Cir Cir
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Knotting Swan-Ganz catheter is a rare complication of hemodynamic monitoring. This is the second case reported in Mexico in over 20 years. ⋯ Diagnostic confirmation is made by chest radiography, fluoroscopy, and echocardiography. Therapeutic approach depends on knot characteristics, either non-surgical or surgical.
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The innate immune response is the first line of defense against infection. Toll-like receptors (TLRs) recognize bacterial lipopolysaccharide and other pathogen-associated molecular patterns (PAMPs). Intracellular signals initiated by interaction between Toll receptors and specific PAMPs results in inflammatory response. Sepsis and septic shock are the result of an exaggerated inflammatory systemic response induced by innate immune dysregulation.