- Tuberculosis Research and Epidemiology
- Pneumocystis jirovecii pneumonia detection and treatment
- COVID-19 Clinical Research Studies
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Pneumonia and Respiratory Infections
- Pleural and Pulmonary Diseases
- Health and Medical Education
- Diagnosis and treatment of tuberculosis
- Drug-Induced Adverse Reactions
- Lung Cancer Diagnosis and Treatment
- Educational Innovations and Technology
- Immunodeficiency and Autoimmune Disorders
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Chronic Disease Management Strategies
- Respiratory Support and Mechanisms
- Public Health and Environmental Issues
- Obstructive Sleep Apnea Research
- Inhalation and Respiratory Drug Delivery
- International Relations in Latin America
- Mycobacterium research and diagnosis
- Long-Term Effects of COVID-19
- Respiratory and Cough-Related Research
- HIV/AIDS oral health manifestations
- Vascular Anomalies and Treatments
- Pulmonary Hypertension Research and Treatments
Hospital Nacional Dos de Mayo
2014-2025
Universidad Ricardo Palma
2020-2024
Instituto de Investigaciones en Ciencias de la Salud
2022
ORCID
2021
Universidad de San Martín de Porres
2019-2021
Medico
2019-2021
Universidad Continental
2021
National University of San Marcos
2013
Mayo Clinic
2011-2012
Ministerio de Salud
2010
The overlap of Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) Stevens-Johnson syndrome (SJS) caused by antituberculosis drugs represents an extremely rare event. This situation can manifest between 2 8 weeks after the first exposure to medication. these conditions lead atypical clinical manifestations, thus complicating early diagnosis implementation treatment. report describes case a patient who developed DRESS/SJS 35 days starting experienced severe skin systemic...
Current recommendations for the treatment of rifampicin- and multidrug-resistant tuberculosis include bedaquiline (BDQ) used 6 months or longer. Evidence is needed to inform optimal duration BDQ.
BackgroundCough frequency, and its duration, is a biomarker that can be used in low-resource settings without the need of laboratory culture has been associated with transmission treatment response. Radiologic characteristics increased cough frequency may important understanding transmission. The relationship between cavitary lung disease not studied.MethodsWe analyzed data 41 adults who were HIV negative had culture-confirmed, drug-susceptible pulmonary TB throughout treatment. Cough...
Pulmonary lophomoniasis is a rare and life-threatening disease, most commonly reported across Asian Latin American countries. Here, we have two cases of pulmonary presenting with atypical manifestations. Case #1 represents 19-year-old male patient clinical characteristics suggestive tuberculosis, hemoptysis receiving antituberculosis treatment. #2 69-year-old man post-tuberculosis disease cystic bronchiectasis polymicrobial co-infection. Based on our case experience, should be considered in...
Tuberculosis (TB) poses a significant global public health challenge, particularly in developing countries. Over the years, scientific research has played pivotal role addressing this disease. In study, we aimed to analyze and outline trends output on TB identify priorities Latin America (LA) from 1990 2021. Scientific production was analyzed, number of publications, financing sources, journal characteristics were evaluated. Collaboration networks keywords visualized using mapping analysis...
La enfermedad de COVID-19 es una infección fácil transmisión al igual que otros virus respiratorios, reportándose casos coinfección Influenza en épocas estacionales. Se presentan 5 y el la siendo más frecuente A, los síntomas odinofagia congestión nasal pueden hacer pensar existente entre estos dos virus, esta no se relacionan con peor pronóstico ni mortalidad aparentemente.
La obesidad en niños y adolescentes está experimentando, a nivel mundial, un incremento progresivo su prevalencia, del cual nuestro país no es ajeno. Objetivo: Describir la distribución índice de masa corporal determinar prevalencia escolares pre púberes 6 10 años edad el distrito San Martín Porres provincia Lima. Material Métodos: Fueron seleccionados al azar 1636 (879 sexo masculino 757 femenino) seis centros educativos estatales Porres, distribuidos cinco grupos etarios. Resultados:...
Objetivo: Determinar los factores asociados a la adherencia al tratamiento de erradicación Helicobacter pylori en pacientescon infección. Materiales y métodos: Se realizó un estudio observacional analítico cohorte prospectivo longitudinaldonde se incluyó 100 pacientes que iniciaron el pylori. aplicó test Morisky Green para medir Batalla conocimiento sobre infección prueba Chi cuadrado determinar asociación con análisis regresión logística estimar RR crudo ajustado. Resultados: De pacientes,...
Objetivo: Determinar la asociación entre depresión y falta de adherencia al tratamiento antituberculoso en pacientes del Hospital Nacional Dos Mayo (Lima, Perú) durante el año 2017. Material Métodos: Estudio observacional, descriptivo prospectivo 50 con Tuberculosis que finalizaron primera fase Esquema Sensible tratamiento. Se aplicó cuestionario PHQ-9 para determinar depresión, Morisky-Green evaluar Resultados: evaluaron 28 varones 22 mujeres diagnóstico reciente TB pulmonar estado...
Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a rare, life-threatening adverse caused by certain medications. Clinical findings usually include rash, fever, lymphadenopathy, eosinophilia, in some cases, they may affect major organs. This antituberculosis (TB) medication poses public health risk due to treatment discontinuation, adherence, or success cure. We present 23-year-old female patient who developed DRESS as result of group A anti-TB drugs (ATDs), an...
Pharyngeal tuberculosis without pulmonary involvement is very rare and may be confused with malignant lesions. We present a 45-year-old female patient history of HIV presenting cough, sore throat, oral ulcers chronic use antibiotics. The evolution would indicate probable tumor, but the biopsy was consistent TB. initiated anti-tuberculosis therapy demonstrated improved conditions remission ulcers. In context HIV, this treatment could major contributor to underdiagnosis disease lead...
Bullous lung disease caused by tuberculosis is rare, and complications have a poor prognosis with uncertain pathophysiologic mechanisms. We describe 29-year-old male patient who was admitted to the emergency department due bilateral tension pneumothorax, which complicated bronchopleural fistula. This managed placement of chest tubes, continuity anti-TB drug treatment, Heimlich valve placement.
Abstract Introduction Smoking is a well-established risk factor for hypertension (HTN) and high blood pressure (HBP); however, there are controversies regarding whether it merely the act of smoking that increases HTN or if quantity tobacco consumed influences it. Objective To determine relationship between different statuses index (GTI) with presence HBP in Peruvian population. Methods An analytical cross-sectional study based on data obtained from Peru’s Demographic Family Health Survey...
Rationale: Antituberculosis drugs (ATDs) could cause severe and rare reactions, such as Drug Reaction with Eosinophilia Systemic Symptoms (DRESS) syndrome. Recovering ATDs might guarantee a higher cure rate for tuberculosis patients. Our aim was to evaluate the results of desensitization re-desensitization recover in case series patients DRESS Patient concerns diagnoses: A retrospective study conducted on syndrome due therapy from 2021 2023. Desensitization protocols, designed an algorithm...
Introducción. En los últimos años se ha reportado un aumento en el número de casos tuberculosis (TB) multidrogoresistente (MDR) a nivel mundial. Esto implica incremento las tasas mortalidad debido que tratamiento la TB-MDR es complejo y presencia diferentes factores riesgo estos pacientes. Objetivo. Determinar pacientes con atendidos Servicio Neumología del Hospital Nacional Dos Mayo (Lima, Perú) entre 2014 2018. Materiales métodos. Estudio retrospectivo controles realizado 305...
Objetivos: Determinar los conocimientos, actitudes y sintomatología frente a la menopausia en las mujeres de un distrito rural sierra peruana. Material Métodos: Se realizó una encuesta clínica 40 50 años edad del La Ramada sobre conocimiento, menopausia. Resultados: evaluó total 97 edad, quienes definieron como proceso natural (90.72%), presentando alivio (85.56%) frustración (69.07%) mayoritariamente, con prioritaria cambios vasomotores (44.36%). El 38.14% refirió alteraciones el estilo...
El pulmón con secuela de tuberculosis es un diagnóstico frecuente limitación en la función pulmonar que requiere estudio. Objetivo: Determinar las alteraciones espirométricas más frecuentes pacientes requirieron hospitalización, grado severidad y respuesta a broncodilatadores. Material Métodos: Se realizó estudio descriptivo transversal retrospectivo revisión los informes espirometría realizadas durante el año 2007 Unidad Función Pulmonar del Servicio Neumología Hospital Nacional Dos Mayo....
Objetivo. Determinar la variacion a traves del tiempo, de las causas hemoptisis en pacientes hospitalizados.Material y Metodos. Estudio retrospectivo transversal. Se reviso 251 historias clinicas que fueron hospitalizados el Hospital Dos Mayo Lima con diagnostico durante periodo 2000-2011. recolecto variables como edad, sexo, procedencia, historia tabaquismo, ocupacion, antecedente tuberculosis, entre otras.Resultados. Las principales fueron: tuberculosis activa (41,43 %), bronquiectasias...
In times of social distancing we need to be more united than ever.We are currently living an unprecedented reality, which will inevitably lead us change our way behaving as beings, that is, living.
Objetivo: Determinar el nivel de conocimientos y actitudes sobre Síndrome Apnea Hipoapnea Obstructiva del Sueño (SAHOS) en cirujanos, traumatólogos anestesiólogos Hospital Nacional Daniel Alcides Carrión (HNDAC), Callao, Perú. Materiales métodos: Estudio descriptivo transversal realizado 90 médicos anestesiólogos. Se utilizó cuestionario OSAKA (Conocimientos Actitudes Sueño) validado su versión español para medir los SAHOS. Resultados: En se encontró una media 10,71 ± 3,78), (máximo 19...