[Systemic leptospirosis as a cause of multiple organ failure. Report of a case].

abstract：BACKGROUND:Acute bacterial meningitis (ABM) is a serious disease that needs rapid diagnosis for an accurate treatment. The most important etiological agents are: Streptococcus pneumoniae, Neisseria meningitidis and Haemophilus influenzae type b. Overall pathogen detection rate in patients with ABM in Chile is 83%. AIM...

journal_title：Revista medica de Chile

authors： Reyes S M,Torres T JP,Prado J V,Vidal A R

更新日期：2008-03-01 00:00:00

abstract：:ECMO (Extracorporeal Membrane Oxygenation) is an extracorporeal life support system in catastrophic lung failure, shock and cardiopulmonary resuscitation, in different age groups, with multiple physiologic features. When the candidate to be submitted is too unstable to be transported to a hospital with ECMO, cannulati...

journal_title：Revista medica de Chile

authors： Díaz R,Antonini MV,Orrego R,Abrams D

更新日期：2020-03-01 00:00:00

abstract：:IgG4 disease is a multi-systemic condition involving pancreas, salivary glands and lymph nodes. Less frequently, it causes interstitial nephritis and involves the lungs. We report a 58 years old male with a four years history of hemoptysis and renal dysfunction characterized by hematuria and proteinuria, responsive to...

journal_title：Revista medica de Chile

authors： Erlij D,Rivera Á,Maya JC,Cuellar C,Correa G,Michalland S,Méndez GP

更新日期：2017-01-01 00:00:00

abstract：:We report a 70-year-old woman, who had recently consumed shellfish, that was admitted to the intensive care unit with septic shock and died 19 hours later due to a multi-organic failure. Microbiological, serological and molecular assays confirmed a hemolytic tdh+ Vibrio cholerae non-01, non 0139 as the etiologic agent...

journal_title：Revista medica de Chile

authors： Briceño L I,Puebla A C,Guerra A F,Jensen F D,Núñez B H,Ulloa F MT,Osorio A CG

更新日期：2009-09-01 00:00:00

abstract：:In the context of a festschrift to commemorate the 125th anniversary of the Revista Médica de Chile, "radiography" of the journal has been depicted using several scientometric indicators. Among the mainstream journals in the category of Medicine, General & Internal and taking into account the wide editorial coverage a...

journal_title：Revista medica de Chile

authors： Krauskopf M

更新日期：1997-07-01 00:00:00

abstract：BACKGROUND:Mental disorders may interfere, aggravate or mimic medical conditions. AIM:To study the prevalence of psychiatric disorders among patients hospitalized in a medical ward of a general hospital. PATIENTS AND METHODS:A structured interview for DSM-III, devised for "non patients", was applied to 203 men and 20...

journal_title：Revista medica de Chile

authors： Hernández G,Ibáñez C,Kimelman M,Orellana G,Montino O,Núñez C

更新日期：2001-11-01 00:00:00

abstract：BACKGROUND:All winters, there is an increase in the number of pediatric consultations, associated to three factors: cold weather, air pollution and respiratory virus epidemics. AIM:To study the influence of these three factors in the demand for pediatric consultations between March and September, in an area of Metropo...

journal_title：Revista medica de Chile

authors： Avendaño LF,Céspedes A,Stecher X,Palomino MA

更新日期：1999-09-01 00:00:00

abstract：:Persistent left superior vena cava is the most common venous congenital malformation and is usually asymptomatic. Its presence could increase the difficulty for transvenous lead implantation. We report a 71-year-old woman with an idiopathic dilated cardiomyopathy, atrial fibrillation and heart failure that required bi...

journal_title：Revista medica de Chile

authors： Vergara SI,Frangini SP,Barrero VR

更新日期：2012-01-01 00:00:00

abstract：BACKGROUND:Uterine cervical cancer (UCC) is an important public health problem in Chile. Although HPV infection has been established as the main cause of UCC, little is known of its frequency and distribution in our population. AIM:To determine the presence and frequency of viral genotypes in uterine cervical specimen...

journal_title：Revista medica de Chile

authors： Melo A,Montenegro S,Hooper T,Capurro I,Roa JC,Roa I

更新日期：2003-12-01 00:00:00

abstract：:Doppler-duplex has been widely used to quantify blood flow. Nevertheless, its usefulness in assessing portal vein flow (PVF) has been questioned due to technical problems: vessel cross sectional area measurements, interobserver variability, and PVF changes related to physiological events. This study was aimed to measu...

