[Tuberculosis miliar in a patient treated with intravesical instillations of bacillus Calmette-Guérin].


:Tuberculosis miliar is a very rare complication of bacillus Calmette-Guérin (BCG) immunotherapy that is associated to high mortality. Thus, early diagnosis and treatment is essential. At present, there is a polymerase chain reaction technique (PCR) which is a rapid diagnostic method with elevated sensitivity. Treatment with tuberculostatic agents should be initiated as soon as possible, the combination of corticosteroids and cycloserine in serious cases being advisable. A case of a 75 year old patient with intravesical BCG instillations after a transurethral resection of bladder cancer is presented. He was admitted to the Intensive Care Unit (ICU) due to severe acute respiratory failure evolving to acute respiratory distress syndrome (ARDS). Mycobacterium bovis DNA was identified by PCR in blood samples and bronchoaspirate (BAS). He was treated with tuberculostatic agents and corticosteroids, dying due to respiratory failure.


Med Intensiva


Medicina intensiva


Del Castillo Duran Y,Santos Bodí F,Castander Serentill D,Jubert Montaperto P,Espinosa Valencia P,Rabassó Sole C




Has Abstract


2006-04-01 00:00:00












  • [Thrombolysis in cardiac arrest].

    abstract::Both acute myocardial infarction and pulmonary thromboembolism are responsible for a great number of cardiac arrests. Both present high rates of mortality. Thrombolysis has proved to be an effective treatment for acute myocardial infarction and pulmonary thromboembolism with shock. It would be worth considering whethe...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Ruiz Bailén M,Rucabado Aguilar L,Morante Valle A,Castillo Rivera A

    更新日期:2006-03-01 00:00:00

  • [Indicators of quality in the critical patient].

    abstract::The utility of using quality indicators as a tool to measure the common practice and evaluate efficacy of measures established to improve quality has been demonstrated, making it possible to identify and make known the improvements carried out. The project "Quality indicators in the critical patient" has been conducte...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Martín MC,Cabré L,Ruiz J,Blanch L,Blanco J,Castillo F,Galdós P,Roca J,Saura RM,Grupos de trabajo de la Sociedad Española de Medicina Intensiva Crítica y Unidades Coronarias (SEMICYUC), Sociedad Española de Enfermería Intensiva y Unidad

    更新日期:2008-01-01 00:00:00

  • Cranioplasty with bandaging. New forms of limitation of life support and organ donation.

    abstract::Most of transplanted organs are obtained from brain death (BD) donors. In neurocritical patients with catastrophic injuries and decompressive craniectomy (DC), which show a dreadful development in spite of this treatment, DC could be a futile tool to avoid natural progress to BD. We propose if cranial compressive band...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Escudero D,Cofiño L,Gracia D,Palacios M,Casares M,Cabré L,Simón P,Miranda P,Martínez K,Iribarren S,Saralegui I,Simó RM,de León B,Español V

    更新日期:2013-04-01 00:00:00

  • Issues to resolve with the use of extracorporeal membrane oxygenation during interfacility transportation.

    abstract::Extracorporeal membrane oxygenation (ECMO) support is indicated in patients who are refractory to treatment, those with cardiogenic shock or respiratory failure and those with exacerbations eligible for heart and lung transplantation. Physician experience and quantity of necessary resources are reasons why regionaliza...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Burgueño P,González C,Sarralde A,Gordo F

    更新日期:2019-03-01 00:00:00

  • Perioperative in Intensive Medicine of reconstructive surgery and burned patients.

    abstract::Burned patients may need prolonged admissions in the Intensive Care Service, both for initial care and for the pre and postoperative treatment of the multiple surgeries they require. The initial resuscitation of critically burned patients requires adequate monitoring to calculate the fluid therapy necessary to repleni...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Sánchez-Sánchez M,Martínez JR,Civantos B,Millán P

