Revista de la Facultad de Ciencias Medicas de Cordoba最新文献_第2页

[Tracheal stenosis secondary to airway abscess] 继发性气管狭窄至脓肿区。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-09-29 DOI: 10.31053/1853.0605.v82.n3.45878

Juan Carlos Medina, Jose Gabriel Yaryura Montero, Ricardo Navarro, Rodrigo Adrian Benavidez, Mario Alberto Cafaro

{"title":"[Tracheal stenosis secondary to airway abscess]","authors":"Juan Carlos Medina, Jose Gabriel Yaryura Montero, Ricardo Navarro, Rodrigo Adrian Benavidez, Mario Alberto Cafaro","doi":"10.31053/1853.0605.v82.n3.45878","DOIUrl":"10.31053/1853.0605.v82.n3.45878","url":null,"abstract":"Objective: To present a case with tracheal stenosis, secondary to airway abscess, and describe its clinical presentation, diagnostic methods and treatment.Clinical case: An 85-year-old patient presented with dry cough, inspiratory laryngeal stridor and dyspnea. Physical examination: No particularities. A computed tomography scan of the neck and chest was performed, which reported a decrease in the caliber of the tracheal lumen. It was decided to admit him to the intensive care unit, and fiberoptic bronchoscopy was performed where critical stenosis was observed. Mechanical dilation was performed with candles and in the absence of clinical improvement, a surgical tracheostomy was performed. During the procedure, an abscess was observed in the anterior tracheal wall, which was drained. Culture of the liquid development of Pseudomona Aeruginosa. The patient presented a good clinical evolution. being discharged 72 hours after surgery with targeted antibiotic treatment. Due to resolution of the infection process, it is decannulated 30 days after the surgical procedure. The follow-up after the extraction of the tracheostomy tube showed no particularities.Conclusion: Airway abscesses as a cause of tracheal stenosis are uncommon; at the time of the article's presentation, there is only one recorded case in the available literature. The diagnosis requires a correct clinical evaluation and the judicious use of complementary studies such as bronchoscopies and computed axial tomography. Management is multidisciplinary, and the treatment modality will be determined by the type of patient and the severity of the stenosis.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 3","pages":"656-666"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208071","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

Primary empty sella 主空塞拉。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-09-29 DOI: 10.31053/1853.0605.v82.n3.46309

Natalia Soledad Leon, Soledad Sosa, Nicolas Coronel-Restrepo, Analía Pignatta, Daniel Moncet, Jose Daniel Morando, Monica Graciela Loto, Marisol Escudero, Elizabeth Coronello, Leonardo Luis Rizzo, Karina Danilowicz

{"title":"Primary empty sella","authors":"Natalia Soledad Leon, Soledad Sosa, Nicolas Coronel-Restrepo, Analía Pignatta, Daniel Moncet, Jose Daniel Morando, Monica Graciela Loto, Marisol Escudero, Elizabeth Coronello, Leonardo Luis Rizzo, Karina Danilowicz","doi":"10.31053/1853.0605.v82.n3.46309","DOIUrl":"10.31053/1853.0605.v82.n3.46309","url":null,"abstract":"Introduction: Primary empty sella (PES) consists of herniation of the suprasellar subarachnoid space within the sella turcica in patients with no history of sellar pathology. Diagnosis is mostly made incidentally.Objective: Describe the characteristics of patients with PES.Methods: Patients with PES from 6 Argentine centers specialized in Neuroendocrinology in Buenos Aires diagnosed between 1997-2021 were included. Diagnosis was based in sellar magnetic resonance, pituitary functional evaluation by baseline hormonal measurement and visual function assessed by neuro-ophthalmological evaluation and campimetry.Results: Sixty-three patients with a mean age of 52.3 ± 13.2 years and a predominance of female gender (79%, 4:1 ratio) were included. The average BMI was 32.7 ± 8.13 kg/m2 and 68% were overweight or obese. HTA was also found in 59%. Among women, the parity frequency was 78%: 92% had multiple pregnancies. The diagnosis was incidental in 22%. In symptomatic patients (n= 49), the reasons for consultation were headache in 61%, symptoms of endocrine dysfunction in 51% and visual disturbances in 33%: 43% of the patients presented multiple symptoms. MRI showed partial PES in 63% and total PES in 37% of the patients. In the biochemical evaluation, hypopituitarism was observed in 46%.Conclusions: Although the diagnosis of PES can be made incidentally, in our series most of the patients presented symptoms. Most of them were multiparous women, obese and hypertensive patients. Biochemical evaluation should be carried out to investigate isolated or multiple pituitary deficits in order to indicate the corresponding replacement treatment.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 3","pages":"544-554"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207988","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

