[Ventriculitis due to Haemophilus aphrophilus in a 21 year old patient and right-left shunt].
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Biomedical subjects
Publications and source records attributed to B Obón Azuara.
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We describe a patient with previous transient left ventricular apical balloonig three months ago, who had got a new chest ischemic-like pain associated to an important dynamic left ventricular intracavitary obstruction which disappeared after betablockers treatment.
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Polymiositis and dermatomyositis are idiopathic inflammatory myositis with several respiratory complications but the acute failure respiratory is uncommon, and in the more severity types needs noninvasive mechanical ventilation. The case report a dermatomyositis patient who needed intensive care to failure respiratory due to muscle weakness who did not respond to corticoids -with pulsed prednisolone- in combination with another immunosuppressive agent with methotrexate, and after this with cyclofosfamide and cyclosporin. Along her stay in ICU is used a succesfully treatment with noninvasive mechanical ventilation and added high dose immunoglobulin intravenous, although there is a controversial about its use, was an effective treatment due to drug resistant dermatomyositis front to immunosuppression.
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BACKGROUND: Study of average stay in Department of Internal Medicine. METHODS: Prospective descriptive study in which different clinical-epidemiological variables and their relation with average stay are analysed. RESULTS: Length of stay: 13.23 +/- 11.04 days. Increase in the average stay related to age, specially between 65 and 74 years, and among 45 and 55 (p = 0.02). Longer stays among those admitted from Other Departments and Urgencies (p = 0.04), and those destined to Hospitals for Chronic Patients (p = 0.0001). CONCLUSIONS: Alternative formulas to the conventional hospitalization, coordination among different sanitary levels and others clinical measures would contribute to reduce this parameter.
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