journal_title：Revista medica de Chile

authors： Fernández M,Chesta J,Jirón MI,Mánquez P,Brahm J

更新日期：1991-05-01 00:00:00

abstract：BACKGROUND:Type 2 diabetes etiology has a strong genetic component. More than 20 genetic variants have been associated with diabetes and other metabolic markers. However, the polymorphism rs7903146 of the TCF7L2 gene has shown the strongest association. AIM:To investigate the association of TCF7L2 (rs7903146) genotype...

journal_title：Revista medica de Chile

authors： Petermann-Rocha F,Lasserre-Laso N,Villagrán M,Mardones L,Martínez MA,Leiva AM,Ulloa N,Celis-Morales C

更新日期：2019-08-01 00:00:00

abstract：:One hundred and twenty consecutive patients with liver cirrhosis and ascites were prospectively studied in order to analyze the frequency, clinical and bacteriological features, recurrence, and prognosis of spontaneous bacterial peritonitis (SBP). Two variants of SBP were defined: culture positive SBP and culture nega...

journal_title：Revista medica de Chile

authors： Chesta J,Brahm J,Poniachik J,Latorre R,Hurtado C,Novoa X,Velasco M

更新日期：1991-03-01 00:00:00

abstract：:Recent studies strongly suggest that Helicobacter pylori might have a significant role in the pathogenesis and rate of recurrence of peptic duodenal ulcer. Various factors, such as the existence of ulcerogenic strains of the bacteria and susceptible subjects, might explain the fact that not more than 10% of the patien...

journal_title：Revista medica de Chile

authors： Accatino L

更新日期：1993-01-01 00:00:00

abstract：:Augusto Orrego Luco born in 1848 and dead in 1933 in Valparaiso, was one of the greatest clinicians and researchers of chilean medicine during the late nineteenth and early twentieth century. Besides being a psychiatrist he contributed to literature, history, politics and medicine. He received his medical degree in 18...

journal_title：Revista medica de Chile

authors： Ruiz Torres A

更新日期：1996-01-01 00:00:00

abstract：BACKGROUND:It is not clear if old age is a risk factor for adverse drug reactions. AIM:To study the incidence of adverse drug reactions and the effect of age in patients admitted to an Internal Medicine Service in an university hospital. PATIENTS AND METHODS:Two hundred one patients, hospitalized at the Clinical Hosp...

journal_title：Revista medica de Chile

authors： González-Martín G,Yáñez L,Valenzuela E

更新日期：1997-10-01 00:00:00

abstract：:There is a close link between hypertension and atherosderosis. Hypertension causes atherosclerotic damage of several organs, called target organs and the risk factors for hypertension and atherosderosis are very similar. The risk of mortality associated to hypertension increases with blood pressure values below the cu...

journal_title：Revista medica de Chile

authors： Román A O,Badilla S M,Dussaubat A AM

更新日期：2010-03-01 00:00:00

abstract：:We present a case of a 28 year old woman with paroxysmal left posterior fascicular ventricular tachycardia (LPFVT). Ventricular tachycardia was not inducible after completing of left ventricle 3D reconstruction. Even though catheter ablation was not performed, no LPFVT recurrence has been documented during 60 months f...

journal_title：Revista medica de Chile

authors： Parizek P,Popelka J,Haman L

更新日期：2010-08-01 00:00:00

abstract：:We report a woman with insulin resistance associated with hyperandrogenism and acanthosis nigricans (HAIR-AN syndrome) treated during 30 days with the prolonged action opioid antagonist Naltrexone. During its administration, decreases in basal blood glucose and serum insulin, insulin and glucose response to a glucose ...

journal_title：Revista medica de Chile

authors： Sir T,López G,Alba F,Cipriano A,Candía M,Castillo T,Devoto L

更新日期：1994-04-01 00:00:00

abstract：:Autonomy is an inherent condition of every ethical act. This attribution is expressed, when decisions are made, as capacity. Physician-patient alliance is defied when there is a reasonable doubt of patients' ability to make a choice, an extraordinarily complex scenario. As a response, in the last few decades multiple ...

journal_title：Revista medica de Chile

authors： Robert B S,Reculé JI,Prato JA

更新日期：2016-10-01 00:00:00

abstract：:The "Revista Medica de Chile" founded in 1872 is the second oldest medical journal in Latin America after the "Gaceta Medica de Mexico" (1864). Among medical journals in the world it is placed 24. It has been published monthly without interruption, except for the period January through December 1891, due to the revolu...

journal_title：Revista medica de Chile

authors： Costa-Casaretto C

更新日期：1992-07-01 00:00:00

abstract：:We report four episodes of mushroom poisoning that occurred between 1986 and 1990 in the province of Malleco. Twenty five of 36 individuals who ingested the mushroom became ill; they had an acute gastroenteritis that was followed in 7 by an acute hepatitis and in one by a massive upper gastrointestinal bleeding. Three...