[New reconstructive technique for massive zone 2+1 pelvic defects after oncological resection] 肿瘤切除后骨盆2+1区肿大缺陷的新重建技术。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-09-29 DOI: 10.31053/1853.0605.v82.n3.48291

Francisco Principe, Lionel LLano, Franco De Cicco, German Farfalli, Jose Ignacio Albergo, Luis Alberto Aponte

{"title":"[New reconstructive technique for massive zone 2+1 pelvic defects after oncological resection]","authors":"Francisco Principe, Lionel LLano, Franco De Cicco, German Farfalli, Jose Ignacio Albergo, Luis Alberto Aponte","doi":"10.31053/1853.0605.v82.n3.48291","DOIUrl":"10.31053/1853.0605.v82.n3.48291","url":null,"abstract":"Introduction: Reconstruction after internal hemipelvectomy of the acetabular dome is complex, especially in young patients. At our institution, we have developed a technique that uses a proximal tibial allograft to recreate the acetabulum without compromising the proximal femur.Materials and methods: Three patients with primary bone sarcoma of the pelvis in Zone 2+1 underwent limb-sparing surgery and reconstruction with proximal tibial allograft.Results: All patients were minors, with a follow-up of 42 months. Two patients were discharged in the second week and one in the fourth week, achieving satisfactory reconstruction allowing assisted ambulation and full weight bearing in two cases. There were two acute and one chronic infection-related complications. Discussion: Pelvic sarcomas have a worse prognosis than long bone sarcomas and require massive resections. The tibial allograft reconstruction technique improves function and satisfaction without compromising the proximal femur. This technique is feasible in low-income countries and allows for future primary arthroplasty.Conclusion: We present a successful pelvic reconstruction technique that does not affect growth in young patients, avoiding the use of prostheses and preserving the proximal femur.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 3","pages":"586-598"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207789","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

[What young people are looking for?] 年轻人在寻找什么？

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-09-29 DOI: 10.31053/1853.0605.v82.n3.48171

Leandro Dionisio

引用次数: 0

Spontaneous and transitory remission of follicular lymphoma in patient with SARS-COV-2 SARS-COV-2患者滤泡性淋巴瘤的自发和短暂缓解。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-09-29 DOI: 10.31053/1853.0605.v82.n3.46515

Lucio Gatto, María Orlova, Nancy Cristaldo, Fernando Warley

引用次数: 0

[Endocrine-Metabolic Evaluation of female infertility in public health: initial results in the interior of the country] 公共卫生中女性不孕症的内分泌代谢评估。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-09-29 DOI: 10.31053/1853.0605.v82.n3.46920

Milena Tarletta, Gabriel S Iraci, Rodolfo Mengual, Mariana Di Carlo, Belén Melgarejo, Ana Babini, Karina A Maero Baez, Noelia Ramos, Anabella Marconetto, Otilio Rosato, Carolina Fux Otta

