Cistitis enfisematosa. Reporte de un caso / Emphysematous cistitis. A case report

Resumen La cistitis enfisematosa hace referencia a una entidad infrecuente, generalmente secundaria a infecciones de vías urinarias bajas, que por diferentes mecanismos producen gas alrededor de la vejiga. Esta patología se asocia a gérmenes (E. Coli, Enterobacter Arogenes, y Klebsiella, entre otros), y factores de riesgo como género femenino, edad avanzada y diabetes. Este diagnóstico requiere un manejo oportuno, con antibioticoterapia dirigida y control de comorbilidades asociadas; a continuación, se reporta el caso de un paciente masculino de 81 años, en el hospital de San José de Bogotá, a quien se le diagnostica esta patología, con el respectivo aislamiento microbiológico, factores de riesgo, diagnóstico y manejo instaurado.

Abstract The emphysematous cystitis refers to an uncommon entity generally secondary to low urinary tract infections producing gas around the bladder. It is associated with infections by E. Coli, Enterobacter Arogenes, and Klebsiella as well as patient risk factors such as advanced age, diabetics and female gender. The diagnosis requires a timely management as well as directed antibiotic and associated comorbidities control. In the following case report a male patient is described in the hospital of San José de Bogotá in whom this pathology is diagnosed. In the following case report we going to describe etiologies diagnosis and therapy.

DCD and DBD lung transplantation optimized by ex vivo perfusion: What to do when the pump fails.

BACKGROUND: Ex vivo perfusion is a safe and feasible method of assessing and using high-risk donor organs. AIM: We describe a case of successfully ex vivo treated and transplanted human lung allografts. METHODS: Donor human lungs were assessed using ex vivo, our trouble shooting protocol allowed safe recovery. RESULTS: We successfully implanted our ex vivo treated organs.

In vivo resuscitation, perfusion, and transplantation of a porcine cardiac allograft donated after circulatory death.

OBJECTIVES: To test the feasibility of a novel method of heart donation under circulatory death criteria that allows precardiectomy donor heart assessment. MATERIALS AND METHODS: This is a translational study utilizing 16 female Yorkshire pigs in a series of eight heart transplant procedures under a circulatory death model. RESULTS: Successful resuscitation of the donor hearts occurred in seven out of eight animals. All seven of these hearts were deemed to have good function and were successfully transplanted. In the animal in which donor heart resuscitation was not successful, the transplant was aborted, and a left ventricular assist device (LVAD) was placed in the recipient's heart. CONCLUSION: This animal study demonstrates the feasibility of using this novel technique for resuscitation and precardiectomy evaluation of donated after circulatory death hearts. For those donor hearts without adequate function, an LVAD can be safely implanted as a "bail-out" option. The limitations of this technique are the patient population to which it can be applied (only those patients eligible and consented for LVAD).

Acerca de la tuberculosis extrapulmonar / On extrapulmonary tuberculosis

La tuberculosis es una enfermedad infecciosa de gran prevalencia en países en vía de desarrollo como el nuestro. Aunque el compromiso pulmonar es el más frecuente y de impacto en la salud pública, existen varias formas extrapulmonares con diversas presentaciones clínicas y de difícil diagnóstico, recalcando la importancia de sospechar estas patologías para intervenciones oportunas y que impacten en la morbimortalidad. En este artículo se presentan cuatro casos clínicos donde se sospechó tuberculosis extrapulmonar (pericárdica, peritoneal, pleural y meníngea) en el Hospital de San José de Bogotá, describiendo la forma en que se realizó o se descartó la tuberculosis extrapulmonar y haciendo una breve descripción del rendimiento de diferentes pruebas diagnósticas.

Tuberculosis (TB) is an infectious disease with high-prevalence in developing countries as ours. Although pulmonary involvement is most common and is associated with greater impact on public health, there are various forms of extrapulmonary TB (EPTB) exhibiting various often difficult to diagnose clinical presentations, highlighting the importance of suspecting these pathologies in order to conduct timely interventions that impact their morbidity and mortality rates. This article presents four clinical cases at San José Hospital in Bogotá where EPTB disease was suspected (pericardium, peritoneum, pleura and meninges), describing the way EPTB disease was diagnosed or ruled out and briefly defining the diagnostic performance of various tests.