Assuntos
Equinococose Pulmonar/diagnóstico por imagem , Criança , Humanos , Masculino , Marrocos/etnologia , Radiografia , Espanha , MigrantesRESUMO
The aim of this study is to describe epidemiology, patogénesis, pulmonary manifestations and Rx findings in adult patients with varicella pneumonia (VP). Four patients were studied. The diagnosis was established by clinical and radiologic criteria. All had fever , esanthem, 3 cough, 2 dyspnea. Chest X-ray showed interstitial micronodular pattern at bases. 1 case developed airspace consolidation by Staphylococcus aureus. 2 were admitted to ICU. The four received IV acyclovir. We concluded that adults patients with VP usually show nodular infiltrates, with favourable course.
Assuntos
Varicela/diagnóstico por imagem , Pneumonia Viral/diagnóstico por imagem , Radiografia Torácica , Tomografia Computadorizada por Raios X , Aciclovir/administração & dosagem , Aciclovir/uso terapêutico , Adulto , Fatores Etários , Antivirais/administração & dosagem , Antivirais/uso terapêutico , Varicela/tratamento farmacológico , Feminino , Herpesvirus Humano 1 , Humanos , Masculino , Pneumonia Viral/tratamento farmacológico , Fatores de Tempo , Resultado do TratamentoRESUMO
El propósito de este estudio es describir epidemiología, patogénesis, manifestaciones pulmonares y hallazgos radiológicos en pacientes adultos con neumonía varicelosa (NV). Presentamos a 4 pacientes adultos, el diagnóstico de establecido según clínica y radiología. Todos presentaron fiebre y exantema, 3 tos y 2 disnea. La radiología demostró patrón intersticial micronodular basal. 1 caso de sobreinfección por Staphilococcus aureus. 2 ingresaron en UCI. Todos recibieron tratamiento intravenoso con aciclovir. La NV, suele presentar infiltrados nodulares, siendo generalmente de curso favorable
The aim of this study is to describe epidemiology, patogénesis, pulmonary manifestations and Rx findings in adult patients with varicella pneumonia (VP). Four patients were studied. The diagnosis was established by clinical and radiologic criteria. All had fever , esanthem, 3 cough, 2 dyspnea. Chest X-ray showed interstitial micronodular pattern at bases. 1 case developed airspace consolidation by Staphylococcus aureus. 2 were admitted to ICU. The four received IV acyclovir. We concluyed that adults patients with VP usually show nodular infiltrates, with favourable course
Assuntos
Masculino , Feminino , Adulto , Humanos , Pneumonia/complicações , Pneumonia , Herpes Simples/diagnóstico , Exantema/diagnóstico , Aciclovir/uso terapêutico , Staphylococcus aureus/isolamento & purificação , Radiografia Torácica/métodos , Radiografia Torácica/tendências , Fatores de Risco , Dispneia/complicações , Dispneia/diagnóstico , Varicela/complicações , Varicela/diagnóstico , Diagnóstico DiferencialRESUMO
La patología relacionada con los accidentes de buceo es quizás poco conocida por su baja prevalencia. Se clasifica en no disbárica o disbárica, en función de su relación con cambios de presión. Presentamos el caso de un buceador que, después de realizar una inmersión de 30 minutos a 22 metros de profundidad, presentó bradipsiquia y afasia transitoria. En la tomografía axial computarizada craneal se objetivó un infarto silviano izquierdo. Se realizó tratamiento en cámara hiperbárica con buena evolución clínica. En relación con el caso, revisamos las distintas formas de presentación de los accidentes disbáricos, así como la utilidad de la cámara hiperbárica en el tratamiento
Clinical alterations related to diving accidents are little known perhaps because of its low prevalence. They can be classified as dysbarism-related and non-dysbarism-related according to its relation with pressure changes. We present the case of a diver that showed bradypsychia and transitory aphasia after carrying out an immersion of 30 minutes in duration and 22 meters deep. A left sylvian cerebral infarct was demostrated in cranial computerized axial tomography. Treatment was carried out in a hyperbaric chamber with good clinical evolution. We review with regard to this case the different forms of clinical presentation of dysbarism-related accidents, as well as the usefulness of the hyperbaric chamber in their treatment
Assuntos
Masculino , Adulto , Humanos , Mergulho/efeitos adversos , Embolia Intracraniana/fisiopatologia , Embolia Aérea/fisiopatologia , Oxigenoterapia Hiperbárica/métodos , Embolia Intracraniana/terapia , Tomografia Computadorizada por Raios X/métodosRESUMO
The granulomatous colitis represents the peculiar clinical and radiological manifestations of the Crohn disease, localized in the colon. Although it can be localized in any organ of the digestive apparatus, the affection of the colon follows in importance to the ileocecal, with identical pathologic characteristics. The radiology is a fundamental pillar of the diagnostic when there are established direct and indirect signs of the macroscopic alterations, of its development and complications. We present our experience in 53 cases of granulomatous colitis of which, there was in 25 of them, besides ileal afectation. Three patients in precocious phase, presented irregular contours and inflammatory polypus, standing out the importance of the mucous patron study. In no estenotic phase with evident signs of the granulomatous afectation, there were observed 42 cases with typical patron on cobblestone and 8 cases in no estenotic phase with looseness of mucous relief and haustras. The presence of fistulizations was little frequent, only in two cases.