[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












  • Blood purification in the critically ill patient. Prescription tailored to the indication (including the pediatric patient).

    abstract::We maintain a dynamic position on extracorporeal blood purification therapies (EBPT). Continuous therapies are of choice in the hemodynamically unstable patient. We recommend their early introduction in the course of the disease, and starting with a dose of 30-35mL/kg/h. Above all, however, daily re-evaluation is requ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Sanchez-Izquierdo Riera JA,Montoiro Allué R,Tomasa Irriguible T,Palencia Herrejón E,Cota Delgado F,Pérez Calvo C

    更新日期:2016-10-01 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

  • [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

  • Alcohol and/or drug abuse favors trauma recurrence and reduces the trauma-free period.

    abstract:AIM:A study is made of the influence of alcohol and/or drug abuse upon traumatismo recurrence, with an analysis of the influence of such abuse upon the time to appearance of first injury in patients without antecedents of trauma. DESIGN:A prospective observational study was made. SETTING:Trauma patients admitted to t...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Cordovilla Guardia S,Rodríguez-Bolaños S,Guerrero López F,Lara-Rosales R,Pino Sánchez F,Rayo A,Fernández-Mondéjar E

    更新日期:2013-01-01 00:00:00

  • Blood caspase-8 concentrations and mortality among septic patients.

    abstract:OBJECTIVE:No data are available on blood caspase-8 concentrations (the initiator caspase in the extrinsic apoptosis pathway) in septic patients. The present study thus describes the blood caspase-8 concentrations in survivors and non-survivors, and examines the possible association between blood caspase-8 concentration...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Lorente L,Martín MM,Ortiz-López R,González-Rivero AF,Pérez-Cejas A,Martín M,Gonzalez V,Pérez A,Rodin M,Jiménez A

    更新日期:2020-08-22 00:00:00

  • TLR2-TLR4/CD14 polymorphisms and predisposition to severe invasive infections by Neisseria meningitidis and Streptococcus pneumoniae.

    abstract:PURPOSE:Streptococcus pneumoniae and Neisseria meningitidis are major causes of severe invasive bacterial infections in some individuals. Apparently the genetic is a major susceptibility determinant to these infectious diseases. We study if the functional polymorphisms within genes of the innate immune system (TLR2-TLR...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Tellería-Orriols JJ,García-Salido A,Varillas D,Serrano-González A,Casado-Flores J

    更新日期:2014-08-01 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

  • [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

  • [Electrical impedance tomography in acute lung injury].

    abstract::Electrical impedance tomography has been described as a new method of monitoring critically ill patients on mechanical ventilation. It has recently gained special interest because of its applicability for monitoring ventilation and pulmonary perfusion. Its bedside and continuous implementation, and the fact that it is...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Riera J,Riu PJ,Casan P,Masclans JR

    更新日期:2011-11-01 00:00:00

  • Weaning from mechanical ventilation: why are we still looking for alternative methods?

    abstract::Most patients who require mechanical ventilation for longer than 24 hours, and who improve the condition leading to the indication of ventilatory support, can be weaned after passing a first spontaneous breathing test. The challenge is to improve the weaning of patients who fail that first test. We have methods that c...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Frutos-Vivar F,Esteban A

    更新日期:2013-12-01 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

  • 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

  • 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

  • [Use of neuromuscular blockers in the critical patient].

    abstract::The use of neuromuscular blockers (NMB) is a frequent practice in Intensive Care Units. However most of the experience with the use of these agents come from the operating room used to deal with patients with different characteristics from those admitted in the ICU. Recent advances on neuromonitoring and the commercia...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Sandiumenge A,Anglés R,Martínez-Melgar JL,Torrado H,Grupo de Trabajo de Analgesia y Sedación de la SEMICYUC.

    更新日期:2008-02-01 00:00:00

  • [Atrioventricular block in unstable angina. Results of the ARIAM registry].

    abstract:OBJECTIVE:Describe the frequency of high degree atrioventricular block (HDAVB) in patients with unstable angina (UA), analyze the variables associated with their appearance and evaluate whether HDAVB is independently associated with increased mortality or increased length of ICU stay. DESIGN:Retrospective descriptive ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Ruiz-Bailén M,Pola Gallego MD,Expósito Ruiz M,Pintor Mármol A,Issa-Khozouz Z,Aguayo De Hoyos E,Rucabado-Aguilar L,Castillo-Rivera AM,Morante-Valle A,Rodríguez-Puche JA,García-Alcántara A,Gómez Jiménez FJ,Grupo ARIAM.

