{"title":"Mediastinal air leak following intense exercise in a patient with uncontrolled asthma","authors":"Martin Fullana , Romina Bustos , Cynthia Padilla","doi":"10.1016/j.mcpsp.2025.100506","DOIUrl":"10.1016/j.mcpsp.2025.100506","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"8 3","pages":"Article 100506"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144107674","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}
Angel Orera , Ines Gomez Segui , Javier de la Rubia , Ricardo Gimeno
{"title":"Púrpura trombótica trombocitopénica: importancia del trabajo multidisciplinar","authors":"Angel Orera , Ines Gomez Segui , Javier de la Rubia , Ricardo Gimeno","doi":"10.1016/j.mcpsp.2025.100505","DOIUrl":"10.1016/j.mcpsp.2025.100505","url":null,"abstract":"<div><div>Thrombotic thrombocytopenic purpura (TTP) is a medical emergency with life-threatening complications. It presents itself as a diagnostic challenge, as it involves multiple organs affected by widespread microthrombosis that can rapidly cause severe ischemic impairment. Early recognition and treatment are crucial. Treatment includes prompt initiation of plasma exchange (PEX), immunosuppressive therapy, and caplacizumab, along with close monitoring of clinical signs, especially brain and cardiac function.</div><div>We present a case report with a witnessed cardiac arrest, in which the extracorporeal cardiopulmonary resuscitation (ECPR) protocol was performed, and the first dose of intra-arrest caplacizumab together with plasma infusion, were administered due to the suspected diagnosis of TTP. The first PEX session was done within the first three hours after cardiac arrest. Despite thrombocytopenia and anemia, the cannulation of the ECMO device was achieved in less than 40 min. The patient's evolution was favorable with minimal neurological sequelae and cardiac function recovery.</div></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"8 3","pages":"Article 100505"},"PeriodicalIF":0.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143927937","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}
María G. Moreno-Treviño , Daniel A. Morales-Jácome , Mariana Cepeda-Lerma , Julio C. Salas-Alanís , Mauricio Salas-Garza , Ma. Guadalupe Treviño-Alanís , Gerardo Rivera-Silva
{"title":"Pulmonary cryptococcosis","authors":"María G. Moreno-Treviño , Daniel A. Morales-Jácome , Mariana Cepeda-Lerma , Julio C. Salas-Alanís , Mauricio Salas-Garza , Ma. Guadalupe Treviño-Alanís , Gerardo Rivera-Silva","doi":"10.1016/j.mcpsp.2025.100503","DOIUrl":"10.1016/j.mcpsp.2025.100503","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"8 3","pages":"Article 100503"},"PeriodicalIF":0.0,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898873","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}
Alexandra Cortés Arciniegas , Santiago Almanzo , Saúl Astray Gómez , Germán Martín Viguer , Diego Collado Martín , José María Perolada Valmaña , Miguel Armengot Carceller
{"title":"Multiple submandibular gland sialolithiasis: An unusual presentation of a common condition","authors":"Alexandra Cortés Arciniegas , Santiago Almanzo , Saúl Astray Gómez , Germán Martín Viguer , Diego Collado Martín , José María Perolada Valmaña , Miguel Armengot Carceller","doi":"10.1016/j.mcpsp.2025.100502","DOIUrl":"10.1016/j.mcpsp.2025.100502","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"8 3","pages":"Article 100502"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820584","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}
{"title":"Association between post COVID-19-related symptoms and quality of life two to three weeks after hospitalization: A cross-sectional study","authors":"Dafinë Ibrahimi Kaçuri , Samire Beqaj , Arbnore Ibrahimaj Gashi , Arben Boshnjaku , Ardiana Murtezani , Merita Qorolli","doi":"10.1016/j.mcpsp.2025.100501","DOIUrl":"10.1016/j.mcpsp.2025.100501","url":null,"abstract":"<div><h3>Background and objectives</h3><div>The most frequently reported symptoms of the post-COVID-19 hospitalized patients are fatigue, dyspnea, anosmia, sleeping difficulties, chest pain, headache, cough, and mental health symptoms. Our aim was to identify common post-COVID-19 symptoms two to three weeks after the hospital discharge and their relationship with the quality of life.</div></div><div><h3>Materials and methods</h3><div>This cross-sectional study included 39 Post-Covid-19 patients who were discharged from the Clinic for Infectious Diseases at the University Clinical Center of Kosova UCCK. A list of symptoms of post-COVID-19 as defined by the Delphi consensus published by the WHO was recorded. Quality of life is measured using the EuroQol-5D-5L (EQ-5D-5L) instrument.</div></div><div><h3>Results</h3><div>Excessive tiredness (84.6%) and difficulty in breathing (64.1%) were the most common symptoms expressed by most participants. The EQ-5D-5L subscale -usual activity was correlated with excessive tiredness (<em>r</em> = −<!--> <!-->0.36; 95% CI: −<!--> <!-->0.61 to −<!--> <!-->0.05), dizziness (<em>r</em> = −<!--> <!-->0.34; 95% CI: −<!--> <!-->0.59 to −<!--> <!-->0.02), and depression and anxiety (<em>r</em> = −<!--> <!-->0.36; 95% CI: −<!--> <!-->0.61 to −<!--> <!-->0.05). The pain/discomfort subscale was correlated with chest pain (<em>r</em> = −<!--> <!-->0.45; 95% CI: −<!--> <!-->0.67 to −<!--> <!-->0.15), memory difficulties (<em>r</em> = −<!--> <!-->0.35; 95% CI: −<!--> <!-->0.60 to −<!--> <!-->0.04), palpitations (<em>r</em> = −<!--> <!-->0.38; 95% CI: −<!--> <!-->0.62 to −<!--> <!-->0.08), dizziness (<em>r</em> = −<!--> <!-->0.34; 95% CI: −<!--> <!-->0.59 to −<!--> <!-->0.03) and joint pain (<em>r</em> = −<!--> <!-->0.56; 95% CI: −<!--> <!-->0.07 to −<!--> <!-->0.30). Dizziness and joint pain were predictors of EQ-5D-5L index value, F (2, 36) = 10.73, <em>p</em> < 0.001.</div></div><div><h3>Conclusions</h3><div>Excessive tiredness and difficulty in breathing were present in more than 50% of post-COVID-19′ patients 2–3 weeks after hospital discharge, while dizziness and joint pain could be predictors of diminished quality of life.</div></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"8 3","pages":"Article 100501"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}