RESUMO
A 65-year-old immunocompromised woman presented with progressive dyspnea and sacroiliac joint pain. Cardiac magnetic resonance showed abnormal right ventricular filling with septal bounce and abnormal pericardial enhancement, suggestive of constrictive pericarditis. Cultures from pericardium following pericardiectomy grew Coccidioides immitis. She was diagnosed with coccidioidomycosis and responded to pericardiectomy and amphotericin. (Level of Difficulty: Intermediate.).
RESUMO
Objetivo: Determinar la frecuencia de interrupción de la terapia de diálisis desde Enero del 2012 hasta Julio 2013 de los pacientes del servicio de nefrología del Hospital Nacional 2 de Mayo. Material y métodos: Se realizó un seguimiento de los mismos. Se evaluó a 190 pacientes, de los cuales se retiraron 84 (44,21%). Resultados: El retiro de diálisis se relacionó con una indicación de inicio de diálisis de menos de 6 meses OR: 6,27 (p= 0,011). Conclusiones: Se concluye que la frecuencia de retiro de diálisis es alta, posiblemente asociada a falta de cupos de diálisis.
Objective: To determine the frequency of interruption of the dialysis therapy from January 2012 until July 2013 of patients the National Hospital "2 de Mayo" -nephrology services. Material and methods: Monitoring was performed. Of 190 patients evaluated in our monitoring 84 (44.21 %) abandoned. Results: Dialysis interruption was related to a prescription of dialysis start of less than 6 months OR: 6.27 (p= 0.011). Conclusions: We conclude that the frequency of dialysis interruption is high, possibly associated to the lack of dialysis vacancies.