalocalización más frecuente es la cara. Presentamos unnuevo caso de acantoma de vaina pilosa, apoartandoimagen dermatoscópica del tumor.
Asunto(s)
Acantoma/diagnóstico , Neoplasias Faciales/diagnóstico , Neoplasias Cutáneas/diagnóstico , Acantoma/patología , Adulto , Neoplasias Faciales/patología , Humanos , Masculino , Neoplasias Cutáneas/patologíaRESUMEN
We describe Zika virus (ZIKV) vertical transmission in an imported case in Spain, in a 17-week pregnant woman. ZIKV IgG, IgM and RNA were detected in serum in week 17. At 19 weeks, ultrasound scan revealed fetal malformations and ZIKV was detected in the amniotic fluid. Pregnancy was terminated at week 21; autopsy of the fetus revealed bilateral hydrocephalus, brain microcalcifications and arthrogryposis multiplex congenita. ZIKV was detected in the umbilical cord and brain tissue.
Asunto(s)
Anomalías Múltiples/virología , Líquido Amniótico/virología , Artrogriposis/virología , Infección por el Virus Zika/congénito , Infección por el Virus Zika/diagnóstico , Infección por el Virus Zika/virología , Anomalías Múltiples/diagnóstico , Aborto Inducido , Artrogriposis/diagnóstico por imagen , Diagnóstico Diferencial , Femenino , Humanos , Embarazo , Diagnóstico Prenatal/métodos , España , Adulto JovenAsunto(s)
Terapia por Láser , Dermatosis de la Pierna/terapia , Mucinosis/terapia , Anciano , Femenino , Humanos , Láseres de GasRESUMEN
Merkel cell carcinoma is a rare and aggressive primary cutaneous neoplasm. Clinically it is characterized by innocuous appearance, as a fast growing asymptomatic nodule or plaque. Head and neck are the most common sites of presentation (50%). The treatment is based on local surgery completed with cervical lymph node dissection, radiotherapy, chemotherapy and other treatments depending on the staging. Sentinel lymph biopsy seems to be useful for its treatment. Tumour staging is the only prognostic factor related to overall survival. Prognosis is very poor due to the high incidence of loco-regional recurrence and metastases. Seven cases of Merkel cell carcinoma of the head and neck are reported. These were treated in our Department over the last two and a half years. A literature review was made.
Asunto(s)
Carcinoma de Células de Merkel , Neoplasias de Cabeza y Cuello , Anciano , Anciano de 80 o más Años , Carcinoma de Células de Merkel/diagnóstico , Carcinoma de Células de Merkel/terapia , Femenino , Neoplasias de Cabeza y Cuello/diagnóstico , Neoplasias de Cabeza y Cuello/terapia , Humanos , Masculino , Persona de Mediana EdadRESUMEN
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Merkel cell carcinoma is a rare and aggressive primary cutaneous neoplasm. Clinically it is characterized by innocuous appearance, as a fast growing asymptomatic nodule or plaque. Head and neck are the most common sites of presentation (50%). The treatment is based on local surgery completed with cervical lymph node dissection, radiotherapy, chemotherapy and other treatments depending on the staging. Sentinel lymph biopsy seems to be useful for its treatment. Tumour staging is the only prognostic factor related to overall survival. Prognosis is very poor due to the high incidence of loco-regional recurrence and metastases. Seven cases of Merkel cell carcinoma of the headand neck are reported. These were treated in our Department over the last two and a half years. A literature review was made