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1.
Int J STD AIDS ; 14(12): 810-3, 2003 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-14678588

RESUMO

Little is known about the effect of human immunodeficiency virus (HIV) infection on the Central American healthcare system. We describe HIV-related admissions in a Guatemalan medical service. The study was conducted at Guatemala City's largest public hospital. Data were derived from standardized data collection sheets maintained by the HIV testing service and by HIV clinic physicians. Data were collected for 295 medicine admissions of 257 HIV-infected adults during an 18-month period in 1999 and 2000; 30% of the patients were women. Average age was 33 years. Only 12.5% of the patients had been diagnosed with HIV infection prior to 1999 and nearly all had symptomatic AIDS. 60.3% of the patients were diagnosed with HIV infection during their hospitalization. The most common discharge diagnoses were tuberculosis (13.9%), toxoplasmosis, diarrhoea, candida and other fungal infections, and meningitis. Mean length of stay for HIV-positive patients was 17 days. 23.7% of the patients died during their hospitalization; this was double the mortality of non-HIV patients. HIV-infected patients represented 5.8% of the total admissions of the general medical wards. In a country where HIV prevalence is thought to be less than 1%, AIDS is now responsible for over 5% of admissions to a large medical service at a cost of $500,000 per year. These findings underline the importance of HIV infection in Central America and demonstrate the utility of tracking hospital admission data as a method of surveillance.


Assuntos
Infecções por HIV/epidemiologia , Hospitais Públicos , Admissão do Paciente/estatística & dados numéricos , Infecções Oportunistas Relacionadas com a AIDS/complicações , Infecções Oportunistas Relacionadas com a AIDS/diagnóstico , Infecções Oportunistas Relacionadas com a AIDS/economia , Infecções Oportunistas Relacionadas com a AIDS/epidemiologia , Adulto , Diarreia/complicações , Diarreia/diagnóstico , Feminino , Guatemala/epidemiologia , Infecções por HIV/complicações , Infecções por HIV/diagnóstico , Infecções por HIV/economia , Mortalidade Hospitalar , Humanos , Tempo de Internação/economia , Tempo de Internação/estatística & dados numéricos , Masculino , Meningite/complicações , Meningite/diagnóstico , Micoses/complicações , Micoses/diagnóstico , Admissão do Paciente/economia , Toxoplasmose/complicações , Toxoplasmose/diagnóstico , Tuberculose/complicações , Tuberculose/diagnóstico
2.
Rev. guatemalteca cir ; 3(1): 27-9, ene.-abr. 1994. ilus
Artigo em Espanhol | LILACS | ID: lil-136057

RESUMO

Aunque el hallazgo de tejido tiroideo ectópico en un quiste tirogloso ha sido reportado con una incidencia del 3 al 45/100,su asociación con cáncer no supera el 1/100. Se presenta el caso de una mujer de 38 años, con un voluminoso quiste tirogloso en el que asentaba un carcinoma papilar, que fue descubierto incidentalmente en la pieza quirúrgica. No existía evidencia de patología tiroidea asociada, en la centellografía preoperatoria ni en la inspección transoperatoria de la glándula. El tumor estaba limitado por la cápsula del quiste y no se encontró adenopatía macrosópicamente sospechosas de metástasis. El tratamiento quirúrgico consistió en la remoción del quiste en bloque con la porción central del hueso hiodes hasta la base de la lengua(operación de Sistrunk). Se discute el manejo quirúrgico de esta excepcional forma de presentación del cáncer papilar del tiroides


Assuntos
Humanos , Feminino , Adulto , Carcinoma Papilar , Cisto Tireoglosso , Neoplasias da Glândula Tireoide
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