PubMed Health⌕ Search

Biomedical subjects

A del Castillo Rueda

Publications and source records attributed to A del Castillo Rueda.

30 records · Page 2Linked to original sources

[Magnesium: therapeutic usefulness in emergency situations].

Magnesium has been a forgotten cation from the therapeutical point of view, given that, although its properties began to be known more than a century ago, its use has been always empirical or isolated. With respect to its use in emergency situations, in addition to correcting its deficit and using it for the treatment of hypercalcemia and hypopotassemia, it is currently recommended as the therapy of choice for the treatment and prevention of several arrhythmias. It can also be used to prevent its deficit, when such deficit is pathological or associated to the ingestion or certain drugs. Given the multiple properties of magnesium, controlled studies are required in order to define its potential therapeutical applications.

Asthma↗

[Pleural empyema due to group-A beta-hemolytic Streptococcus].

We present the case of a parenteral drug addict with pleural overflow (empyema), in which hemolytic Streptococcus group A was isolated. The absence of an early diagnosis and an effective empirical treatment caused the development of septic shock and the patient died in spite of the therapeutical measures implanted in the emergency unit.

Adult↗

[Urinary tract infection at the emergency service of a third level hospital].

104 patients with (UI) non-complicated urinary infection, diagnosed at the emergency department of a third level hospital, are presented. The median age (x +/- DE) was of 58.12 +/- 20, 48 years; 78 were female (73%) and 22 male. 81 had fever and/or micturitional syndrome, the rest of the patients were without symptoms. The most frequent germ was escherichia coli, which was isolated in 80 patients (84.6%) followed by proteus mirabilis in 9 patients (8.6%) and enterococo in 2 patients (1.9%), other differing germs were also isolated, one for each remaining case. The only active antibiotic "in vitro" for all the germs isolated was gentamicin; other showed varying resistance. The best effectivity "in vivo" was also obtained with gentamicin followed by cotrimoxazole, despite the resistance which was superior to cefalexin. There were no deaths reported during the ambulatory treatment. We concluded that non-complicated UI can be treated in an ambulatory regimen. The most effective antibiotic is gentamicin, cotrimoxazole being a valid alternative.

Adolescent↗