[Transient ischemic attack associated with a calcinosis cerebri syndrome]. / Accidente isquémico transitorio asociado a síndrome de calcinosis cerebral.

We report a 71 years old man suffering from transient ischemic attack associated with a calcinosis cerebri (Fahr's disease). Arterial hypertension was the unique vascular risk factor disclosed.

Accidente isquémico transitorio asociado a síndrome de calcinosis cerebral / Transient ischemic attack associated with a calcinosis cerebri syndrome

Presentamos un caso de calcinosis cerebral (posiblemente por una enfermedad de Fahr primaria) asociado a un cuadro de accidente isquémico transitorio (disartria) en un varón anciano con hipertensión arterialy sin ningún otro factor de riesgo vascular

We report a 71 years old man suffering from transient ischemic attack associated with a calcinosis cerebri (Fahr’s disease). Arterial hypertension was the unique vascular risk factor disclosed

[Hematogenous sternal osteomyelitis and community acquired pneumonia in a methicillin-susceptible Staphilococcus aureus sepsis]. / Osteomielitis esternal hematógena y neumonía de la comunidad secundarias a una sepsis por Staphylococcus aureus sensible a meticilina.

We report here a case of primary haematogenous osteomyelitis diagnosed in a young mild asthmatic male with immunocompetence. A hard job worked as trigger of the septic picture from a forunculosis lesion located on the abdominal wall. Meticilin-susceptible Staphylococcus aureus was isolated from blood cultures and from sternal aspiration liquid. Two months after clinical onset Ig G 4 elevation was achieved at the immunodeficiency screening. Stafilococycal lung CT images accompanied to the septic course. Intravenous cloxacilin and gentamycin treatment followed by oral rifampicin and levofloxacin achieved a total recovery.

Osteomielitis esternal hematógena y neumonía de la comunidad secundarias a una sepsis por Staphylococcus aureus sensible a meticilina / Haematogeous sternal osteomyelitis and community pneumonia ina meticilin-susceptible staphilococcus aureus sepsis

Presentamos un caso de osteomielitis esternal hematógena en un varón joven con antecedentes de asma moderado y normalidad de las funciones inmunológicas. El cuadro se desencadenó después de un esfuerzo físico importante y probablemente por la reactivación de una lesión foruncular en la pared del abdomen. Se aisló Staphylococcus aureus sensible a meticilina tanto en los hemocultivos como en el líquido extraído de la lesión esternal. Se pudo objetivar una elevación de la fracción Ig G 4 en la fase de reimisión clínica. El cuadro séptico se acompañaba de lesiones pulmonares sugerentes de neumonía neumocócica. El tratamiento a base de cloxacilina y gentamicina por vía endovenosa seguido por Rifampicina y Levofloxacino por vía oral dio como resultado una “restitutio ad integrum"

We report here a case of primary haematogenous osteomyelitis diagnosed in a young mild asthmatic male with immunocompetence. A hard job worked as trigger of the septic picture from a forunculosis lesion located on the abdominal wall. Meticilin-susceptible Staphylococcus aureus was isolated from blood cultures and from sternal aspiration liquid. Two months after clinical onset Ig G 4 elevation was achieved at the immunodeficiency screening. Stafilococycal lung CT images accompanied to the septic course. Intravenous cloxacilin and gentamycin treatment followed by oral rifampicin and levofloxacin achieved a total recovery

[Smoking of in-patients]. / Tabaquismo en pacientes hospitalizados.

OBJECTIVE: To asses the knowledge and attitude about smoking habit of in-patients in order to detect the sanitary activities that could help to decrease the prevalence of smoking. MATERIAL AND METHODS: Cross-sectional observational study of random sample (n=395) of in-patients of University Hospital Virgen Macarean, Seville, Spain. Participation rate was 89% (n=350) and the interviewer-administered questionnaire was completed with epidemiological and clinical additional data. RESULTS: Sixty per cent of in-patients were smokers or former smokers. There were statistically significant differences in smoking distribution by age, gender, education, socio-economic level and admission diagnosis. Etiologic relationships between tobacco smoking and lung cancer or chronic lung disease were known by more than 90% of in-patients but other smokings health effects were not so well known: larynx (86%), oesophagus (86%) and oral cavity (81%) cancer, coronary heart disease (82%) and low birthweight (78%). Forty-five per cent of smokers began to smoke before the age of 15 and an additional 40% at 15-19 year. Forty-six per cent of smokers tried to leave this habit without success in spite of receiving medical advice of leaving smoking (61%) and the recommendations of family and friends (60%). CONCLUSIONS: Preventive campaigns against tobacco smoking must include pharmacological and psicological treatment for current smokers because an important proportion of them try to leave this habit without success.