RESUMO
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.
Assuntos
Encefalopatias/complicações , Calcinose/complicações , Disartria/etiologia , Ataque Isquêmico Transitório/etiologia , Idoso , Encefalopatias/diagnóstico por imagem , Calcinose/diagnóstico por imagem , Clopidogrel , Disartria/tratamento farmacológico , Humanos , Ataque Isquêmico Transitório/tratamento farmacológico , Imageamento por Ressonância Magnética , Masculino , Inibidores da Agregação Plaquetária/uso terapêutico , Ticlopidina/análogos & derivados , Ticlopidina/uso terapêutico , Tomografia Computadorizada por Raios XRESUMO
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 (Fahrs disease). Arterial hypertension was the unique vascular risk factor disclosed
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Calcinose/complicações , Calcinose/diagnóstico , Disartria/complicações , Disartria/diagnóstico , Hipertensão/complicações , Hipertensão/diagnóstico , Inibidores da Agregação Plaquetária/uso terapêutico , Fatores de Risco , Acidose Láctica/diagnóstico , Crânio/patologia , CrânioRESUMO
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.
Assuntos
Osteomielite/microbiologia , Pneumonia Estafilocócica/diagnóstico , Sepse/diagnóstico , Infecções Estafilocócicas/diagnóstico , Adulto , Asma , Humanos , Imunocompetência , Masculino , Osteomielite/tratamento farmacológico , Pneumonia Estafilocócica/tratamento farmacológico , Sepse/tratamento farmacológico , Infecções Estafilocócicas/tratamento farmacológico , EsternoRESUMO
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
Assuntos
Masculino , Adulto , Humanos , Pneumonia/microbiologia , Osteomielite/microbiologia , Esterno/microbiologia , Sepse/microbiologia , Staphylococcus aureus/patogenicidade , Antibacterianos/uso terapêutico , Pneumonia/etiologia , Osteomielite/etiologia , Pneumonia/tratamento farmacológico , Osteomielite/tratamento farmacológicoRESUMO
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.