4 research outputs found
Enfermedad granulomatosa intestinal crónica: reporte de caso
No full textChronic intestinal granulomatous disease is a disorder that directly compromises the entire immune system. The estimated incidence is one in a million inhabitants. Among the associated risk factors, the presence of chronic and recurrent infections stands out. In the present case, it is a 39-year-old female patient with a history of intestinal obstruction and endometriosis, who presents abdominal pain in the left abdomen and recurrent abdominal pain without an identifiable cause. Laboratory tests revealed leukocytosis and mild neutrophilia. The tomography showed intestinal dilation at the jejunoileal level without transition zones, and the serological tests were negative. Exploratory laparoscopy was performed and the presence of tumor implants was found in the omentum, extending to the abdominal, uterine, intestinal, and peritoneal regions, as well as sallow fluid at the abdominal level. Tumor markers are normal. Histopathology details fungal colonization with eosinophilic necrosis and presence of granulomas, negative immunohistochemistry for Aspergillus and negative Lowestein-jensen culture. Antifungal and antituberculous treatment was started, with a decrease in symptoms and improvement in the clinical picture.La enfermedad granulomatosa intestinal crónica es un trastorno que compromete directamente a todo el sistema inmunológico. La incidencia estimada es uno en un millón de habitantes. Entre los factores de riesgo asociados resaltan la presencia de infecciones crónicas y recurrentes. En el presente caso, se trata de una paciente femenina de 39 años con antecedentes de obstrucción intestinal y endometriosis, quien presenta dolor abdominal de hemiabdomen izquierdo y distinción abdominal recurrente sin causa identificable. En los exámenes de laboratorio se evidencia una leucocitosis y neutrofilia leve. En la tomografía se observa dilatación intestinal a nivel yeyunoileal sin zonas de transición, y los exámenes serológicos negativos. Se realiza laparoscopía exploratoria y se encuentra presencia de implantes tumorales en el epiplón, extendiéndose hacia la región abdominal, uterina, intestinal, peritoneal, además de líquido cetrino a nivel abdominal. Los marcadores tumorales son normales. La histopatología detalla una colonización micótica con necrosis eosinofílica y presencia de granulomas, inmunohistoquímica negativa para Aspergillus y cultivo de Lowestein-jensen negativo. Se inicia tratamiento antifúngico y antituberculoso, con disminución de sintomatología y mejoría del cuadro clínico
Enfermedad granulomatosa intestinal crónica: reporte de caso
No full textChronic intestinal granulomatous disease is a disorder that directly compromises the entire immune system. The estimated incidence is one in a million inhabitants. Among the associated risk factors, the presence of chronic and recurrent infections stands out. In the present case, it is a 39-year-old female patient with a history of intestinal obstruction and endometriosis, who presents abdominal pain in the left abdomen and recurrent abdominal pain without an identifiable cause. Laboratory tests revealed leukocytosis and mild neutrophilia. The tomography showed intestinal dilation at the jejunoileal level without transition zones, and the serological tests were negative. Exploratory laparoscopy was performed and the presence of tumor implants was found in the omentum, extending to the abdominal, uterine, intestinal, and peritoneal regions, as well as sallow fluid at the abdominal level. Tumor markers are normal. Histopathology details fungal colonization with eosinophilic necrosis and presence of granulomas, negative immunohistochemistry for Aspergillus and negative Lowestein-jensen culture. Antifungal and antituberculous treatment was started, with a decrease in symptoms and improvement in the clinical picture.La enfermedad granulomatosa intestinal crónica es un trastorno que compromete directamente a todo el sistema inmunológico. La incidencia estimada es uno en un millón de habitantes. Entre los factores de riesgo asociados resaltan la presencia de infecciones crónicas y recurrentes. En el presente caso, se trata de una paciente femenina de 39 años con antecedentes de obstrucción intestinal y endometriosis, quien presenta dolor abdominal de hemiabdomen izquierdo y distinción abdominal recurrente sin causa identificable. En los exámenes de