Medicina Interna de Mexico最新文献

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

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

引用次数: 0

Acute kidney injury as a predictor of hospital discharge in COVID-19 patients 急性肾损伤是新冠肺炎患者出院的预测因素

Medicina Interna de Mexico Pub Date : 2021-10-08 DOI: 10.24245/mim.v37i5.5755

A. I. Pérez-Echavarría, M. Yáñez‐Morales, J. Camarillo-Cisneros, F. A. Ramos-Luján, M. I. Saad-Manzanera, A. E. Contreras-Pacheco, J. Solís-Valdez, S. C. González-Cristóbal, L. B. Enríquez-Sánchez

{"title":"Acute kidney injury as a predictor of hospital discharge in COVID-19 patients","authors":"A. I. Pérez-Echavarría, M. Yáñez‐Morales, J. Camarillo-Cisneros, F. A. Ramos-Luján, M. I. Saad-Manzanera, A. E. Contreras-Pacheco, J. Solís-Valdez, S. C. González-Cristóbal, L. B. Enríquez-Sánchez","doi":"10.24245/mim.v37i5.5755","DOIUrl":"https://doi.org/10.24245/mim.v37i5.5755","url":null,"abstract":"Background: Since the beginning of the pandemic caused by the SARS-CoV-2 virus, risk factors have been identified. These can lead to complications in patients with comorbidities, acute renal injury is one of the most important complications of COVID-19. Objective: To identify a possible relationship between the indicators of the patient's renal status upon admission and the outcome. Materials and Methods: An observational study (retrospective cohort) of patients (series of confirmed cases of COVID-19) who were admitted to the Hospital Central del Estado de Chihuahua, Mexico, from April 1stto October 20th, 2020. A binary logistic regression model was performed. Results: There were included 266 patients. It was found that 82% did not present acute kidney injury on admission, 11.7% were in stage AKIN I, 13.5% AKIN II and 4.5% AKIN III. Patients with COVID-19 without acute renal injury had a higher probability of hospital discharge than those who developed acute renal injury. Conclusions: Kidney injury influences the prognosis of patients with COVID-19;patients out of range of acute kidney injury based on basal serum creatinine have more probability of being discharged by clinical improvement.","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":"48298718","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

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

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

COVID-19, Kawasaki disease and multisystem inflammatory syndrome: A conceptualization from the main reports COVID-19、川崎病和多系统炎症综合征:主要报道的概念

Medicina Interna de Mexico Pub Date : 2021-06-10 DOI: 10.24245/mim.v37i3.4617

M. Polo-Martínez, J. Montiel-Mejía, V. Batista-Castellar, Neyder Contreras-Puentes, Giancarlos Conde-Cardona

{"title":"COVID-19, Kawasaki disease and multisystem inflammatory syndrome: A conceptualization from the main reports","authors":"M. Polo-Martínez, J. Montiel-Mejía, V. Batista-Castellar, Neyder Contreras-Puentes, Giancarlos Conde-Cardona","doi":"10.24245/mim.v37i3.4617","DOIUrl":"https://doi.org/10.24245/mim.v37i3.4617","url":null,"abstract":"OBJECTIVE: To describe the clinical characteristics of patients with COVID-19 and an atypical variety of Kawasaki disease with systemic inflammatory processes in children, and their diagnostic and therapeutic procedures. METHODOLOGY: Narrative literature review, from consultation of the databases of PubMed, Science Direct and Google academic. The following keywords (MeSH) were used for the search: “COVID-19”, “Kawasaki Disease”, “SARS-CoV-2”, “multisystem inflammatory syndrome”. Original articles and clinical case reports were included. RESULTS: Fifty-two articles were found, of which 27 were selected that met the inclusion criteria for analysis. CONCLUSIONS: With the clinical manifestations associated with COVID-19 appeared atypical multisystemic inflammatory pictures and Kawasaki disease establishes an urgency of precise and prospective data of this syndrome that manages to differentiate, in its totality, Kawasaki disease or, in its absence, to define it as a variant of the same one. Physicians caring for patients with COVID-19 should be aware of the diagnostic criteria of the new syndrome and be vigilant, especially in countries with consistent case numbers where the majority of complicated patients may be seen following SARS-CoV-2 infection. In addition, these research updates imply an even deeper perspective for pathophysiological study, treatment indication and conceptualization of the clinical basis for its understanding.","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":"48753258","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

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

引用次数: 0