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Medicina Interna de Mexico最新文献

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COVID-19, that global parenthesis COVID-19，全球括号
Medicina Interna de Mexico Pub Date : 2021-10-08 DOI: 10.24245/mim.v37i5.5634
D. A. Cabrera-Gaytán
{"title":"COVID-19, that global parenthesis","authors":"D. A. Cabrera-Gaytán","doi":"10.24245/mim.v37i5.5634","DOIUrl":"https://doi.org/10.24245/mim.v37i5.5634","url":null,"abstract":"","PeriodicalId":35750,"journal":{"name":"Medicina Interna de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46080991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Telogen effluvium and alopecia areata: Associated symptoms in patients with long COVID-19 休止期脱发和斑秃:长期COVID-19患者的相关症状
Medicina Interna de Mexico Pub Date : 2021-10-08 DOI: 10.24245/mim.v37i5.5717
F. Guillén-Ortega
{"title":"Telogen effluvium and alopecia areata: Associated symptoms in patients with long COVID-19","authors":"F. Guillén-Ortega","doi":"10.24245/mim.v37i5.5717","DOIUrl":"https://doi.org/10.24245/mim.v37i5.5717","url":null,"abstract":"Background: SARS-CoV-2 mainly attacks the respiratory system, but as more has become known about the virus, other organs have also been affected. As time passes, new symptoms emerge, no longer in the water phase, now in the recovery stage in what has been called long COVID or persistent COVID. Objective: To communicate one more of the symptoms of patients with long COVID- 19. Materials and Methods: A case series study was done from October 1st2020 to March 31st2021 at Neumology consultation of a private medical center at Chiapas, Mexico, including patients that had recurrently reported hair loss of unexplained cause after the SARS-CoV-2 infection. Results: Information was collected from 28 patients, 16 men and 12 women, the hair loss began one month after the infection and in 5/28 it persisted for more than 6 months. Conclusions: Having a series of cases where all have in common having been infected by SARS-CoV-2, the association is impossible, so these alterations of the hair follicle can be caused by SARS-CoV-2 and should be included to the long list of symptoms that occur in this entity.","PeriodicalId":35750,"journal":{"name":"Medicina Interna de Mexico","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68825847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cardiovascular, hematological and renal implications of COVID-19 COVID-19对心血管、血液和肾脏的影响
Medicina Interna de Mexico Pub Date : 2021-10-08 DOI: 10.24245/mim.v37i5.4699
A. Cabello-Ganem, M. F. Espino-Rojas, F. Ramirez-Perea, A. López-Ávila
{"title":"Cardiovascular, hematological and renal implications of COVID-19","authors":"A. Cabello-Ganem, M. F. Espino-Rojas, F. Ramirez-Perea, A. López-Ávila","doi":"10.24245/mim.v37i5.4699","DOIUrl":"https://doi.org/10.24245/mim.v37i5.4699","url":null,"abstract":"Coronavirus disease 2019 (COVID-19) is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Even though currently the cornerstone of research and treatment of COVID-19 patients has been the respiratory system, it is essential to consider that COVID-19 has multiple extrapulmonary manifestations, some severe enough to be fatal. For this reason this review focuses on three intimately related systems: cadiovascular, renal and hematological systems. SARS-CoV-2 enters cells through angiotensin converting enzyme 2 (ACE2), a key regulator of the renin-angiotensinaldosterone system (RAAS), which has been characterized in multiple cardiovascular and renal diseases. The hyperinflammatory state in COVID-19 leads to microvascular dysfunction, hypercoagulability, arrhythmias, and acute kidney injury. The importance of diverse multisystemic markers should be highlighted, they have been shown to be predictors of severity and highly useful in the management of patients with COVID-19 to avoid future complications related to the disease.","PeriodicalId":35750,"journal":{"name":"Medicina Interna de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47261179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The evolution of pharmacological treatment of COVID-19 COVID-19药物治疗进展
Medicina Interna de Mexico Pub Date : 2021-10-08 DOI: 10.24245/mim.v37i5.4624
L. Carpio-Orantes
