Macarena Silva, Rodrigo Blamey, M Elena Ceballos, Ximena Araya, Carla Bastías, Loreto Twele, Rodrigo Muñoz, Alicia Sciaraffia, Cecilia Piñera
{"title":"[SARS-CoV-2 infection in people living with HIV. Topics on the global panorama and in Chile].","authors":"Macarena Silva, Rodrigo Blamey, M Elena Ceballos, Ximena Araya, Carla Bastías, Loreto Twele, Rodrigo Muñoz, Alicia Sciaraffia, Cecilia Piñera","doi":"10.4067/s0716-10182022000200294","DOIUrl":"https://doi.org/10.4067/s0716-10182022000200294","url":null,"abstract":"<p><p>The COVID-19 disease is caused by the SARS-CoV-2 virus and was declared a pandemic by the WHO on March 11, 2020. To date, more than 500 million people have been infected and it has caused over 6 million deaths worldwide. People that belong to the most vulnerable risk groups, such as those at the extremes of life, patients with chronic comorbidities and those with severe immunosuppression, are especially susceptible to developing a severe form of COVID-19 infection and death. Subjects living with HIV, especially those in precarious immunological conditions or those in whom antiretroviral therapy is yet to be started, may be at risk of developing complications related to COVID-19, as observed with other infectious diseases. This review aims to determine the magnitude of the impact of the SARS-CoV-2 virus on people living with HIV in Chile.</p>","PeriodicalId":520768,"journal":{"name":"Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia","volume":" ","pages":"294-303"},"PeriodicalIF":0.5,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40378382","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}
Jorge Alberto Cortés, Alejandro Concha M, Luis Eduardo Cediel T, Juan Sebastián Castillo
{"title":"[Diagnostic methods in candidemia: a systematic review of literature with meta-analysis].","authors":"Jorge Alberto Cortés, Alejandro Concha M, Luis Eduardo Cediel T, Juan Sebastián Castillo","doi":"/S0716-10182011000600006","DOIUrl":"https://doi.org//S0716-10182011000600006","url":null,"abstract":"<p><strong>Unlabelled: </strong>Candidemia is a disease with high morbidity and mortality especially in critical care patients. Early diagnosis enables early treatment.</p><p><strong>Objectives: </strong>To conduct a systematic review of the literature in order to establish the best laboratory tests for the diagnosis of candidemia in critical patients.</p><p><strong>Materials and methods: </strong>We conducted a systematic review of available literature in PubMed. Serological studies were subjected to meta-analysis in metadisk-Beta 1.1.1.</p><p><strong>Results: </strong>4 studies of 1286 reviewed were included. Three were about serological tests and one about molecular testing (RT-PCR). The sensitivity and specificity for RT-PCR, antibody testing and antigen and antibody tests were 87% and 100%, 47.5% and 82.6%, 96% and 81%, respectively. Diagnostic Odds Ratio of antigenemia was 1.51 (95% CI = 0,032-70,964, p = 0.001).</p><p><strong>Conclusions: </strong>RT-PCR has better diagnostic performance, measuring antigenemia plus antibodies improves sensitivity, specificity, LR + and LR-- . There is insufficient evidence to support this.</p>","PeriodicalId":520768,"journal":{"name":"Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia","volume":" ","pages":"423-8"},"PeriodicalIF":0.5,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40127606","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}
Juan E Sánchez T, Juan P López G, Militza González N, Eduardo Villaseca D, Denise Manieu M, Alejandra Roizen B, Isabel Noemí H, Alejandro Viovy A
{"title":"[Prevalence of ocular lesions in children seropositive to Toxocara canis].","authors":"Juan E Sánchez T, Juan P López G, Militza González N, Eduardo Villaseca D, Denise Manieu M, Alejandra Roizen B, Isabel Noemí H, Alejandro Viovy A","doi":"/S0716-10182011000600008","DOIUrl":"https://doi.org//S0716-10182011000600008","url":null,"abstract":"<p><p>Intraocular invasion by Toxocara canis is one of the most commonly recognized etiologies of uveitis and blindness in children. In order to estimate the prevalence of ocular lesions caused by toxocariasis in a pediatric referral hospital, we conducted a retrospective analysis of clinical charts of all children seropositive to Toxocara canis, who also had an eye exam between the years 2005 and 2009 at the Calvo Mackenna Children's Hospital in Santiago, Chile. We identified 175 children [mean age 6 years (range 0.66-15)] seropositive to Toxocara canis, who had dilated eye exam. Only one child [(0.57%); 95% CI, -0.55 - 1.69] had ophthalmoscopic findings compatible with Toxocara canis infection. The patient also suffered from decreased vision of the affected eye. The information gained from this study may be of useful for the implementation of algorithms for the ophthalmological examination of children seropositive to Toxocara canis in public hospitals in Chile.