{"title":"[Endocrine-Metabolic Evaluation of female infertility in public health: initial results in the interior of the country]","authors":"Milena Tarletta, Gabriel S Iraci, Rodolfo Mengual, Mariana Di Carlo, Belén Melgarejo, Ana Babini, Karina A Maero Baez, Noelia Ramos, Anabella Marconetto, Otilio Rosato, Carolina Fux Otta","doi":"10.31053/1853.0605.v82.n3.46920","DOIUrl":"10.31053/1853.0605.v82.n3.46920","url":null,"abstract":"Introduction: Female infertility affects 15% of couples. Endocrine-metabolic disorders play a key role in reproductive health, yet data are lacking in Argentine populations treated in the public health system.Objectives: To describe and analyze the endocrine-metabolic characteristics of infertile women treated at the Department of Endocrinology and Diabetes, referred from IUMeR.Methods: Cross-sectional observational study. Women aged 18–44 years referred to the Endocrinology Clinic for infertility were included. Endocrine-metabolic and ultrasonographic features were assessed.Results: A total of 103 patients were studied. Thyroid disorders were present in 70%, hyperprolactinemia in 29%, and polycystic ovary syndrome in 21%. In addition, 50% of the women presented non-endocrine factors, such as tubal obstruction (42%) and semen abnormalities in their partners (26%).Conclusion: The high prevalence of thyroid dysfunction, hyperprolactinemia, and overweight highlights the need for an integral, multidisciplinary approach to female infertility in the public health setting. In many cases, initial endocrine treatments proved effective, reducing the need for referral to high-complexity assisted reproductive technologies. These findings emphasize the importance of reinforcing reproductive health education and implementing programs that promote healthy lifestyle habits, with the potential to improve fertility outcomes in this population.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 3","pages":"555-569"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208042","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

[ Giant asymptomatic anterolateral diaphragmatic hernia in an adult: report of a rare case] 成人无症状的巨大前外侧横膈膜疝。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-09-29 DOI: 10.31053/1853.0605.v82.n3.46272

Manuel Isaac Espana, Franco Signorini, Federico Moser, Mario Eduardo Francisco Bustos

引用次数: 0

Variability in Human Immunodeficiency Virus infection screening: impact of the COVID-19 pandemic. 人类免疫缺陷病毒感染筛查的变异性：COVID-19大流行的影响

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-06-26 DOI: 10.31053/1853.0605.v82.n2.46015

Maximiliano Gabriel Castro, María José Sadonio, Ana Verónica Willa, Micaela Capeletti, Ana Paula Amato, Guillermina Cravero, Melina Beloso, Federico Rafael Galluccio

{"title":"Variability in Human Immunodeficiency Virus infection screening: impact of the COVID-19 pandemic.","authors":"Maximiliano Gabriel Castro, María José Sadonio, Ana Verónica Willa, Micaela Capeletti, Ana Paula Amato, Guillermina Cravero, Melina Beloso, Federico Rafael Galluccio","doi":"10.31053/1853.0605.v82.n2.46015","DOIUrl":"10.31053/1853.0605.v82.n2.46015","url":null,"abstract":"Introduction: Due to potential disruptions in HIV care services caused by COVID-19, this study aimed to evaluate the variability in HIV screening between 2019 and 2022 among adults hospitalized in the general ward of a tertiary care hospital in Santa Fe.Materials and methods: This ambispective and observational study evaluated the request for HIV serologic screening in patients selected through randomized sampling at a 2:1 ratio from October to December of the years 2019 to 2022. The impact of the COVID-19 pandemic during 2020 was compared to 2019, followed by the impact of an institutional intervention aimed at increasing the rate of HIV screening requests.Results: A total of 995 subjects were included. HIV screening was requested for 47.4% (n=472) of them, with a positivity rate of 1.7% (n=8). In 2020, HIV screening decreased compared to 2019 (34% vs. 43.9%, p<0.001), and increased to 84.2% in 2022 (p<0.001). In the multivariate analysis, the odds of HIV screening decreased with age (OR 0.986), while hospital admission in 2019 and 2022 (OR 1.48 y 9.76, respectively) increased it.Discussion: The COVID-19 pandemic exacerbated the already low rate of HIV screening requests, which was also influenced by the age of the subjects. However, through institutional guidelines, this situation was successfully reversed in 2022.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 2","pages":"237-252"},"PeriodicalIF":0.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12455732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545309","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}

引用次数: 0

Medicines withdrawn in other countries due to safety problems, between 2014 and 2023, and their permanence in the Argentine market. 2014年至2023年期间，由于安全问题在其他国家撤回的药物，以及它们在阿根廷市场的持久性。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-06-26 DOI: 10.31053/1853.0605.v82.n2.46049

