RESUMO
We describe a case of a 41-year-old female patient who was admitted with typical signs of thrombotic-thrombocytopenic purpura. Markers of myocardial ischemia (Troponin T, CK, CK-MB) were even present at admission without symptoms of angina pectoris. Only a few hours after admission the patient developed all signs of cardiogenic shock with subsequently cardiac arrest. Postmortal coronary angiographies showed occlusions in all coronary arteries with significant myocardial necrosis. We are unaware of any report that describes macrovascular occlusions in thrombotic-thrombocytopenic purpura.
Assuntos
Trombose Coronária/etiologia , Miocárdio/patologia , Púrpura Trombocitopênica Trombótica/complicações , Adulto , Trombose Coronária/diagnóstico , Feminino , Parada Cardíaca/etiologia , Humanos , Necrose , Choque Cardiogênico/etiologiaRESUMO
Group A streptococcal necrotizing fasciitis is a rare disease associated with high mortality. Since severe toxic shock syndrome is a common complication, only immediate and aggressive surgical intervention, adequate antimicrobial therapy and supportive intensive care can be life-saving. We report about successful treatment of a 60-year old patient with necrotizing fasciitis and multiple organ failure.
Assuntos
Fasciite Necrosante/diagnóstico , Fasciite Necrosante/terapia , Choque Séptico/prevenção & controle , Infecções dos Tecidos Moles/diagnóstico , Infecções dos Tecidos Moles/terapia , Antibacterianos/administração & dosagem , Cuidados Críticos/métodos , Fasciite Necrosante/complicações , Humanos , Perna (Membro)/microbiologia , Masculino , Pessoa de Meia-Idade , Choque Séptico/etiologia , Infecções dos Tecidos Moles/complicações , Resultado do TratamentoRESUMO
Described is a major new tool for solar research, conceived and built during a time of budget restraint.The observation of magnetic and velocity (circulation) field structure on a synoptic basis and with diffractionlimited resolution is the aim. New optical features include the use of oversize mirrors and windows(to avoid thermal edge effects) and the placement of the coelostat feed outside the vacuum, mainly foreconomy. The site selected has prevailing winds that clear thermals from these mirrors. Test data in theform of the system MTF and optical transmission, together with examples of full disk magnetograms andphotoheliograms, show present performance capability. Measured MTF indicates a response of 0.2 at 1sec of arc (whereas diffraction-limited response would be ~0.8). System transmission, including the accompanying spectrograph, is only 2-3% (lambdaO.44-1.1 microm). Thus, both the optical quality and efficiency aresubject to improvement.