    更新日期:2020-03-01 00:00:00

  • [Recommendations of the Infectious Diseases Work Group (GTEI) of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC) and the Infections in Critically Ill Patients Study Group (GEIPC) of the Spanish Society of Infectio

    abstract::The diagnosis of influenza A/H1N1 is mainly clinical, particularly during peak or seasonal flu outbreaks. A diagnostic test should be performed in all patients with fever and flu symptoms that require hospitalization. The respiratory sample (nasal or pharyngeal exudate or deeper sample in intubated patients) should be...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,实务指引


    authors: Rodríguez A,Alvarez-Rocha L,Sirvent JM,Zaragoza R,Nieto M,Arenzana A,Luque P,Socías L,Martín M,Navarro D,Camarena J,Lorente L,Trefler S,Vidaur L,Solé-Violán J,Barcenilla F,Pobo A,Vallés J,Ferri C,Martín-Loeches I,

    更新日期:2012-03-01 00:00:00

  • [Acute renal function deterioration in a Coronary Unit in Spain].

    abstract:OBJECTIVE:To assess the incidence and prognostic value of acute renal function deterioration (ARFD) in patients with acute heart disease. SETTING:Coronary Care Unit in a tertiary university hospital. DESIGN:Retrospective study. PARTICIPANTS:One hundred consecutive patients admitted during 2004. INTERVENTIONS:No ran...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Martí D,Escobar C,Dedieu N,Liaño F,Jiménez Mena M,Asín E

    更新日期:2008-05-01 00:00:00

  • [Guidelines for specialized nutritional and metabolic support in the critically-ill patient. Update. Consensus of the Spanish Society of Intensive Care Medicine and Coronary Units-Spanish Society of Parenteral and Enteral Nutrition (SEMICYUC-SENPE): cardi

    abstract::Patients with cardiac disease can develop two types of malnutrition: cardiac cachexia, which appears in chronic congestive heart failure, and malnutrition due to the complications of cardiac surgery or any other type of surgery in patients with heart disease. Early enteral nutrition should be attempted if the oral rou...

    journal_title:Medicina intensiva

    pub_type: 共识发展会议,杂志文章,实务指引


    authors: Jiménez Jiménez FJ,Cervera Montes M,Blesa Malpica AL,Spanish Society of Intensive Care Medicine and Coronary Units-Spanish Society of Parenteral and Enteral Nutrition (SEMICYUC-SENPE).

    更新日期:2011-11-01 00:00:00

  • [Invasive pulmonary aspergillosis in a hematooncological patient in the intensive care units. A review of the literature].

    abstract::Invasive aspergillosis is a common condition in patients with hematologic malignancies. Symptoms are extremely non-specific, and therefore it is necessary to be familiar with the diagnostic tests for early diagnosis. This review has attempted to clarify the current evidence regarding the following areas: clinical pres...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Burghi G,Lemiale V,Bagnulo H,Bódega E,Azoulay E

    更新日期:2010-10-01 00:00:00

  • [Treatment alternatives in massive hemorrhage].

    abstract::Massive hemorrhage is the main cause of mortality and morbidity in trauma patients, and is one of the most important causes in any patient following major surgery. Conventional treatment consists of volume replacement, including the transfusion of blood products, so that tissue perfusion and oxygenation may be maintai...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Fernández-Hinojosa E,Murillo-Cabezas F,Puppo-Moreno A,Leal-Noval SR

    更新日期:2012-10-01 00:00:00

  • Analysis of the nutritional management practices in intensive care: Identification of needs for improvement.

    abstract:OBJECTIVES:To analyze the nutritional management practices in Intensive Care (ICU) to detect the need for improvement actions. Re-evaluate the process after implementation of improvement actions. DESIGN:Prospective observational study in 3 phases: 1) observation; 2) analysis, proposal development and dissemination; 3)...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Lázaro-Martín NI,Catalán-González M,García-Fuentes C,Terceros-Almanza L,Montejo-González JC

    更新日期:2015-12-01 00:00:00

  • Physician staffing needs in critical care departments.