Mariana Caffaratti, Martín Cañás, Daniel Eduardo Domosbian, Emiliano Giraudo, Ana María González, Andrea Lorenzo, Susana Núñez Montoya, María Teresa Rocha, María Luz Traverso, Sonia Uema

{"title":"Medicines withdrawn in other countries due to safety problems, between 2014 and 2023, and their permanence in the Argentine market.","authors":"Mariana Caffaratti, Martín Cañás, Daniel Eduardo Domosbian, Emiliano Giraudo, Ana María González, Andrea Lorenzo, Susana Núñez Montoya, María Teresa Rocha, María Luz Traverso, Sonia Uema","doi":"10.31053/1853.0605.v82.n2.46049","DOIUrl":"10.31053/1853.0605.v82.n2.46049","url":null,"abstract":"Introduction: After the marketing approval of a medicine, pharmacovigilance monitoring must be carried out at an international level and the necessary measures must be adopted to reduce the risk that its use may present. Restrictive measures are not taken with the same speed in all countries and there are differences in withdrawal patterns.Objectives: Identify medicines that have been withdrawn from marketing for safety reasons in countries with health reference agencies (SRA), between January 2014 and June 2023. Establish if these medicines were withdrawn from the market in Argentina.Methodology: Search for information on SRA, National Administration of Food Drugs and Medical Technology (ANMAT) websites and secondary sources. For each medication withdrawn by any SRA, the validity of the marketing certificate and regulatory actions in Argentina were verified.Results: In countries with SRA health agencies, 31 medications were withdrawn for safety reasons. Of these, in Argentina, 7 were identified with a valid marketing certificate, another 7 were withdrawn from the market mostly by the manufacturing laboratories, 14 were never marketed and no data was obtained for 3.Conclusion: In Argentina, medications were identified that were withdrawn from other countries and continue to have a valid marketing certificate. The number of regulatory actions related to safety aspects in our country was lower than those of countries with SRA. It is necessary to strengthen the pharmacovigilance system, and for ANMAT to apply measures that reduce the risk associated with the use of the questioned medications.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 2","pages":"253-270"},"PeriodicalIF":0.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12455731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545275","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}

引用次数: 0

Nutritional information needs and search behaviors in argentine oncology patients 阿根廷肿瘤患者的营养信息需求和搜索行为

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-06-26 DOI: 10.31053/1853.0605.v82.n2.46283

Karen María Manzur, Ana Kohan Cortada

{"title":"Nutritional information needs and search behaviors in argentine oncology patients","authors":"Karen María Manzur, Ana Kohan Cortada","doi":"10.31053/1853.0605.v82.n2.46283","DOIUrl":"10.31053/1853.0605.v82.n2.46283","url":null,"abstract":"Introduction: International scientific evidence highlights the growing need for nutritional information among oncology patients and their search behavior. However, in Argentina, the available information is limited.Objective: To describe the need for nutritional information and search behaviors among Argentine oncology patients in 2023.Methodology: Non-experimental, descriptive, cross-sectional design. A non-probabilistic sampling was used, and adult cancer patients who voluntarily gave their consent participated. A questionnaire was applied to evaluate the importance, need for nutritional information, search behavior, and perceived information overload. Data collection was conducted in a mixed manner, and statistical analysis was performed using SPSS software. A 95% confidence level was used.Results: A total of 500 patients participated; 87.2% (n=436) were women, and the most frequent diagnosis was breast cancer. 98% (n=490) emphasized the importance of receiving information about nutrition after diagnosis and during treatment, 91% (n=455) considered it a necessity, and 83.8% (n=419) reported having searched for information on this topic. This behavior was more frequent in patients with higher educational levels (p<0.05). The most consulted source was the internet, followed by doctors and nutritionists. 62% (n=310) agreed with the information overload regarding diet and cancer.Conclusion: These findings underscore the importance of meeting this information need and training healthcare professionals who care for this patient group.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 2","pages":"303-317"},"PeriodicalIF":0.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12455734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545276","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}

引用次数: 0