[Retrospective study of the epidemiologic characteristics of HIV infection in a regional hospital].
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Biomedical subjects
Publications and source records attributed to I López-Benito.
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Allopurinol is a drug of wide clinical use and good tolerance. Some patients develop severe hypersensitivity due to immunologic reaction to the drug. A new case which fulfills all the diagnostic criteria of the syndrome of allopurinol hypersensitivity with associated clinical manifestations of multiple mononeuritis and evidence of granulomas and vasculitis in liver biopsy as the most significant data is reported. The syndrome was favorably resolved following withdrawal of the drug without need for corticoid therapy. The characteristics of the cases described in the Spanish literature over the last few years are globally reviewed. The absence of mortality is of note. The inconvenience of prescribing allopurinol to patients with asymptomatic hyperuricemia is emphasized.
We present a new case of bacterial spontaneous peritonitis cirrhosis, associated to an extremely rare germ as it is Pasteurella multocida. We describe its clinical characteristics and evolution after treatment.
INTRODUCTION: Domiciliary hospitalization (DH) is defined as the group of treatments and healthcare carried out in the patient's home, but of complexity, intensity and duration comparable to those received by a patient in a conventional hospital. OBJECTIVE: The aim of this article is to divulge, in the neurological world, the possibility of attendance by DH. DEVELOPMENT: A DH would act as a supporting term for the acute hospital, as a supporting team for Primary Care, and in some cases as a unit for assessment and placing patients in their best 'therapeutic setting' as required by any community health organization. In this paper we consider the professionals who make up the structure of DH, the criteria for admission to the Unit, the system for admission and the types of illness which may be attended in these units. With regard to the latter, we briefly analyse the neurological illnesses in the DH setting: cerebrovascular disease, meningitis and multiple sclerosis. Finally, we present data regarding the 13 units working in the Comunidad Valenciana. CONCLUSION: The basic mission of the DH is to improve the quality of assistance, and by means of specialist support enable the biggest possible number of persons who need and wish to remain or return home as soon as possible to do so.
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