    abstract::Departments of Critical Care Medicine are characterized by high medical assistance costs and great complexity. Published recommendations on determining the needs of medical staff in the DCCM are based on low levels of evidence and attribute excessive significance to the structural/welfare approach (physician-to-beds r...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Gómez Tello V,Ruiz Moreno J,Weiss M,González Marín E,Merino de Cos P,Franco Garrobo N,Alonso Ovies A,Montejo González JC,Iber T,Marx G,Córcoles González V,Gordo Vidal F,Palencia Herrejón E,Roca Guiseris J,en nombre de la Soci

    更新日期:2018-01-01 00:00:00

  • Management of accidental hypothermia: A narrative review.

    abstract::A narrative review is presented on the diagnosis, treatment and management of accidental hypothermia. Although all these processes form a continuum, for descriptive purposes in this manuscript the recommendations are organized into the prehospital and in-hospital settings. At prehospital level, it is advised to: a) pe...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Avellanas Chavala ML,Ayala Gallardo M,Soteras Martínez Í,Subirats Bayego E

    更新日期:2019-12-01 00:00:00

  • [Consensus document of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC), the Spanish Society of Otorhinolaryngology and Head and Neck Surgery (SEORL-CCC) and the Spanish Society of Anesthesiology and Resuscitation

    abstract::The current COVID-19 pandemic has rendered up to 15% of patients under mechanical ventilation. Because the subsequent tracheotomy is a frequent procedure, the three societies mostly involved (SEMICYUC, SEDAR and SEORL-CCC) have setup a consensus paper that offers an overview about indications and contraindications of ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Martín Delgado MC,Avilés-Jurado FX,Álvarez Escudero J,Aldecoa Álvarez-Santuyano C,de Haro López C,Díaz de Cerio Canduela P,Ferrandis Perepérez E,Ferrando Ortolá C,Ferrer Roca R,Hernández Tejedor A,López Álvarez F,Monedero Rodríguez

    更新日期:2020-11-01 00:00:00

  • Oxidative stress in immunocompetent patients with severe community-acquired pneumonia. A pilot study.

    abstract:OBJECTIVE:A comparison was made of the oxidative stress (OS) levels of patients with either viral or bacterial severe community-acquired pneumonia (sCAP) and of patients without infection (healthy volunteers (HV) and patients with acute myocardial infarction (AMI)). DESIGN:A prospective observational study was made. ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Trefler S,Rodríguez A,Martín-Loeches I,Sanchez V,Marín J,Llauradó M,Romeu M,Díaz E,Nogués R,Giralt M

    更新日期:2014-03-01 00:00:00

  • Effect upon mortality of the extension to holidays and weekends of the "ICU without walls" project. A before-after study.

    abstract:OBJECTIVE:To determine whether extension to holidays and weekends of the protocol for the early proactive detection of severity in hospital ("ICU without walls" project) results in decreased mortality among patients admitted to the ICU during those days. DESIGN:A quasi-experimental before-after study was carried out. ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Abella A,Enciso V,Torrejón I,Hermosa C,Mozo T,Molina R,Janeiro D,Díaz M,Homez M,Gordo F,Salinas I

    更新日期:2016-06-01 00:00:00

  • Liberal red blood cell transfusions impair quality of life after cardiac surgery.

    abstract:BACKGROUND:The optimal blood management after cardiac surgery remains controversial. Moreover, blood transfusions may have an impact on long-term outcomes. OBJECTIVE:The aim of this study is to characterize the impact of liberal red blood cell transfusions on Health-Related Quality of life (HRQoL) after cardiac surger...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: González-Pérez A,Al-Sibai JZ,Álvarez-Fernández P,Martínez-Camblor P,Argüello-Junquera M,García-Gala JM,Martínez-Revuelta E,Silva J,Morís C,Albaiceta GM

    更新日期:2019-04-01 00:00:00

  • Predictive scoring systems in multiorgan failure: A cohort study.

