Med Clin Barcelona
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A 42-year-old male patient suffers an acute hepatitis with positive HBs Ag and approximately 2 months after its onset, an acute polyneuritis with lessening of conduction velocity and albumino-cytologic dissociation appeared. Both conditions recuperated synchronously in a few months. ⋯ The polyneuritis is possibly secondary to the viral alteration, either directly or due to an ensuing immunological alteration. Besides, there is the possibility that a clinical or sub-clinical demyelinizing neuropathy that does not fill the criteria of a Guillain-Barré syndrome may complicate a hepatitis, or that an acute polyneuritis may associate itself to an autoimmune hepatitis.
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Case Reports
[Electrocardiographic disturbances in the left spontaneous pneumothorax. A case report (author's transl)].
Spontaneous pneumothorax is a relatively frequent acute medical problem. Acute chest pain, sudden dyspnea, and a sensation of discomfort are the usual clinical symptoms: these manifestations also occur in coronary occlusion, with which the condition my easily be misdiagnosed. ⋯ The literature on the subject is reviewed and a case of left spontaneous pneumothorax is presented, pointing out the electrocardiographic disturbances: decrease of the amplitude of the QRS complex and R waves, inversion of the T wave in AVL and flattening of the T wave in most of the derivations, slight deviation of the electric axis of QRS toward the right, and phasic variation of voltage (very slight in this case). The importance of ECG studies in these cases is stressed in order to establish the differential diagnosis and avoid unnecessary delays in the application of the proper therapy.