Therapeutic hypothermia (TH) is nowadays one of the most important methods neuroprotection. The events that occur after an episode ischemia are multiple and can affect various steps this cascade. mechanisms action TH varied possible explanation for benefits therapy probably blocking cascade on many levels. metabolic pathways, reactions inflammation, apoptosis processes, promote neuronal integrity. To know will allow a better understanding about indications possibility searching other...

The well-reported methotrexate (MTX) toxicities are based on the duration and cumulative dosing of drug. typical can be predicted by timing drug administration, where mucositis occurs as an earlier effect, while myelosuppression sequelae pancytopenia occur later after MTX administration. Despite these well-known toxicities, low dose therapy become problematic, in particular with elderly, who at a greater risk for significant myelosuppression. We present case 73-year-old female causing severe...

Abstract Aim The incidence of urinary tract infection (UTI) in pregnant women may vary from 5–10% and depends on parity, race, socioeconomic status anatomical functional changes pregnancy. In Mexico, preterm birth accounts for 75% perinatal deaths 50% the neurological sequelae attributable directly to prematurity. objective present study is describe maternal complications with UTI caused by Escherichia coli find out antimicrobial susceptibility pattern. Methods A descriptive longitudinal...

Neuroarthropathy (neuropathic osteoarthropathy), also known as Charcot joint, is a condition characterized by progressive articular surface destruction in the setting of impaired nociceptive and proprioceptive innervation involved joint. It seen most commonly foot ankle secondary to peripheral neuropathy associated with diabetes mellitus. Cases hip (Charcot) neuroarthropathy are rare almost exclusively reported patients neurosyphilis (tabes dorsalis). We report case 36-year-old man who...

The presence of Strongyloides stercoralis infection in patients with systemic lupus erythematosus (SLE) has been described previously. hyperinfection syndrome (SHS) that usually develops under immunosuppressive therapy may affect a variety organs, but the presentation diffuse alveolar hemorrhage (DAH) is rare only few cases literature. We present case 36-year-old Hispanic female past medical history relevant for SLE and recent diagnosis nephritis hypertension. patient who developed sudden...

Chylous ascites is very rare in HIV/AIDS and its association with Mycobacterium avium complex-immune reconstitution inflammatory syndrome (MAC-IRIS) has been rarely reported. Here, we report a case of young African-American male who developed chylous as late sequela to immune while on treatment for MAC. Antiretroviral drug-naive patients start HAART close proximity the diagnosis an opportunistic infection have rapid decline HIV RNA level should be monitored development IRIS. Although long...

Pleural effusions are one of the rarest complications reported in patients with silicone gel filled breast implants. The implants have potential to provoke chronic inflammation pleura and subsequent pulmonary such as pleural effusion. Herein, we report a 44-year-old female who presented left sided effusion, six weeks after implantation surgery. most common infectious, inflammatory, malignant causes effusion were excluded fluid cytology cultures. With recurrent setting recent surgery,...

This study aimed to determine the resistance patterns of Escherichia coli (E. coli) in Mexico several antibiotics and research some therapeutic options.Positive cultures for E. isolated from bronchial secretions, urine, central catheter, blood, infected wounds Culiacan General Hospital, Sinaloa, 30 June 2004 1 July 2007 were studied. Resistance against multiple was measured compared by gender hospital unit where bacteria isolated.In total, 1511 specimens analyzed men (45.4%) women (54.5%),...

Inflammatory myofibroblastic tumors are rare lesions that have been described in virtually every organ including the gastrointestinal tract. The esophagus is an extremely unusual site for these tumors, with only a few cases literature. Surgery has most common therapeutic approach used resection of lesions. In present case, patient diagnosed inflammatory tumor upper was reported, and it successfully removed by endoscopy no complications.

Vanishing lung syndrome (VLS) is a rare and distinct clinical that usually affects young men. VLS leads to severe progressive dyspnea characterized by extensive, asymmetric, peripheral, predominantly upper lobe giant bullae. Case reports have suggested an additive role of marijuana use in the development this disease male tobacco smokers. We herein report case 65-year-old Hispanic previously diagnosed with emphysema acquired immune deficiency (AIDS), history intravenous heroin active smoking...

Adenocarcinoma of the lung is most common form cancer in nonsmokers. It commonly seen periphery lungs. Myasthenia gravis generally associated with mediastinal malignancies and rarely adenocarcinoma lung. We present a case 38-year-old male nonsmoker rapidly progressive myasthenia gravis, patient whom expired within 27 days hospital admission diagnosis.

Mycotic aneurysms of the common femoral artery are rare and usually occur in intravenous drug abusers who use vessels for injection. We herein describe a case mycotic aneurysm caused by methicillin-sensitive Staphylococcus aureus seeding an atherosclerotic plaque which bacteria possibly originated from psoriatic skin lesions. A 67-year-old Caucasian man was admitted to hospital after experiencing chest pain two days. He known have psoriasis coronary disease with history bypass grafting...

A 25-year-old Hispanic female with a history of anemia, schizoaffective disorder, and psychosis was admitted for anemia associated fatigue, weakness, shortness breath, night sweats, weight loss, abdominal lower back pain the past two months. On routine management, she found to have positive serum b-HCG 80.4 (0–5 mIU/mL) but patient denied any sexual activity in her life. During admission, U/S pelvis noncontributory. CT angiogram chest significant prominent mediastinal hilar lymph nodes,...

A 46-year-old African-American male with past medical history significant for Kartagener's syndrome, essential hypertension, and HIV presented acute chest pain. ECG troponins indicated an myocardial infarction. Ventriculography confirmed dyskinesia of the left ventricle, EF 25%. However coronary catheterization showed nonobstructed coronaries. Ventricular contraction were restored in 4 weeks. To our knowledge, this is first incidence Takotsubo's reported a young patient syndrome. Chronic...

A 50-year-old AIDS patient with a CD4 T-cell count of 114/mm(3) was admitted cerebellar symptoms left CN XI weakness, wide-based gait left-sided dysmetria, abnormal heel-knee-shin test, and dysdiadochokinesia. MRI showed region hyperintensity in the inferior hemisphere involving cortex underlying white matter. Serological tests for HSV1, HSV2, syphilis were negative. Her CSF contained high protein content WBC 71/mm(3), predominantly lymphocytes. The also negative cryptococcal antigen VDRL....

Purpose: To estimate the incidence of preeclampsia in pregnant women with pregestational diabetes and to identify risk factors for preeclampsia. Material methods: A retrospective cohort study was conducted compared a random sample non-diabetic from population served period January 2017 August 2019 at Obstetrics Service Women's Hospital. By means multiple logistic regression were estimated. Results: 10% 90% cases type 1 2 mellitus respectively. The 22.5%. Chronic hypertension (OR: 28,...