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Fernández Vázquez E Lacárcel Bautista C Alcázar Navarrete B Casado Moreno I Espejo Guerrero A Ruiz Carazo E 《Archivos de bronconeumología》2003,39(8):370-372
Chronic thromboembolic pulmonary hypertension is a rare sequela to an acute untreated or recurrent pulmonary embolism. The mechanisms that underlie the failure to resolve the thrombus are still uncertain. As most patients are not diagnosed until a relatively late stage, little is known about the course of their illness. We report the case of a 51-year-old woman who had previously been diagnosed with and operated on for endomyocardial fibrosis of the right ventricle and who developed chronic thromboembolic pulmonary hypertension several years later. 相似文献
83.
Klebsiella bacteremia: an analysis of 100 episodes 总被引:7,自引:0,他引:7
M García de la Torre J Romero-Vivas J Martínez-Beltrán A Guerrero M Meseguer E Bouza 《Reviews of infectious diseases》1985,7(2):143-150
During a five-year period, 204 patients had klebsiella bacteremia at this institution; these cases constituted 6.6% of the total episodes of bacteremia. The incidence was 2.3 cases per 1,000 admitted patients. A random group of 100 cases was chosen for analysis in the present study. The disease was community acquired in 23%, nosocomially acquired in 77%, unimicrobial in 88%, or part of a polymicrobial bacteremia in 12% of episodes. Three-quarters of the episodes were caused by Klebsiella pneumoniae and the remaining one-quarter, by Klebsiella oxytoca. Portals of entry, in decreasing order of frequency, were urinary, respiratory, and biliary tracts. Twenty-four percent of the Klebsiella isolates were resistant to gentamicin. The most frequent clinical finding (in 96% of the cases) was fever. Shock occurred in 22% and pyogenic metastatic foci, in 5% of the patients. None of the patients had evidence of disseminated intravascular coagulation. Overall mortality was 25%, and factors associated with poor prognosis were inadequacy of antimicrobial chemotherapy, septic shock, type of underlying disease, and clinical condition of the patients. 相似文献
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Ines Quintela Montse Fernandez‐Prieto Lorena Gomez‐Guerrero Mariela Resches Jesus Eiris Francisco Barros Angel Carracedo 《Clinical Case Reports》2015,3(6):415-423
We report on a male patient with severe autistic disorder, lack of oral language, and dysmorphic features who carries a rare interstitial microdeletion of 4.96 Mb at chromosome 6q14.1‐q15. The patient also harbors a maternally inherited copy number gain of 1.69 Mb at chromosome Xp22.31, whose pathogenicity is under debate. 相似文献
86.
Itzíar Carrasco Talía Sainz Marie Antoinette Frick Santiago Jimnez de Ory Claudia Fortuny Joaquin Burgos Marta Montero Csar Gaviln María Dolores Falcn Jos Antonio Couceiro Jos Ignacio Bernardino Otilia Bisbal Carmelo Guerrero María Teresa Aldmiz‐Echevarría Juan Berenguer María Luisa Navarro 《Journal of viral hepatitis》2020,27(9):955-958
Direct‐acting antivirals (DAAs) for HCV treatment have improved tolerance and efficacy among adults, but experience in vertical transmission is scarce. In our vertically HIV/HCV co‐infected youth cohort of 58 patients, DAA achieved excellent rates of cure among naïve and pretreated individuals. Treating vertically infected seems important as 29.6% displayed advanced fibrosis at treatment initiation. 相似文献
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Bassim El‐Sabawi Mayra E. Guerrero Mackram F. Eleid Charanjit S. Rihal 《Catheterization and cardiovascular interventions》2020,96(3):706-711
Transcatheter mitral valve replacement (TMVR) is emerging as an alternative treatment strategy to surgery for patients with severe mitral annular calcification (MAC) who are not candidates for traditional mitral valve surgery. Paravalvular leak (PVL) is common following TMVR for severe MAC and can lead to heart failure symptoms and/or intravascular hemolysis, the latter of which usually is clinically stable. We report the case of a 67‐year‐old woman with symptomatic severe aortic stenosis and mitral stenosis with MAC in the setting of prior chest irradiation who was treated initially with transcatheter aortic valve replacement followed by TMVR at a later date (Sapien S3 system; Edwards Lifesciences). Immediately following TMVR, she developed acute profound hemolysis which manifested with hemoglobinuria, transfusion‐dependent anemia, and acute renal failure requiring renal replacement therapy. She was treated with post‐dilation balloon valvuloplasty after failed transcatheter PVL closure 10 days following TMVR with resulting improvement in the PVL. The hemolytic anemia resolved and renal function recovered without the need for continued hemodialysis 2 months later and stabilization of glomerular filtration rate at 6 months. This case highlights a potential severe complication of TMVR in MAC and suggests that improvement in hemolysis and late recovery of renal function may occur following treatment of PVL. 相似文献
89.
A. Muñoz Noval R. García D. Ruiz Casas D. Losada Bayo V. Sánchez Vaquero V. Torres Costa R.J. Martín Palma M.A. García J.P. García Ruiz J.J. Serrano Olmedo J.F. Muñoz Negrete F. del Pozo Guerrero M. Manso Silván 《Acta biomaterialia》2013,9(4):6169-6176
Magnetic porous silicon flakes (MPSF) were obtained from mesoporous silicon layers formed by multi-step anodization and subsequent composite formation with Fe oxide nanoparticles by thermal annealing. The magnetic nanoparticles adhered to the surface and penetrated inside the pores. Their structure evolved as a result of the annealing treatments derived from X-ray diffraction and X-ray absorption analyses. Moreover, by tailoring the magnetic load, the dynamic and hydrodynamic properties of the particles were controlled, as observed by the pressure displayed against a sensor probe. Preliminary functionality experiments were performed using an eye model, seeking potential use of MPSF as reinforcement for restored detached retina. It was observed that optimal flake immobilization is obtained when the MPSF reach values of magnetic saturation >10?4 A m2 g?1. Furthermore, the MPSF were demonstrated to be preliminarily biocompatible in vitro. Moreover, New Zealand rabbit in vivo models demonstrated their short-term histocompatibility and their magnetic functionality as retina pressure actuators. 相似文献
90.