Revista Clínica Escuela de Medicina UCR-HSJD, Volumen 2, Número 7
URI permanente para esta colecciónhttps://hdl.handle.net/10669/14728
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Ítem Importancia del diagnóstico de enfermedad por CMV en pacientes inmunosuprimidos.(2011-09-01 00:00:00) Barguil Meza, IbrahimÍtem PREVALENCIA, FACTORES DE RIESGO Y MORTALIDAD DE LOS PACIENTES CON CANDIDEMIA ATENDIDOS EN EL HOSPITAL SAN JUAN DE DIOS DURANTE ENERO 2008 A DICIEMBRE 2010(2011-09-01 00:00:00) Zárate Elizondo, Vanessa; Villalobos Zúñiga, Manuel Antonio; Mora Brenes, NuryCandidemia is one of most important systemicinfections in hospitalized patients and it is associated with a high risk of mortality. In San Juande Dios Hospital, the last data collected in thismatter, last from 1999. Because of this, a retrospective and descriptive study was made. It wasbased on medical files information, from patientswith a positive blood culture, where Candida sp.was identified. The period of study was betweenJanuary 2008 and December 2010, a 3 yearsperiod.The most frequent species of Candida, the mainrisk factors for this kind of infection, the mortality associated with this disease and the treatmentadministered to the patients were the most im-portant issues assessed.Ítem INFILTRACIÓN RENAL POR LINFOMA DE BURKITT(2011-09-01 00:00:00) Rodríguez Varela, Jorleny; Araya Vargas, WilbertÍtem CITOMEGALOVIRUS: DE LA INFECCIÓN NEONATAL A LAS INFECCIONES EN PACIENTES TRASPLANTADOS Y DE LA CITOMEGALIA A LA BIOLOGÍA MOLECULAR(2011-09-01 00:00:00) Boza Cordero, RicardoHuman cytomegalovirus (CMV) is a herpesgroup virus, subfamily betaherpesviridae type 5,with a worldwide distribution. It appears in hu-mans and some other animals, and it is speciesspecific. Human acute infection frequently occurs on early life stages in developing countriesand in these areas nearly 100% of the adult popu-lation has been in contact with the virus, asdemonstrated by the high seroprevalence ratesobserved; in contrast in developed countries theseroprevalence is lower. This difference mainlyrelates to the close contact between persons andbodily secretions from early ages. Acute infec-tions are usually asymptomatic; symptomaticforms are more frequent and severe in individuals with conditions associated with cellular immunity impairments, as in the transplacentaltransmission to the product due to immaturity ofthe immune system, or in cases of immuno-supression due to HIV infections, treatment withimmunosuppressive drugs or in patients withhematopoietic stem cells transplant or solid organ transplant. Severe infections observed onimmunocompetent patients are rare. Followingthe acute infection, the virus progresses to alatent phase, reactivating during pregnancy orimmunosupression conditions. Recent advancesin immunopathogenesis, new diagnostic methodsand better antiviral drugs have led to better management of these infections. The objectives ofthis review are to present a historical analysis ofthis infection in humans, its pathogenesis, epi-demiology, clinical manifestations, the evolutionof diagnostic methods and its treatment, with anemphasis on the experience acquired while managing this condition at the Infectious DiseasesDepartment of the San Juan de Dios Hospital(HSJD).Ítem MASCULINO DE 15 AÑOS CON OTITIS MEDIA AGUDA PURULENTA, PARÁLISIS DEL SEXTO PAR Y MENINGITIS: SÍNDROME DE GRADENIGO(2011-09-01 00:00:00) Chavarría Campos, Javier; Quesada Aguilar, Carlos I.The case of a young male patient, previouslyhealthy, attended at the Hospital San Juan deDios in San Jose, Costa Rica is presented. Hecomplained of fever, headache, diplopia, earacheand otorrhea. Meticilin Resistant Staphylococcusaureus (MRSA) was isolated in the ear secretionas well as in two blood cultures. CT scan showedinflammatory changes at the petrous portion ofthe temporal bone.