Síndrome mononucleósico con patrones viroinmunológicos similares a los de una primoinfección VIH-1 tras interrupción del tratamiento antirretroviral eficaz / Mononucleosid syndrome with virologic and immunologic patterns of primary infection VIH-1 after discontinuation highly active anteretroviral therapy

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[Streptococcus agalactiae infection in adults. Presentation of 3 cases]. / Infección por Streptococcus agalactiae en adultos. Presentación de tres casos.

The Streptococcus of the B group was considered during many years, as a women's prelabor pathogen and neonatus. Lastly an increase of the infections is observed, for this germ in adults, without being in connection with the pregnancy. The Streptococcus agalactiae, affect above all to patients, with any type of illness underlying. The most susceptible are the diabetics and focus of more habitual infection, the soft tissues and the bone. We described three cases of infection by Streptococcus agalactiae in adults picked up during two years, in a Service of Internal Medicine with 51 beds. We are revised Medline, from the year 1985, until 1995, confirming the drop incidence of cases.

[Regression of cardiac hypertrophy in hypertensive patients treated with captopril]. / Regresión de la hipertrofia cardiaca en pacientes hipertensos tratados con Captopril.

We studied the echographic LVH indexes early detected in recent AHT. We analyzed the LVH regression after 12 months of treatment with Captopril. We describe the modifications observed in the lipidic metabolism. We studied 25 patients with an average age of 40 years and maximum essential arterial hypertension with 15 months of evolution. Septal thickness showed a reduction in systole and diastole at 6 months (p < 0.01). The posterior wall thickness decreased 3 mm in systole and diastole at 12 months (p < 0.001). Afterload diastolic diameter improved at 6 months. LV mass decreased from 321 gr to 279 gr at 6 months and to 268 at 12 months (p < 0.001); the same reduction was observed in mass index. At six months, total cholesterol and LDL had decreased (p < 0.05) and HDL-cholesterol had increased, although without statistical significance. Triglycerides showed a significant decrease at 12 months (p < 0.001). Seventy per cent of the patients were controlled with Captropil 100 mg/day and the remainder, with 50 mg.

[Double blind comparative randomized study of the efficacy of celiprolol versus amiloride-hydrochlorothiazide in mild to moderate AHT]. / Estudio comparativo randomizado a doble ciego de la eficacia del celiprolol "versus" amiloride-hidroclorotiazida en la HTA ligera-moderada.

We tried to assess the antihypertensive effectivity of a betablocker, celiprolol, in the control of mild to moderate essential arterial hypertension. A double-blind randomized comparative study was conducted between celiprolol and amiloride-hydrochlorothiazide in 40 patients with mild to moderate essential hypertension. Both drugs were effective in the therapeutical control of hypertension, although reductions in systolic blood pressure were more significant among the celiprolol group, being the percentage of patients with reduction of diastolic blood pressure below 90 mmHg., 89.5% in the celiprolol group and 82.4% in the amiloride group. The average dose of celiprolol used was 200 mg/day, with few mide effects.