</p>","PeriodicalId":520768,"journal":{"name":"Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia","volume":" ","pages":"431-4"},"PeriodicalIF":0.5,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40127608","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":"[Ectoparasitosis of clinical importance in Chile].","authors":"Claudia Moreno M","doi":"/S0716-10182011000600009","DOIUrl":"https://doi.org//S0716-10182011000600009","url":null,"abstract":"<p><p>Several parasitic diseases affect the skin and appendages in humans, the most common are head lice and scabies. Both diseases have worldwide distribution with geographical variations. In Chile, the reported prevalence of head lice is 20-25% and of scabies 1-5%. Other ectoparasites include fleas and mite, causing transient parasitosis related to human and animal contact. These parasites are associated with various factors such as poor personal hygiene, promiscuity, long hair, crowding, and sharing of combs, among others. Various effective pharmacological therapies are available, which base on several active compounds. Important therapeutic options include topical treatments with pyrethroids, lindane, crotamiton, and malathion as well as oral medications such as ivermectin, which is used in case of drug intolerance, poor treatment response, infections with multiple parasites or concomitant bacterial infections. For some drugs, resistance has been reported in patients received multiple dosis.</p>","PeriodicalId":520768,"journal":{"name":"Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia","volume":" ","pages":"435-9"},"PeriodicalIF":0.5,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40127609","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}
Patricia Neira O, Gloria Pino Q, Nelson Muñoz S, Pedro Tobar C
{"title":"[Elimination of juvenile stages of Ascaris lumbricoides (Linnaeus, 1758) by mouth. Report of a case and some epidemiological considerations].","authors":"Patricia Neira O, Gloria Pino Q, Nelson Muñoz S, Pedro Tobar C","doi":"/S0716-10182011000600014","DOIUrl":"https://doi.org//S0716-10182011000600014","url":null,"abstract":"<p><p>Ascariosis is a parasitic disease caused by Ascaris lumbricoides, a large geohelmint endemic in our country. At present, ascariosis is a rare infection in Chile. We present a case of an adult, resident of the Villa Alemana municipality, Valparaiso Region, who spontaneously expelled two juvenile nematodes by mouth. We review the manifestations produced by the larval and adult stages of this parasite including their diagnosis, treatment, and epidemiological considerations.</p>","PeriodicalId":520768,"journal":{"name":"Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia","volume":" ","pages":"479-83"},"PeriodicalIF":0.5,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40127566","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}
Rodrigo Cruz Ch, Eliette Ponce E, Leslie Calderón R, Natalia Delgado V, Peggy Vieille O, Eduardo Piontelli L
{"title":"[Superficial mycoses in the city of Valparaiso, Chile: period 2007-2009].","authors":"Rodrigo Cruz Ch, Eliette Ponce E, Leslie Calderón R, Natalia Delgado V, Peggy Vieille O, Eduardo Piontelli L","doi":"/S0716-10182011000600002","DOIUrl":"https://doi.org//S0716-10182011000600002","url":null,"abstract":"<p><strong>Introduction: </strong>Superficial mycoses are infections of the keratinous tissue caused by dermatophytes, yeasts and environmental fungi.</p><p><strong>Objectives: </strong>To identify the species of dermatophytes, yeasts and environmental fungi that cause superficial mycosis and analyze their differences by sex, age and location of the lesion, in patients from the region of Valparaiso, during 2007-2009.</p><p><strong>Materials and methods: </strong>1004 patients diagnosed with superficial mycoses were studied. All ages and both genera were included. The study was done using direct microscopic examination with 20% KOH and culture of the lesions. Fungi identification was mainly morphophysiological.</p><p><strong>Results: </strong>Of the 1004 patients studied, 609 were women and 87.7% was 15 years old or younger. Toenail onychomycosis was the most frequent lesion (58.1%), followed by tinea pedis and interdigitalis (16.3%). In patients younger than 8 years old, tinea capitis by Microsporum canis was the most common mycoses. Among dermatophytes, Trichophyton rubrum (78.9%) predominated in most locations, followed by Trichophyton mentagrophytes (14.9%) and M. canis (5.4%). Candida spp. (95.4%) prevailed among the yeasts causing onychomycosis. There were 27 cases of toenail onychomycosis caused by environmental fungi, mainly Fusarium.</p><p><strong>Conclusions: </strong>Our results are consistent with national and international data, where T. rubrum is the predominant agent of dermatomycoses. We report the emergency of agents not described in Chile or Latin America in these infections.</p>","PeriodicalId":520768,"journal":{"name":"Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia","volume":" ","pages":"404-9"},"PeriodicalIF":0.5,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40127114","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}