{"title":"The evolution of pharmacological treatment of COVID-19","authors":"L. Carpio-Orantes","doi":"10.24245/mim.v37i5.4624","DOIUrl":"https://doi.org/10.24245/mim.v37i5.4624","url":null,"abstract":"","PeriodicalId":35750,"journal":{"name":"Medicina Interna de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44165559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bilateral pulmonary thromboembolism as the initial presentation of SARS-CoV-2 infection 双侧肺血栓栓塞是SARS-CoV-2感染的初始表现
Medicina Interna de Mexico Pub Date : 2021-07-26 DOI: 10.24245/mim.v37i4.4918
N. Roig-Marín, P. Roig-Rico, J. Calbo-Maiques, E. Chiner-Vives
{"title":"Bilateral pulmonary thromboembolism as the initial presentation of SARS-CoV-2 infection","authors":"N. Roig-Marín, P. Roig-Rico, J. Calbo-Maiques, E. Chiner-Vives","doi":"10.24245/mim.v37i4.4918","DOIUrl":"https://doi.org/10.24245/mim.v37i4.4918","url":null,"abstract":"BACKGROUND: SARS-CoV-2 infection can be associated with a hypercoagulable condition, which increases the prevalence of thromboembolic processes and the risk of deep vein thrombosis and pulmonary thromboembolism. CLINICAL CASE: An 82-year-old hypertensive woman admitted to the emergency department due to arthromyalgia, severe asthenia and cough, associated with minimal dyspnea on moderate efforts and an increase in the perimeter of the lower right limb of 3 days of evolution. Upon arrival at the emergency department, she presented tachycardia and tachypnea at rest. In the emergency department blood test showed a D-dimer elevation of 21,131 ng/mL. The chest X-ray showed patchy lung opacities, which was consistent with COVID-19. The CT angiography of the pulmonary arteries showed findings of bilateral pulmonary thromboembolism and COVID-19 pneumonia. A second PCR was positive for SARS-CoV-2. The patient was hospitalized for 8 days and showed improvement with the use of anticoagulant treatment, so it was decided to discharge her with home isolation. CONCLUSIONS: Recently, cases of thromboembolism are being described in patients with coronavirus infection, but pulmonary thromboembolism occurred when patient was admitted to the intensive care unit or in prolonged stays, unlike our patient who initially presented bilateral pulmonary thromboembolism, which is rare. Other cases of postpartum pulmonary embolism and after hospitalization associated with COVID-19 have been described. Therefore, in a patient with COVID-19, special attention must be paid to thromboembolic complications.","PeriodicalId":35750,"journal":{"name":"Medicina Interna de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46078613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multiple myeloma and COVID-19 多发性骨髓瘤和COVID-19
Medicina Interna de Mexico Pub Date : 2021-06-13 DOI: 10.24245/mim.v37i3.4795
M. Á. M. J. L. López-Lievanos, M. Albarrán-Moreno
{"title":"Multiple myeloma and COVID-19","authors":"M. Á. M. J. L. López-Lievanos, M. Albarrán-Moreno","doi":"10.24245/mim.v37i3.4795","DOIUrl":"https://doi.org/10.24245/mim.v37i3.4795","url":null,"abstract":"BACKGROUND: The current COVID-19 pandemic modifies current immunosuppressive treatment guidelines against several nephrological diseases. CLINICAL CASE: A 69-year-old female patient. Her current condition began with a nonspecific clinical picture of asthenia, adynamia, abdominal pain, nausea, and emesis. Upon admission to the service, serum sodium of 111 was found and correction of hydro-electrolytic imbalance was performed. Serum creatinine of 4.41 was found with an estimated glomerular filtration rate of 9.6 mL/min/1.73m2, in addition to hemoglobin anemia of 6.3 mg/dL. A TNK catheter was inserted in the operating room. While in the peritoneal dialysis unit, patient regained kidney function with a filtration rate of 20 mL/min. Patient was then readmitted to the internal medicine floor, where anemia and persistent hypercalcemia stood out. After being evaluated by the Hematology service, final diagnosis was multiple myeloma. Shortly before starting treatment, patient started exhibiting fever, cough, and headache. Chest tomography provided data suggestive of COVID-19. CONCLUSIONS: The clinical manifestations of multiple myeloma and chronic kidney disease are very varied, so the diagnostic approach is very important to avoid wrong diagnoses.","PeriodicalId":35750,"journal":{"name":"Medicina Interna de Mexico","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43816249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Obligations of the Mexican state in response to COVID-19 墨西哥政府应对新冠肺炎的义务
