RESUMEN
OBJECTIVES: Pathology and laboratory medicine (PALM) services in low- and middle-income countries are essential to combat the increasing prevalence of cancer in addition to providing documentation of cancer types and trends for future allocation of public health resources. There are many ways PALM as a whole can engage on the global health front. This study summarizes the efforts and results of a global health educational and clinical elective for pathology residents in Quetzaltenango, Guatemala. METHODS: Pathology residents led and implemented the project, working alongside an in-country pathologist and project collaborator to instill project sustainability and allow for future capacity building. RESULTS: An educational elective was established between the pathology departments of the University of Virginia and Hospital Regional de Occidente in Quetzaltenango, Guatemala. Two residents at a time engaged in a month-long educational elective assisting and learning from the in-country pathologist in anatomic pathology clinical work. CONCLUSIONS: The project is an example of a global health initiative centering on the enhancement of PALM services in a low-resource environment via a bidirectional, sustainable educational exchange.
Asunto(s)
Salud Global , Internado y Residencia , Educación en Salud , HumanosRESUMEN
Presenting the case of a previously healthy eleven-year-old girl, diagnosed with septic arthritis of the left knee as a result of stabbing trauma, which subsequently develops respiratory distress and fever. Septic pulmonary embolism is diagnosed radiologically and by pathological study. Receive adequate antibiotic treatment, recovering completely. Septic pulmonary embolism, although frequently described in the adult population, is a condition rarely described in pediatric literature.
Se presenta el caso de una niña de once años previamente sana, con diagnóstico de artritis séptica de rodilla izquierda como resultado de un traumatismo punzante, que posteriormente desarrolla dificultad respiratoria y fiebre. Se diagnostica embolia pulmonar séptica documentada radiológicamente y por estudio anatomopatológico. Recibe tratamiento antibiótico adecuado, recuperándose completamente. La embolia pulmonar séptica, aunque frecuentemente descrita en población adulta, es una condición raramente descrita en la literatura pediátrica.
Asunto(s)
Humanos , Femenino , Niño , Embolia Pulmonar/etiología , Artritis Infecciosa/complicaciones , Embolia Pulmonar/tratamiento farmacológico , Embolia Pulmonar/diagnóstico por imagen , Radiografía Torácica , Tomografía Computarizada por Rayos X , Sepsis , Antibacterianos/uso terapéuticoRESUMEN
La neurocisticercosis es causa de epilepsia tardía en muchos países, principalmente en los países en vías de desarrollo. Se adquiere al ingerir huevos de Taenia solium en alimentos y agua contaminados. La Taenia solium se adquiere ingiriendo el cisticerco, cuando consumimos carne de cerdo mal cocida. Presentamos los hallazgos de 30 pacientes operados en el Hospital General San Juan de Dios de la ciudad de Guatemala, de junio 2007 a junio 2012, de los cuales 17 son del sexo femenino y 13 del sexo masculino; el rango de edad fue de 11 a 65 años y la década de mayor presentación fue de 21 a 30 años (12 pacientes). Se revisaron los expedientes de 18 pacientes, encontrando que las lesiones fueron 7 en parénquima, 7 intraventriculares y 4 subaracnoideas. Los síntomas más referidos fueron náuseas, cefalea y vómitos. El diagnóstico por imagen se hizo en 11 casos por tomografía axial computarizada y en 7 por resonancia magnética. En 3 hubo eosinofilia. Se realizó la clasificación histológica del estadio del cisticerco, encontrando 12 en el estadio vesicular, 5 en el estadio vesicular coloidal, 12 en el estadio granular nodular y uno en el estadio calcificado (AU)
Neurocysticercosis causes late epilepsy in many countries, but mainly in developing countries. It is acquired by ingesting Taenia solium eggs in contaminated food and water. Taenia solium is acquired by the intake of the cysticercus in undercooked pork. We present 30 patients from the General Hospital San Juan de Dios in Guatemala City, who underwent surgery between June 2007 and June 2012. 17 were female and 13 male, the age range was 11-65 years with a majority of patients (12) aged between 21-30 years. We reviewed the records of 18 patients, finding 7 parenchymal lesions, 7 intraventricular lesions, and 4 subarachnoideal lesions. The most frequent symptoms were nausea, vomiting and headaches. Diagnosis by imaging was carried out in 11 cases by CT scan and 7 by MRI. Three patients had eosinophilia. Histological classification was performed to stage the cysticerci: 12 were in the vesicular stage, 5 in the colloidal vesicular stage, 12 in the granular nodular stage and 1 in the calcified stage (AU)
