{"title":"[Adverse reactions induced by gadopentetate dimeglumine in magnetic resonance imaging].","authors":"A Campos, F de la Guardia, J Reyes, C Ferrero","doi":"10.4321/s0212-71992007000900004","DOIUrl":"https://doi.org/10.4321/s0212-71992007000900004","url":null,"abstract":"<p><strong>Background and objectives: </strong>It is considered that the Gadolinium salts used as a contrast medium in the Magnetic Resonance Imaging (MRI) studies present an index of adverse reactions below the iodine contrast mediums. The main objective of this study is to determine, in our medium, the frequency and intensity of the adverse reactions related to the administration of Gadopentotate Dimeglumine (Gd-DTPA) and compare it with the rate of adverse reactions induced by the iodine contrast mediums.</p><p><strong>Material and methods: </strong>During the period comprised between 1st of January 2005 and 30th of June 2006, the adverse affects were collected for all the studies by means of MRI in which the Gd-DTPA contrast was applied, programmed or urgent, performed in Eresa Diagnosis Centres by Image located ( 11 centre in total) in the provinces of Castellón and Valencia. The adverse effects induced by the iodine salts were also collected in this period.</p><p><strong>Results: </strong>A total of 54,909 studies with magnetic resonance were performed in the referred study centres, and 12,791 studies with MCI. The total of adverse reactions observed was 62 (0.11%) and 47 (0.36%) respectively. The profile of adverse reactions with both contrast mediums was similar, except in the moderate reactions where we objectively observed a greater percentage of palpebral edema and dyspnea with the usage of MCI than with Gd-DTPA. No cases of anaphylaxia or exitus were observed.</p><p><strong>Conclusions: </strong>The data contributed by this series support a safety profile of Gadolinium superior to that of the MCI in line with the results shown by extensive published series.</p>","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":" ","pages":"428-30"},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41067695","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}
R Pila Pérez, R Pila Peláez, P Rosales Torres, V A Holguín Prieto, L F Alzate Giraldo
{"title":"[Sarcoidosis and fibrolamellar carcinoma of the liver].","authors":"R Pila Pérez, R Pila Peláez, P Rosales Torres, V A Holguín Prieto, L F Alzate Giraldo","doi":"10.4321/s0212-71992007000900005","DOIUrl":"https://doi.org/10.4321/s0212-71992007000900005","url":null,"abstract":"<p><p>The case of 20-years female patient with the diagnosis of sarcoidosis associated to fibrolamellar carcinoma of the liver is presented. Clinical features, diagnosis and treatment of these entities are exposed. The criteria of several researchers about the relation between sarcoidosis and neoplasic diseases are stood out. Sarcoidosis associated to fibrolamellar hepatocarcinoma is very uncommon.</p>","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":" ","pages":"431-4"},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41067696","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}
J M Calvo-Villas, B F Felipe Robayna, J L Gardachar Alarcia, L Guillén Mesa, E Rivera Del Valle, O Olivares Estupiñán
{"title":"[Use of the radiological exploration in a medical specialities department].","authors":"J M Calvo-Villas, B F Felipe Robayna, J L Gardachar Alarcia, L Guillén Mesa, E Rivera Del Valle, O Olivares Estupiñán","doi":"10.4321/s0212-71992007000900003","DOIUrl":"https://doi.org/10.4321/s0212-71992007000900003","url":null,"abstract":"<p><strong>Background and objectives: </strong>To analyse the use of the radiological examinations and the adequacy of every request to the guidelines of indication of radiological investigations.</p><p><strong>Patients and methods: </strong>A prospective survey that includes the explorations carried out in 202 patients hospitalised between January and April of 2006. The demographic data, the diagnosis, the radiological exams, the clinical aim of the requests and the requesting department were analysed. The appropriateness was assessed according to the international criteria of adequacy by two experienced physicians.</p><p><strong>Results: </strong>Twenty-seven percent out of the requests of radiological investigations was no adapted to the reference criteria. The requesting department, the type of radiographies and the diagnostic aim of the radiological studies were associated with an appropriate indication (p < 0.0001). Among the radiographies with diagnostic aim, the detection of radiological alterations was associated with a suitable indication of the request (p < 0.0001).</p><p><strong>Conclusion: </strong>The appropriate use of the radiological explorations was similar to other published reports. The inadequate indication seems to be associated with the use of simple radiographic explorations, with follow-up studies and with the requests from Intensive Care Unit.</p>","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":" ","pages":"421-7"},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41067694","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}