journal_title：Revista medica de Chile

authors： Sierralta A,Jeria ME,Figueroa G,Pinto J,Araya JC,San Juan J,Grinbergs J,Valenzuela E

更新日期：1994-07-01 00:00:00

abstract：:Technology for diabetes care has undergone major development during recent decades. These technological advances include continuous subcutaneous insulin infusion (CSII), also known as insulin pumps, and real-time continuous glucose monitoring system (RT-CGMS). The integration of CSII and RT-CGMS into a single device h...

journal_title：Revista medica de Chile

authors： Apablaza P,Soto N,Codner E

更新日期：2017-05-01 00:00:00

abstract：:Aspirin use is necessary after a coronary angioplasty. It should not be used in patients with a history of hypersensitivity. However, rapid desensitization protocols have been reported to allow its use in such patients. One of these protocols consists in the administration of progressive doses of aspirin, from 1 to 10...

journal_title：Revista medica de Chile

authors： Veas P N,Martínez G,Jalil M J,Martínez S A,Castro G P

更新日期：2013-02-01 00:00:00

abstract：BACKGROUND:Bottled water consumption has currently increased and their fluoride (F) concentration may not be ideal in terms of caries benefit or risk of fluorosis. While low concentrations would have little anticaries effect, high F concentration would increase the risk of dental fluorosis. AIM:To measure F concentrat...

journal_title：Revista medica de Chile

authors： Fernández CE,Giacaman RA,Cury JA

更新日期：2014-05-01 00:00:00

abstract：:This paper undertakes an analysis of the scientific criteria used in the diagnosis of death and underscores the importance of intellectual rigor in the definition of medical concepts, particularly regarding such a critical issue as the diagnosis of death. Under the cardiorespiratory criterion, death is defined as "the...

journal_title：Revista medica de Chile

authors： Echeverría C,Goic A,Lavados M,Quintana C,Rojas A,Serani A,Vacarezza R,Grupo de Estudios de Etica Clínica de la Sociedad Médica de Santiago.

更新日期：2004-01-01 00:00:00

abstract：:Congenital malformations of the spleen are rare. We report a patient with an ectopic spleen located in the left iliac fossa, which was excised in order to prevent severe complications such as torsion of the pedicle, rupture or infection. A second patient with idiopathic thrombocytopenic purpura presented with an acces...

journal_title：Revista medica de Chile

authors： Etcheverry R,Allamand JP,Guzmán G,Robinson MI

更新日期：1989-12-01 00:00:00

abstract：:A 51 year old man with acquired immune deficiency syndrome for 2 years developed a chronic leukemia/T cell lymphoma. Anti HTLV-1 antibodies were confirmed by Western Blot. In the last months he developed hypercalcemia and leukocytosis of 130,000. Necropsy confirmed the diagnosis of Leukemia/T cell lymphoma without cut...

journal_title：Revista medica de Chile

authors： Martínez V,Franco C,Sazunic I,Puga M,Bronfman L,Rodríguez C

更新日期：1990-06-01 00:00:00

abstract：:Bacteria have developed sophisticated and successful genetic mechanisms to evade the action of antimicrobials. Bacterial multiresistance has caused serious problems in the treatment of nosocomial infections. Integrons and gene cassettes are considered the main genetic elements in the evolution of plasmids and transpos...

journal_title：Revista medica de Chile

authors： González G,Mella S,Zemelman R,Bello H,Domínguez M

更新日期：2004-05-01 00:00:00

abstract：:Two atypical cases of parvovirus B19 infection occurred consecutively within a family. A 14 year-old patient presented an extended papular-purpuric "gloves and socks" syndrome and two weeks later his mother developed a predominantly unilateral purpuric rash in the limbs with severe malaise. Specific IgM antibodies in ...

journal_title：Revista medica de Chile

authors： Martínez G MJ,Elgueta N A

更新日期：2008-05-01 00:00:00

abstract：:We followed 25 patients operated on for Wolff-Parkinson-White syndrome between August 1985 and October 1989. Their mean age was 37 +/- 12 years and arrhythmia had been present for 5 to 30 years. A mean of 3.3 +/- 1.2 antiarrhythmic agents had failed in controlling recurrences. Tachycardia was orthodromic in 21 patient...

journal_title：Revista medica de Chile

authors： González R,Morán S,Fajuri A,Irarrazabal MJ,Maturana G,Urzua J,Lema G,Espinoza R,Casanegra P

更新日期：1990-08-01 00:00:00