Medicina Clinica最新文献_第6页

Neuroborreliosis at the region of Asturias, Spain (2009-2022): Analysis of 38 cases. 西班牙阿斯图里亚斯地区的神经源性疾病（2009-2022 年）：对 38 个病例的分析。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-23 DOI: 10.1016/j.medcli.2024.09.020

Álvaro Criado-Antón, Patricia Zunzunegui-Arroyo, Pablo Siso-García, David Fuentes-Castañón, Santiago Fernández-Menéndez

{"title":"Neuroborreliosis at the region of Asturias, Spain (2009-2022): Analysis of 38 cases.","authors":"Álvaro Criado-Antón, Patricia Zunzunegui-Arroyo, Pablo Siso-García, David Fuentes-Castañón, Santiago Fernández-Menéndez","doi":"10.1016/j.medcli.2024.09.020","DOIUrl":"https://doi.org/10.1016/j.medcli.2024.09.020","url":null,"abstract":"Introduction: Diagnosis of neurological involvement in Lyme disease is based on two-step serological testing and cerebrospinal fluid pleocytosis. In Spain its incidence is much lower than in other European countries, being Asturias the region with the highest incidence. We tried to analyse the clinical and epidemiological aspects in the main hospital in Asturias.Material y methods: Retrospective observational study of patients admitted for Lyme disease in our center over 14years (2009-2022). Clinical, analytical and evolutionary variables were analyzed after one year. Active neuroborreliosis was diagnosed after registering pleocytosis and positive serologies at the cerebrospinal fluid.Results: 108 episodes were analyzed, corresponding to 100 patients coded at discharge as Lyme disease. 58 episodes are discarded due to diagnostic or coding error. 51 episodes were considered active disease, being 38 diagnosed of neuroborreliosis. Tick bite recall and erythema were reported in 55.3% and 31.6% of patients. The most frequent neurological syndromes were radiculoneuritis (36.84%), bilateral facial palsy (13.56%), radiculoneuritis and bilateral facial palsy (10.52%) and multiple cranial mononeuropathy (10.52%), among others. 78.9% achieved a complete recovery, and 15.79% developed post-treatment Lyme disease syndrome.Discussion: Despite the high incidence of Lyme disease in Asturias, the cases based on hospital admission that can be classified as active disease are lower than those published based on hospital coding. The main source of diagnostic error is positive serological results, without other clinical context, especially in patients studied for cognitive impairment or encephalopathy.","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Dronedarone pneumonitis: a case report. 决奈达隆肺炎：病例报告。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-23 DOI: 10.1016/j.medcli.2024.09.025

María Jesús Bruscas, Patricia Al-Cheikh, Gloria Abad

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Recurring peritonitis due to Tsukamurella paurometabola in a patient on automated peritoneal dialysis. 一名接受自动腹膜透析的患者因月金雷菌（Tsukamurella paurometabola）引起的复发性腹膜炎。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-23 DOI: 10.1016/j.medcli.2024.09.011

Elena Villanueva Sánchez, Karen Rivero García, Pilar Fraile Gómez

引用次数: 0

Dysfunctional insertion of the electronic medical death certificate in the official statistics of causes of death. 在官方死亡原因统计中插入电子医疗死亡证明的功能失调。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-23 DOI: 10.1016/j.medcli.2024.09.012

Lluís Cirera, Diego Salmerón

引用次数: 0

Ethics and challenges of artificial intelligence in healthcare. 医疗保健领域人工智能的伦理与挑战。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-23 DOI: 10.1016/j.medcli.2024.09.014

Aldo Medina Gamero

引用次数: 0

How could artificial intelligence improve patient experience in the ambulatory setting? Reflections from the JANUS group. 人工智能如何改善门诊环境中的患者体验？来自 JANUS 小组的思考。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-23 DOI: 10.1016/j.medcli.2024.09.018

Olga Rubio, Marc Vila, Manel Escobar, Alvar Agusti

引用次数: 0

Varicella diaper rash. 水痘尿布疹

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-23 DOI: 10.1016/j.medcli.2024.09.027

Sara Becerril Andrés, Pablo Fernández Fernández, Miguel Mansilla Polo, Mónica Martins Lopes, Marta González de Arriba

引用次数: 0

Panhypopituitarism and diabetes insipidus secondary to hypothalamic glioblastoma multiforme. 继发于下丘脑多形性胶质母细胞瘤的泛垂体功能障碍和尿崩症。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-23 DOI: 10.1016/j.medcli.2024.09.016

Pablo Solís Sánchez, Sara Nieto Martínez, Javier Pardo Lledias

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Thyroid abscess due to Escherichia coli in a multiple myeloma patient. 一名多发性骨髓瘤患者因大肠杆菌引发的甲状腺脓肿。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-23 DOI: 10.1016/j.medcli.2024.09.022

Rita González Resina, Mar Herrero Gutiérrez, Gonzalo Caballero Navarro

引用次数: 0

Outcomes of liver transplantation with donors older than 80 years in HCV patients treated with direct-action antivirals vs. non-HCV patients. 接受直接作用抗病毒药物治疗的 80 岁以上 HCV 患者与非 HCV 患者的肝移植供体对比结果。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-22 DOI: 10.1016/j.medcli.2024.09.005

Oscar Caso Maestro, Virginia García Moreno, Iago Justo Alonso, Alberto Marcacuzco Quinto, Jose María Aguado, Carmelo Loinaz Segurola, Carlos Jiménez Romero

{"title":"Outcomes of liver transplantation with donors older than 80 years in HCV patients treated with direct-action antivirals vs. non-HCV patients.","authors":"Oscar Caso Maestro, Virginia García Moreno, Iago Justo Alonso, Alberto Marcacuzco Quinto, Jose María Aguado, Carmelo Loinaz Segurola, Carlos Jiménez Romero","doi":"10.1016/j.medcli.2024.09.005","DOIUrl":"https://doi.org/10.1016/j.medcli.2024.09.005","url":null,"abstract":"Background: Multiple studies have shown good results with the use of octogenarian donors in non-HCV recipients and its use is universally accepted worldwide. There are no studies analyzing differences between hepatitis C virus (HCV) and non-HCV recipients transplanted with donors≥80 years in the direct-action antivirals (DAA) period. The rate of liver transplantation (LT) using old donors is still low, and a change in the acceptance of these grafts could increase the liver pool available for LT.Material and methods: Since the introduction of DAA therapy in our hospital in January 2014 to May 2022, 457 LT were performed, and 74 (16.2%) of these patients underwent LT with donors≥80 years. A cohort study was carried-out comparing 15 HCV-positive recipients vs. 59 HCV-negative patients during the period of the study.Results: Recipients were younger in the non-HCV group. MELD and subsequently DMELD were higher in non-HCV group. Nevertheless, the association of hepatocellular carcinoma (HCC) with HCV cirrhosis was higher than with non-HCV cirrhosis (86.7% vs. 28.8%; p<0.001), but there were no recurrences within HCV group and only 1 case in the non-HCV group. The 1-, 3-, and 5-years patient and graft survival were similar in both groups. Recipient age and intraoperative transfusion requirements were predictors of graft survival [(HR 1.10, 95CI 1.01-1.21; p=0.03) and (HR 1.03, 95CI 1.01-1.05; p<0.001), respectively].Conclusions: In conclusion, the use of octogenarian donors was a safe alternative to younger donors in HCV recipients requiring LT in the era of DAA with similar results to those obtained in non-HCV patients.","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0