Subject(s)
Respiratory Insufficiency , Telangiectasia, Hereditary Hemorrhagic , Humans , Telangiectasia, Hereditary Hemorrhagic/complications , Telangiectasia, Hereditary Hemorrhagic/diagnosis , Telangiectasia, Hereditary Hemorrhagic/genetics , Mutation , Respiratory Insufficiency/etiology , Endoglin/geneticsSubject(s)
Giant Cell Arteritis , Humans , Giant Cell Arteritis/complications , Giant Cell Arteritis/diagnosis , Lip , Necrosis/etiology , TongueABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Mesalamine/adverse effects , Crohn Disease/drug therapy , Fever/chemically induced , Chemical and Drug Induced Liver Injury/diagnosis , Risk FactorsSubject(s)
Anti-Inflammatory Agents, Non-Steroidal/adverse effects , Fever/chemically induced , Mesalamine/adverse effects , Adrenal Cortex Hormones/therapeutic use , Anti-Bacterial Agents/therapeutic use , Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Crohn Disease/drug therapy , Female , Fever/therapy , Fluid Therapy , Humans , Mesalamine/therapeutic use , Middle Aged , Norepinephrine/therapeutic use , Sacroiliitis/drug therapyABSTRACT
No disponible
Subject(s)
Humans , Male , Aged , Solitary Fibrous Tumors/diagnosis , Stomach Neoplasms/diagnosis , Stomach Neoplasms/surgery , Laparoscopy/methods , Biomarkers, Tumor/analysisABSTRACT
We present the case of a recurrent hyperammonaemic encephalopathy due to a portosystemic shunt that was successfully treated by embolization.
Subject(s)
Embolization, Therapeutic/methods , Hepatic Encephalopathy/diagnostic imaging , Hepatic Encephalopathy/therapy , Hyperammonemia/diagnostic imaging , Hyperammonemia/therapy , Aged , Bariatric Surgery/adverse effects , Female , Humans , Non-alcoholic Fatty Liver Disease/complications , Non-alcoholic Fatty Liver Disease/diagnostic imaging , Portasystemic Shunt, Surgical , Tomography, X-Ray ComputedABSTRACT
No disponible
Subject(s)
Humans , Female , Aged , Embolization, Therapeutic/instrumentation , Embolization, Therapeutic/methods , Hepatic Encephalopathy/complications , Hepatic Encephalopathy/surgery , Hepatic Encephalopathy , Phlebography , Tomography, Emission-Computed/methodsSubject(s)
Solitary Fibrous Tumors/diagnostic imaging , Stomach Neoplasms/diagnostic imaging , Tomography, X-Ray Computed , Aged , Asymptomatic Diseases , Humans , Incidental Findings , Laparoscopy , Male , Solitary Fibrous Tumors/pathology , Solitary Fibrous Tumors/surgery , Stomach Neoplasms/pathology , Stomach Neoplasms/surgeryABSTRACT
No disponible
Subject(s)
Aged , Humans , Male , Fever/chemically induced , Hydroxyurea/therapeutic use , beta-Lactams/adverse effects , beta-Lactams/therapeutic use , Drug-Related Side Effects and Adverse ReactionsABSTRACT
No disponible
Subject(s)
Humans , Male , Aged, 80 and over , Endocarditis, Bacterial/microbiology , Salmonella enteritidis/pathogenicity , Salmonella Infections/complications , Mitral Valve Prolapse , Pulmonary Disease, Chronic Obstructive/complications , Mitral Valve Insufficiency/complicationsSubject(s)
Anti-Bacterial Agents/therapeutic use , Ceftriaxone/therapeutic use , Endocarditis, Bacterial/drug therapy , Heart Valve Diseases/drug therapy , Heart Valve Diseases/microbiology , Mitral Valve , Salmonella Infections/drug therapy , Salmonella enteritidis , Aged, 80 and over , Humans , Male , Remission InductionABSTRACT
No disponible
Subject(s)
Humans , Calcinosis/diagnosis , Basal Ganglia Diseases/diagnosis , Seizures/etiology , Risk FactorsSubject(s)
Basal Ganglia/diagnostic imaging , Calcinosis/diagnostic imaging , Epilepsy, Generalized/diagnostic imaging , Hypoparathyroidism/complications , Tomography, X-Ray Computed , Adult , Calcinosis/drug therapy , Calcinosis/etiology , Calcitriol/therapeutic use , Calcium Carbonate/therapeutic use , Drug Therapy, Combination , Epilepsy, Generalized/etiology , Humans , Hypocalcemia/drug therapy , Hypocalcemia/etiology , MaleABSTRACT
BACKGROUND: The objective of this study is to analyze the factors that are associated with the adequacy of empirical antibiotic therapy and its impact in mortality in a large cohort of patients with extended-spectrum ß-lactamase (ESBL)--producing Escherichia coli and Klebsiella spp. bacteremia. METHODS: Cases of ESBL producing Enterobacteriaceae (ESBL-E) bacteremia collected from 2003 through 2008 in 19 hospitals in Spain. Statistical analysis was performed using multivariate logistic regression. RESULTS: We analyzed 387 cases ESBL-E bloodstream infections. The main sources of bacteremia were urinary tract (55.3%), biliary tract (12.7%), intra-abdominal (8.8%) and unknown origin (9.6%). Among all the 387 episodes, E. coli was isolated from blood cultures in 343 and in 45.71% the ESBL-E was multidrug resistant. Empirical antibiotic treatment was adequate in 48.8% of the cases and the in hospital mortality was 20.9%. In a multivariate analysis adequacy was a risk factor for death [adjusted OR (95% CI): 0.39 (0.31-0.97); P = 0.04], but not in patients without severe sepsis or shock. The class of antibiotic used empirically was not associated with prognosis in adequately treated patients. CONCLUSION: ESBL-E bacteremia has a relatively high mortality that is partly related with a low adequacy of empirical antibiotic treatment. In selected subgroups the relevance of the adequacy of empirical therapy is limited.