    abstract:OBJECTIVE:An evaluation is made of the hospital mortality predicting capacity of the main predictive scoring systems. DESIGN:A 2-year retrospective cohort study was carried out. SETTING:A third level ICU with surgical and medical patients. PATIENTS:All patients with multiorgan failure during the first day in the ICU...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Sánchez-Casado M,Hostigüela-Martín VA,Raigal-Caño A,Labajo L,Gómez-Tello V,Alonso-Gómez G,Aguilera-Cerna FM

    更新日期:2016-04-01 00:00:00

  • [Early non-invasive diagnosis of posttraumatic carotid-cavernous fistula diagnosed by transcranial color-coded duplex sonography: analysis of 4 patients].

    abstract::Posttraumatic carotid-cavernous fistula (PtCCF) is an uncommon complication after cranioencephalic trauma. It is usually diagnosed with a cerebral arteriography when the clinical symptoms have already appeared. The transcranial color-coded duplex sonography (TCDS) is a non-invasive technique at the patient's bedside t...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Llompart-Pou JA,Abadal JM,Pérez-Bárcena J,Homar J,Rodríguez A,Ibáñez J

    更新日期:2007-01-01 00:00:00

  • [Diagnosis of brain death by multislice CT scan: angioCT scan and brain perfusion].

    abstract::BD was diagnosed by clinical examination, electroencephalogram (EEG), Transcranial Doppler (TCD) and multislice CT of 64 detectors. Initially, a brain perfusion study was performed. This was followed by supra-aortic trunk and brain artery angiography with acquisition of images using 0.5 mm slices, from the origin of t...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Escudero D,Otero J,Vega P,Gil A,Roger RL,Gonzalo JA,Muñiz G,Taboada F

    更新日期:2007-08-01 00:00:00

  • [Changes in health-related quality of life after ICU according to diagnostic category. Comparison of two measurement instruments].

    abstract:OBJECTIVE:Assessment of health related quality of life (HRQOL) before and 12 months after discharge from a mixed intensive care unit (ICU) according to diagnostic category and the relationship between both instruments. DESIGN:Prospective observational study. SETTING:The combined medical/surgical ICU in a secondary un...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Badia Castelló M,Trujillano Cabello J,Serviá Goixart L,March Llanes J,Rodríguez-Pozo A

    更新日期:2008-06-01 00:00:00

  • [The recommendations regarding non-ST segment elevation acute coronary syndrome have been reviewed. SEMICYUC. Spanish Society for Intensive Medicine, Critical Care and Coronary Units].

    abstract::These recommendations are designed to be of assistance to doctors in ICUs when making first evaluations of these patients. They are mainly intended to assist with early diagnosis, risk stratification and initial treatment. The need for individualised treatment is at present one of the main objectives in the management...

    journal_title:Medicina intensiva

    pub_type: 共识发展会议,杂志文章,实务指引,评审


    authors: Civeira Murillo E,Del Nogal Saez F,Alvarez Ruiz AP,Ferrero Zorita J,Alcantara AG,Aguado GH,López Messa JB,Montón Rodríguez JA,Grupo de Trabajo de Cuidados Intensivos Cardiológicos y RCP.

    更新日期:2010-01-01 00:00:00

  • Main information requests of family members of patients in Intensive Care Units.

    abstract:OBJECTIVE:To compile an inventory of information requests prioritized by the family members, to find out which professionals them consider able to respond these requests, and to explore the differences in perception between family members and professionals. DESIGN:Qualitative analysis of content validation and descrip...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,多中心研究


    authors: Velasco Bueno JM,Alonso-Ovies A,Heras La Calle G,Zaforteza Lallemand C,Equipo de investigación del Proyecto HUCI (Humanizando los Cuidados Intensivos).

