Revista médica de Chile
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Revista médica de Chile · Apr 2024
[Characteristics of Depressed Individuals with Hypertension and/ or Diabetes Mellitus in Primary Health Care in Santiago de Chile].
Eighty percent of depressed patients in Primary Health Care (PHC) have a comorbidity. It is essential to contribute local evidence on the characteristics of patients with physical and psychiatric comorbidities to better address clinical practice. ⋯ These are people with depressive episode, hypertension and/or diabetes who, having a personal and family history of depression, are not receiving pharmacological treatment for depression, which probably affects their quality of life. Better adherence to clinical guidelines for the treatment of depression is required.
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Revista médica de Chile · Apr 2024
[Encrusted Pyelitis Secondary to Corynebacterium urealyticum Infection: A Rare and Serious Complication].
Corynebacterium urealitycum is a gram-positive bacillus, usually found as a colonizer on the skin. However, a pathogenic role has been described in susceptible patients, where it can cause urinary tract infection, nephrolithiasis, pyelitis, and encrusted cystitis. ⋯ Patients with positive urine cultures for C. urelyticum represent a low percentage of all agents isolated from urine cultures. Although it may be asymptomatic, the development of encrusted pyelitis is a possible manifestation associated with an extended hospital stay. Urinalysis with alkaline pH and the presence of triple phosphate crystals is characteristic. More extensive clinical series and antibiotic susceptibility studies are necessary for a more standardized management of these patients. Finally, the authors' key lesson is remembering how unusual bacteria, such as C. urealyticum, can cause serious complications secondary to their phytopathogenic mechanism of urine alkalinization.
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Revista médica de Chile · Apr 2024
[Assessment of diagnostic utility of cerebrospinal fluid flow cytometry immunophenotyping and cytology in B cell non- Hodgkin lymphoma in a public chilean hospital].
Cerebrospinal fluid (CSF) involvement in B cell non-Hodgkin lymphomas is a poor prognostic sign and diagnosis is made using techniques such as flow cytometry (FCM) and conventional cytology (CC). ⋯ A higher proportion of infiltration cases were detected by CMF than by CC. In valuable cases, CC complements CMF.