laboratorio se evidencia una leucocitosis y neutrofilia leve. En la tomografía se observa dilatación intestinal a nivel yeyunoileal sin zonas de transición, y los exámenes serológicos negativos. Se realiza laparoscopía exploratoria y se encuentra presencia de implantes tumorales en el epiplón, extendiéndose hacia la región abdominal, uterina, intestinal, peritoneal, además de líquido cetrino a nivel abdominal. Los marcadores tumorales son normales. La histopatología detalla una colonización micótica con necrosis eosinofílica y presencia de granulomas, inmunohistoquímica negativa para Aspergillus y cultivo de Lowestein-jensen negativo. Se inicia tratamiento antifúngico y antituberculoso, con disminución de sintomatología y mejoría del cuadro clínico
Tumor Fibroso Pulmonar Solitario Gigante: Reporte de Caso
No full textThe giant pulmonary solitary fibrous tumor is a mesenchymal tumor of rare fibroblastic differentiation, preferably intrathoracic and intraoral. Not associated with specific risk factors. Non-specific clinical presentation and slow growth. The present case is of a 54-year-old patient with dyspnea on medium exertion with the presence of abolished left vesicular murmur. He developed refractory hypoglycemia leading to Doege Potter syndrome. A total occupying mass was evident in the left chest on computed axial tomography. A modified approach was performed by sternotomy plus left thoracotomy to improve exposure and hemodynamic control with access to the tumor’s nutritional vessels and total tumor excision. Histopathology revealed a heavier tumor reported in the medical literature. Microscopy presence of mesenchymal neoplasia composed of spindle-shaped and oval cells and positive immunohistochemistry of giant solitary pulmonary fibroma.El tumor fibroso solitario gigante es tumor mesenquimal de diferenciación fibroblástica infrecuente de localización intratorácica preferentemente e intraoral. No asociado a factores de riesgos específicos. De clínica inespecífica y crecimiento lento. El presente caso es de un paciente de 54 años con disnea de medianos esfuerzos con presencia de murmullo vesicular izquierdo abolido. Desarrolló hipoglicemias refractarias que conducen a un síndrome de Doege Potter. Se evidencia masa ocupativa total en tórax izquierdo en tomografía axial computarizada. Se realiza un abordaje modificado por esternotomía más toracotomía izquierda para mejorar la exposición y control hemodinámico con acceso a vasos nutricios del tumor y excéresis total del mismo. Al histopatológico se evidencia un tumor de mayor peso reportado en la literatura médica. Microscopía presencia de neoplasia mesenquimal compuesta por células fusiformes y ovales e inmunohistoquímica positiva de Fibroma solitario pulmonar gigante
Directorio de consultores, recursos y sitios de Internet relacionados con bibliotecas mexicanas = Directory of consultants, resources & Internet sites relating to Mexican libraries
No full textThis guidebook was compiled for: 1) foreign librarians, 2) Mexican students enrolled in programs of study in the field of librarianship or in certificate programs in library science, 3) volunteers or those in practicum service, 4) paraprofessionals or the recently degreed Mexican librarian, 5) non-experts. This work, a bilingual annotated directory, contains basic information on a wide range of resources relevant to librarianship as presently practiced in Mexico: books, articles, useful web pages, events, possible contacts in institutions. To find specific phrases or words use your navigator’s BUSCAR/FIND search tool, or scroll down. There is no intention to publish the list at this time. The information is being provided as a free service. This directory database is not exhaustive; the user is encouraged to verify all data from the source. Please provide us with your opinion concerning this Directory. All additions, suggestions, or modifications will be welcome. To contact the compiler, email: William Abrams Indexing Services, [email protected] . Your comments will help us to improve future editions. Terms of Use: This Directory is not copyrighted. It is a document in the public domain. No rights are reserved, either for the original or for derivative works. The file may be freely copied without prior permission, preferably using a CD-ROM data disc (but if access is from the website, one should first verify that the download has completed before copying). (Abstract taken verbatim from author's)