    更新日期:2006-12-01 00:00:00

  • [A prospective, observational severe sepsis/septic shock registry in a tertiary hospital in the province of Guipuzcoa (Spain)].

    abstract:OBJECTIVE:To determine the epidemiological and clinical characteristics of the patients with severe sepsis/septic shock admitted to the ICU of Donostia Hospital (Guipuzcoa, Spain), analyzing the prognostic factors and comparing them with the existing data at national level. DESIGN:A prospective observational study was...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Azkárate I,Sebastián R,Cabarcos E,Choperena G,Pascal M,Salas E

    更新日期:2012-05-01 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

  • Compatibility of drugs administered as Y-site infusion in intensive care units: A systematic review.

    abstract:OBJECTIVES:To gather all published information about the stability of drugs commonly used in Intensive Care Units (ICU); evaluate the methodology of published data; and generate a compatibility table. DESIGN:i) A systematic review was conducted searching the following databases: Medline, Stabilis, Handbook of Injectab...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Castells Lao G,Rodríguez Reyes M,Roura Turet J,Prat Dot M,Soy Muner D,López Cabezas C

    更新日期:2020-03-01 00:00:00

  • Intensive care in cancer patients in the age of immunotherapy and molecular therapies: Commitment of the SEOM-SEMICYUC.

    abstract::Cancer patients are a vulnerable group exposed to numerous and serious risks beyond cancer itself. In recent years, the prognosis of these individuals has improved substantially thanks to several advances such as immunotherapy, targeted molecular therapies, surgical techniques, or developments in support treatment. Th...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,实务指引


    authors: Carmona-Bayonas A,Gordo F,Beato C,Castaño Pérez J,Jiménez-Fonseca P,Virizuela Echaburu J,Garnacho-Montero J

    更新日期:2018-01-01 00:00:00

  • [MELAS: diagnostic keys and treatment in the Intensive Care Unit].

    abstract::Cerebrovascular accident in young adults is not rare and the most common causes are: cardiac embolism, arterial dissection and migraine. The unknown etiology, in spite of extensive studies, is described in the literature in about one third of patients under 45 years of age. The mitochondrial encephalomyopathy, lactic ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Gómez Seijo A,Castro Orjales MJ,Pastor Benavent JA

    更新日期:2008-04-01 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

  • 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

  • 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

  • [Epidemiology of acute kidney failure in Spanish ICU. Multicenter prospective study FRAMI].

    abstract:OBJECTIVE:Multicenter study oriented at establishing the incidence and prognosis of acute kidney failure (AKF) in the ICU of our country. MATERIAL AND METHODS:Prospective study of adult patients admitted over 8 months in 43 Spanish ICUs to detect AKF defined as creatinine>or=2 mg/dl or diuresis<400 ml/24 hours (in chr...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,多中心研究


    authors: Herrera-Gutiérrez ME,Seller-Pérez G,Maynar-Moliner J,Sánchez-Izquierdo-Riera JA,Grupo de trabajo \Estado actual del fracaso renal agudo y de las técnicas de reemplazo renal en UCI. Estudio FRAMI\.

    更新日期:2006-08-01 00:00:00

  • [Brain death diagnosis].

    abstract::Brain death has been recognized by the scientific community as the person's death, and accepted in the legislation of different countries. Brain death is defined as the irreversible ending of the functions of all the intracranial neurological structure in both the brain and brain stem. This clinical situation appears ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Escudero D

    更新日期:2009-05-01 00:00:00

  • [Hormone modulation of organ donor. Utility of the steroids].

    abstract::Recently, the work group made up of the National Transplant Organization (Organización Nacional de Trasplantes, ONT), Spanish Society of Intensive, Critical Medicine and Coronary Units (Sociedad Española de Medicina Intensiva, Crítica y de Unidades Coronarias, SEMICYUC) and other Scientific Societies have recommended ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Michelena JC,Chamorro C,Falcón JA,Garcés S

    更新日期:2009-06-01 00:00:00

  • Advances in immunosuppression after lung transplantation.

    abstract::Immunosuppression in transplantation has experienced changes in recent years as a result of the introduction of new drugs that act upon the different pathways of the host immune response with the purpose of securing more individualized immune suppression, with fewer side effects. Although following in the steps of oth...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Borro JM

    更新日期:2013-01-01 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

  • [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

  • Enhancing sepsis management through machine learning techniques: A review.

    abstract::Sepsis is a major public health problem and a leading cause of death in the world, where delay in the beginning of treatment, along with clinical guidelines non-adherence have been proved to be associated with higher mortality. Machine Learning is increasingly being adopted in developing innovative Clinical Decision S...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Ocampo-Quintero N,Vidal-Cortés P,Del Río Carbajo L,Fdez-Riverola F,Reboiro-Jato M,Glez-Peña D

    更新日期:2020-05-29 00:00:00