S Ruiz, S Soto, R Rodado, F Alcaraz, E López Guillén
{"title":"[Spontaneous bacterial peritonitis as form of presentation of idiophatic nephrotic syndrome in a black adult].","authors":"S Ruiz, S Soto, R Rodado, F Alcaraz, E López Guillén","doi":"10.4321/s0212-71992007000900008","DOIUrl":"https://doi.org/10.4321/s0212-71992007000900008","url":null,"abstract":"<p><p>Spontaneous bacterial peritonitis is a serious and frequent complication in childhood nephrotic syndrome. However, this type of complication is very rare in adult nephrotic patients. In the review realized only 15 cases are published with this complication, and none of them after the year 2000. Later we expose the case of a male of 25 years old, proceeding of senegal, with spontaneous bacterial peritonitis, acute renal failure and coagulopatia for malnutrition as form of presentation of a nephrotic syndrome flowery. Besides across the contributed case different aspects of the epidemiology and of the managing of these patients are discussed as well as the last publications on the options of treatment of the glomerulopatia responsible of the clinical symptoms.</p>","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":" ","pages":"442-4"},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41067699","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":"[Atypical antipsychotic drugs: heroes or villains? A clinical perspective].","authors":"B Alvarez-Fernández","doi":"10.4321/s0212-71992007000900010","DOIUrl":"https://doi.org/10.4321/s0212-71992007000900010","url":null,"abstract":"","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":" ","pages":"453-5"},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41067095","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}
E Ruescas Escolano, E Chiner Vives, A L Andreu Rodríguez, A Camarasa Escrig, M Llombart Cantó, J Sancho Chust
{"title":"[Young's syndrome in the adult age: home treatment with a mechanical device of intrapulmonary percusive ventilation].","authors":"E Ruescas Escolano, E Chiner Vives, A L Andreu Rodríguez, A Camarasa Escrig, M Llombart Cantó, J Sancho Chust","doi":"10.4321/s0212-71992007000900006","DOIUrl":"https://doi.org/10.4321/s0212-71992007000900006","url":null,"abstract":"<p><p>We studied a man with bronchiectasis, chronic sinopulmonary infections and obstructive azoospermia diagnosed of Young's syndrome in the adult age. The patient was treated at home by a mechanical system of respiratory care based in intrapulmonary percussive ventilation (Percussionaire) reaching a significant clinical and functional improvement. Our case enhanced the importance to make a proper history of fertility in patients with bronchiectasis in order to establish the diagnostic. We review different methods of respiratory mechanical assistance in patients with bronchiectasis.</p>","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":" ","pages":"435-8"},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41067697","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}
J D Turiño-Luque, R Garrido Rasco, V González Galán, A de Alarcón
{"title":"[Sepsis and cellulitis by Vibrio vulnificus in cirrhotic patient].","authors":"J D Turiño-Luque, R Garrido Rasco, V González Galán, A de Alarcón","doi":"10.4321/s0212-71992007000900011","DOIUrl":"https://doi.org/10.4321/s0212-71992007000900011","url":null,"abstract":"","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":" ","pages":"456-7"},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41067096","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}
A Touceda Bravo, A M Cabarcos Ortiz de Barrón, E González Babarro, E Fernández Rodríquez, J A Torre Carballada, J Rubio Alvarez
{"title":"[Fever without center in patient with chronic pain].","authors":"A Touceda Bravo, A M Cabarcos Ortiz de Barrón, E González Babarro, E Fernández Rodríquez, J A Torre Carballada, J Rubio Alvarez","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":" ","pages":"357-8"},"PeriodicalIF":0.0,"publicationDate":"2007-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41034191","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}
de la Puerta González Miro, G Piñol Ripoll, I Lacanbra Blasco, A del Río Ligorit
{"title":"[Prosthetic valve dysfunction with atypical symptoms. Endocarditis or thrombosis?].","authors":"de la Puerta González Miro, G Piñol Ripoll, I Lacanbra Blasco, A del Río Ligorit","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":" ","pages":"355-6"},"PeriodicalIF":0.0,"publicationDate":"2007-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41034188","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}