R Merchán Rodríguez, P Cacabelos Pérez, C Delgado, M Alañá García
{"title":"[Neurofibrosarcoma with pulmonary metastasis in patient with neurofibromatosis type I].","authors":"R Merchán Rodríguez, P Cacabelos Pérez, C Delgado, M Alañá García","doi":"10.4321/s0212-71992008000300013","DOIUrl":"https://doi.org/10.4321/s0212-71992008000300013","url":null,"abstract":"","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":"25 3","pages":"152-3"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27505007","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}
F J Polo-Romero, G Gálvez-Hernández, J Andreu-Plaza, S V Atienza-Ayala
{"title":"[Axillary thrombosis and pulmonary embolism alter pacemaker implantation].","authors":"F J Polo-Romero, G Gálvez-Hernández, J Andreu-Plaza, S V Atienza-Ayala","doi":"10.4321/s0212-71992008000300011","DOIUrl":"https://doi.org/10.4321/s0212-71992008000300011","url":null,"abstract":"","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":"25 3","pages":"150-1"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27505005","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}
G Piñol-Ripoll, P Larrodé Pellicer, M Garcés-Redondo, I de la Puerta González-Miró, C Iñiguez Martínez
{"title":"[Characteristics of Guillain-Barré syndrome in the healthy area III of Aragon Country].","authors":"G Piñol-Ripoll, P Larrodé Pellicer, M Garcés-Redondo, I de la Puerta González-Miró, C Iñiguez Martínez","doi":"10.4321/s0212-71992008000300002","DOIUrl":"https://doi.org/10.4321/s0212-71992008000300002","url":null,"abstract":"<p><strong>Introduction: </strong>Guillain-Barré Syndrome is an acute immune-mediated inflammatory polyneuropathy characterized by flaccid paresia with arreflexia, changeable sensitive disorder and albuminocytologic dissociation in the cerebrospinal fluid (CSF).</p><p><strong>Patients and methods: </strong>We conducted a retrospective study of 30 GBS patients diagnosed in Hospital Clínico de Zaragoza between 1999 and 2005. Annual incidence, seasonal distribution, preceding acute infection; clinical, electrophysiological and electrocardiographic (ECG) data and evolution were all evaluated.</p><p><strong>Results: </strong>The incidence was 1.56/100000 inhabitants/year. We observed an upward tendency during winter months. The rates of incidence were higher in men (66.7%) and increased with age in both sexes. Main clinical presentation form was paraparesia of lower limbs followed on cranial nerve palsy. Immunoglobulin therapy was received by 62.5% of patients. The rate of death was 10%. Thirteen per cent of patients had dysautonomia. Electrocardiographic abnormalities were present in 37% of patients.</p><p><strong>Conclusions: </strong>GBS incidence in Aragon Country is similar to that found in other studies. An increase with age and an upward tendency during the winter months was observed. High percentage of abnormalities in ECG but the majority of patients was asymptomatic.</p>","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":"25 3","pages":"108-12"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27504996","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}
P Young, B C Finn, F Alvarez, M F Verdaguer, F J Bottaro, J E Bruetman
{"title":"[Serotonin syndrome: four report cases and review of the literature].","authors":"P Young, B C Finn, F Alvarez, M F Verdaguer, F J Bottaro, J E Bruetman","doi":"10.4321/s0212-71992008000300006","DOIUrl":"https://doi.org/10.4321/s0212-71992008000300006","url":null,"abstract":"<p><p>The serotonin syndrome is a clinical condition associated with serotonin agonists. Is due to an overstimulation of central and peripheral serotonin receptors that leads to mental, autonomic and neuromuscular changes. Usually the disorder resolves within the first 24 hours after the medications are discontinued, however some patients progress to a multiple organ failure and die. We describe four elderly patients that presented with the classic triad. They presented the symptoms in average at the third day after the initiation or variation of the treatment with serotonin reuptake inhibitors. All had a favorable response with the suspension of medications and, in three cases, with the treatment with chlorpromazine. We believe it is a potentially fatal but reversible condition, probably underdiagnosed that requires a high index of suspicion.</p>","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":"25 3","pages":"125-30"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27505000","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 Chocarro Martínez, A González López, I García García, M Aleixos Zuriaga
{"title":"[How useful is the routine HIV screening?].","authors":"A Chocarro Martínez, A González López, I García García, M Aleixos Zuriaga","doi":"10.4321/s0212-71992008000300016","DOIUrl":"https://doi.org/10.4321/s0212-71992008000300016","url":null,"abstract":"","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":"25 3","pages":"155"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27505465","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":"[Role of tea flavonoids in cardiovascular protection].","authors":"D A de Luis, R Aller","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":"25 3","pages":"105-7"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27505090","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}
G Zubillaga Garmendia, E Sánchez Haya, J Benavente Claveras, E Ceciaga Elexpuru, I Zamarreño Gómez, E Zubillaga Azpíroz, C Sarasqueta Eizaguirre
{"title":"[Pneumonia above 80 years, admitted to the hospital].","authors":"G Zubillaga Garmendia, E Sánchez Haya, J Benavente Claveras, E Ceciaga Elexpuru, I Zamarreño Gómez, E Zubillaga Azpíroz, C Sarasqueta Eizaguirre","doi":"10.4321/s0212-71992008000300004","DOIUrl":"https://doi.org/10.4321/s0212-71992008000300004","url":null,"abstract":"<p><strong>Objective: </strong>To analyze and compare differences in patients older than 80 years with Community acquired Pneumonia admitted in Internal Medicine or Pneumology of a General Hospital from the Emergency Room.</p><p><strong>Material and methods: </strong>Retrospective study of all the 277 patients above 80 years admitted into the Hospital in 2005 with the main diagnosis of Pneumonia.</p><p><strong>Results: </strong>84% community-acquired, 16% from Institutions. Mean age: 85.8 y (48% men, 52% women). 19% FINE-3, 49% FINE-4, 32% FINE-5. Known etiology: 25% (Pneumococcal 19%, H. Influenzae and other Gram (-) 6%. 75% treated by Internists, 22% treated by Pneumologists. Standard Guidelines followed up by 30,5% a variant 60% (Equal by Internists or Pneumologists). Time door-1st antibiotic dose 6.6 hours. Global Mortality 16.7%. Women died at 87.4 y, men at 84.5 y (p = 0.035). Mortality FINE 3-4-5: 4.5, 12.4, 30% respectively. Mortality treated before 4 hours: 34.6%, after 4 hours: 11.5% (p = 0.01). Many more FINE 5 cases in Int. Medicine than Pneumology. Mortality by Internists 22%. Mortality by Pneumologists 3% (p = 0.001). Mortality similar following strict guidelines or variant.</p><p><strong>Conclusions: </strong>a) Internist receive patients sicker than Pneumologists; b) Important mortality in these very old patients of 16.7%, and progressive according the FINE severity index, in spite of correct therapy; c) Rapid initiation of Antibiotics did not decreased mortality; d) Mortality did not change following strict or variant Guidelines; and e) There are areas of quality improvement in our Hospitals.</p>","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":"25 3","pages":"117-21"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27504998","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}