Medicina Interna de Mexico Pub Date : 2021-06-10 DOI: 10.24245/mim.v37i3.5280
A. A. Herrera-Fragoso
{"title":"Obligations of the Mexican state in response to COVID-19","authors":"A. A. Herrera-Fragoso","doi":"10.24245/mim.v37i3.5280","DOIUrl":"https://doi.org/10.24245/mim.v37i3.5280","url":null,"abstract":"Mexico has the highest death rate of health professionals in the world after contracting COVID-19, as well as has obligations and responsibilities in accordance with the corpus iuris of human rights in the care of the pandemic, in particular those at the forefront of solving the problem, providing them with all the appropriate means to face their responsibility and the good exercise of the medical profession.","PeriodicalId":35750,"journal":{"name":"Medicina Interna de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45064561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Numerical observations to the study Frequency of anosmia and dysgeusia in patients hospitalized with SARS-CoV-2 SARS-CoV-2住院患者嗅觉缺失和认知障碍发生率的数值观察
Medicina Interna de Mexico Pub Date : 2021-06-10 DOI: 10.24245/mim.v37i3.5389
D. A. Cabrera-Gaytán
{"title":"Numerical observations to the study Frequency of anosmia and dysgeusia in patients hospitalized with SARS-CoV-2","authors":"D. A. Cabrera-Gaytán","doi":"10.24245/mim.v37i3.5389","DOIUrl":"https://doi.org/10.24245/mim.v37i3.5389","url":null,"abstract":"","PeriodicalId":35750,"journal":{"name":"Medicina Interna de Mexico","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68825788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epidemiologic factors associated with mortality among hospitalized adult patients with COVID-19 in the state of Jalisco, Mexico 与墨西哥哈利斯科州COVID-19住院成年患者死亡率相关的流行病学因素
Medicina Interna de Mexico Pub Date : 2021-06-03 DOI: 10.24245/mim.v37i3.5107
C. A. Andrade-Castellanos, L. Colunga-Lozano
{"title":"Epidemiologic factors associated with mortality among hospitalized adult patients with COVID-19 in the state of Jalisco, Mexico","authors":"C. A. Andrade-Castellanos, L. Colunga-Lozano","doi":"10.24245/mim.v37i3.5107","DOIUrl":"https://doi.org/10.24245/mim.v37i3.5107","url":null,"abstract":"BACKGROUND: The SARS-CoV-2 outbreak is a significant challenge to the healthcare system in Mexico;some regions are already struggling to fight the virus. OBJECTIVE: To identify comorbidities of adult patients with COVID-19 treated in hospitals in Jalisco and to assess their associations with the risk of death. MATERIALS AND METHODS: An observational, analytical, retrospective study in which we obtained data of confirmed COVID-19 cases and their characteristics from epidemiological surveillance system of the Mexican Health Secretary through Feb 27, 2020 to November 30, 2020. RESULTS: We included 5590 patients with a mean age of 58 years, 62% were men;overall mortality was 38%. The most common concomitant conditions were hypertension, diabetes and obesity. The multivariate analysis found that chronic kidney disease (OR = 2.71), obesity (OR = 1.24), chronic obstructive pulmonary disease (OR = 1.21), diabetes mellitus (OR = 1.15) and hypertension (OR = 1.13) were independent risk factors associated with mortality. CONCLUSIONS: The risk of dying was clearly higher in individuals with comorbidities, particularly among people with chronic kidney disease or obesity.","PeriodicalId":35750,"journal":{"name":"Medicina Interna de Mexico","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68825753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From 2019-nCoV to COVID-19, characterizing the disease 从2019-nCoV到COVID-19，疾病特征
Medicina Interna de Mexico Pub Date : 2020-05-30 DOI: 10.24245/mim.v36i3.4009
L. Carpio-Orantes
{"title":"From 2019-nCoV to COVID-19, characterizing the disease","authors":"L. Carpio-Orantes","doi":"10.24245/mim.v36i3.4009","DOIUrl":"https://doi.org/10.24245/mim.v36i3.4009","url":null,"abstract":"","PeriodicalId":35750,"journal":{"name":"Medicina Interna de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44467820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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