    更新日期:2018-01-01 00:00:00

  • [Location of the central venous catheter tip in the right atrium: description in 2348 critical patients].

    abstract:OBJECTIVE:to document possible complications related to the location of central venous catheter (CVC) tip in the right atrium (RA) in two medical-surgical intensive care units (ICU). DESIGN:An observational, retrospective study of critically ill patients. SETTING:two medical-surgical ICUs. PATIENTS:adult patients in...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Torres-Millán J,Torres-López M,Benjumea-Serna M

    更新日期:2010-12-01 00:00:00

  • [Safety and efficacy of the MARS therapy applied by continuous renal replacement therapy (CRRT) monitors].

    abstract:OBJECTIVE:Analyze the utility and safety of MARS therapy applied with the CRRT monitor. DESIGN:Prospective study of cohorts. SCOPE:Polyvalent ICU in tertiary university hospital with hepatic transplantation program. PATIENTS:Thirty one patients: 9 (22.6%) with acute liver failure (ALF) (1 hepatic surgery, 1 primary ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Herrera-Gutiérrez ME,Seller-Pérez G,Lebrón-Gallardo M,Jiménez-Pérez M,Moreno-López JM,Muñoz-López A

    更新日期:2007-10-01 00:00:00

  • [Latin American survey on delirium in critical patients].

    abstract:OBJECTIVES:This study has aimed to establish the intensivist physician's concepts and practices in this region regarding the diagnosis, management and prevention of delirium in intensive care units (ICU). DESIGN:A survey was distributed among the FEPIMCTI member societies for distribution among its medical members. R...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Ceraso DH,Dueñas-Castel C,Raimondi N,Celis E,Carrillo R,Ugarte Ubiergo S,Rodriguez F

    更新日期:2010-11-01 00:00:00

  • [Absence of benefit with triple antiaggregation in acute non persistent ST segment elevation myocardial infarction in patients not subjected to early interventionism].

    abstract:OBJECTIVE:To assess the efficacy and safety of a treatment with clopidogrel when associated or not to the treatment with tirofiban and aspirin for high-risk non-ST segment elevation myocardial infarction (non-STEMI), without early angioplasty. SETTING:Intensive Care and Coronary Unit (ICCU), in a center with no Hemody...

    journal_title:Medicina intensiva

    pub_type: 临床试验,杂志文章


    authors: Blancas Gómez-Casero R,Nevado Losada E,López Matamala B,Martínez Díaz C,Serrano Castañeda J,Yáñez Parareda E,González Manzanares JL,Chana García M,Martín Delgado C

    更新日期:2007-05-01 00:00:00

  • Brain death organ donation potential and life support therapy limitation in neurocritical patients.

    abstract:OBJECTIVE:To analyze the profile, incidence of life support therapy limitation (LSTL) and donation potential in neurocritical patients. STUDY DESIGN:A multicenter prospective study was carried out. SETTING:Nine hospitals authorized for organ harvesting for transplantation. PATIENTS:All patients consecutively admitte...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,多中心研究


    authors: Bodí MA,Pont T,Sandiumenge A,Oliver E,Gener J,Badía M,Mestre J,Muñoz E,Esquirol X,Llauradó M,Twose J,Quintana S

    更新日期:2015-08-01 00:00:00

  • Innovation and technology transfer in the health sciences: a cross-sectional perspective.

    abstract::This article is based on the strategic reflection and discussion that took place on occasion of the first conference on innovation and technology transfer in the health sciences organized by the REGIC-ENS-FENIN-SEMICYUC and held in Madrid in the Instituto de Salud Carlos III on May 7th, 2013, with the aim of promoting...

    journal_title:Medicina intensiva



    authors: Blanch L,Guerra L,Lanuza A,Palomar G

    更新日期:2014-11-01 00:00:00

  • Perioperative management in thoracic surgery.

    abstract::Thoracic surgery has undergone significant advances in recent years related to anesthetic and surgical techniques and the prevention and management of complications related to the procedure. This has allowed improvements in patient clinical outcomes in surgeries of this kind. Despite the above, thoracic surgery, espec...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Muñoz de Cabo C,Hermoso Alarza F,Cossio Rodriguez AM,Martín Delgado MC

    更新日期:2020-04-01 00:00:00