Diego Lizaso, Mercedes García, Ana Aguirre, Amadeo Esposto
{"title":"[Breast implant infection by Mycobacterium fortuitum in a patient with systemic lupus erythematosus].","authors":"Diego Lizaso, Mercedes García, Ana Aguirre, Amadeo Esposto","doi":"/S0716-10182011000600013","DOIUrl":"https://doi.org//S0716-10182011000600013","url":null,"abstract":"<p><p>In recent decades there has been an increase in the number of breast implants for reconstruction and cosmetic purposes. Infection is a severe complication mostly caused by Staphylococcus aureus or coagulase-negative staphylococci. Mycobacteria are an infrequent cause of infection in this type of surgery. We describe a case of Mycobacterium fortuitum infection in a patient with lupus, subjected to a prosthetic replacement. These patients are more prone to unusual opportunistic infections. Treatment always requires both removal of prosthetic material and antibiotic therapy.</p>","PeriodicalId":520768,"journal":{"name":"Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia","volume":" ","pages":"474-8"},"PeriodicalIF":0.5,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40127565","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}
Isolda Budnik O, Tamara Hirsch B, Carlos Fernández C, Leticia Yánez P, Juanita Zamorano R
{"title":"[Kawasaki disease: a clinical serie].","authors":"Isolda Budnik O, Tamara Hirsch B, Carlos Fernández C, Leticia Yánez P, Juanita Zamorano R","doi":"/S0716-10182011000600005","DOIUrl":"https://doi.org//S0716-10182011000600005","url":null,"abstract":"<p><strong>Introduction: </strong>Kawasaki disease (KD) is a serious disease in children due to its potential complications and sequelae if not promptly and adequately managed.</p><p><strong>Objectives: </strong>To describe clinical and epidemiological characteristics of children hospitalized due to KD at a tertiary care center and identify risk factors for poor outcome.</p><p><strong>Patients and methods: </strong>Retrospective and descriptive study of 32 medical records of patients hospitalized with diagnosis of KD at a tertiary care center of Santiago, Chile between February 1999 and May 2007.</p><p><strong>Results: </strong>The annual frequency was of 5 cases, mainly boys and during spring. The median age at diagnosis was 1.5 years and 87.5% of the children were younger than 5 years. Typical presentation prevailed in all ages (68,7%). Coronary artery affection, including dilatation or aneurisms, occurred in 21.9% of the cases, with aneurysms in 3 cases. All patients were treated with aspirin and intravenous immunoglobulin (IVIG); 4 patients required a second dose. No deaths were reported. The identified risk factors for poor outcome were age older than 5 years and hypoalbuminemia.</p><p><strong>Conclusions: </strong>KD is an infrequent disease that mainly occurs in children younger than 5 years and with a typical presentation. There are risk factors associated with poor outcome.</p>","PeriodicalId":520768,"journal":{"name":"Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia","volume":" ","pages":"416-22"},"PeriodicalIF":0.5,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40127605","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 T Ulloa F, Lorena Porte, Stephanie Braun J, Jeannette Dabanch P, Alberto Fica C, Tania Henríquez A, Carlos G Osorio A
{"title":"[Acute gastroenteritis caused by a Vibrio cholerae non-O1, non-O139 strain harboring a genetic region homologous to the VpaI-7 pathogenicity island].","authors":"María T Ulloa F, Lorena Porte, Stephanie Braun J, Jeannette Dabanch P, Alberto Fica C, Tania Henríquez A, Carlos G Osorio A","doi":"/S0716-10182011000600012","DOIUrl":"https://doi.org//S0716-10182011000600012","url":null,"abstract":"<p><p>Pathogenic Vibrio cholerae isolates, the etiologic agents of cholera, generally express one of two O antigens (O1 or O139). Most environmental isolates are nonpathogenic and are referred to as \"non-O1, non-O139\". However some V. cholerae non-O1, non-O139 strains are clearly pathogenic and have caused outbreaks or sporadic cases of gastroenteritis and extraintestinal infections in humans. We report a case of acute gastroenteritis by a V. cholerae non-O1, non-O139 harboring a genetic region homologous to a segment of the VpaI-7 V. parahaemolyticus pathogenicity island.</p>","PeriodicalId":520768,"journal":{"name":"Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia","volume":" ","pages":"470-3"},"PeriodicalIF":0.5,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40127564","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":"[Declaration of Punta del Este concerning antimicrobial resistance in Latin America].","authors":"","doi":"/S0716-10182011000600003","DOIUrl":"https://doi.org//S0716-10182011000600003","url":null,"abstract":"","PeriodicalId":520768,"journal":{"name":"Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia","volume":" ","pages":"410-4"},"PeriodicalIF":0.5,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40127604","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}