Revista médica de Chile
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Revista médica de Chile · Nov 2020
Case Reports[Cushing syndrome caused by a giant adrenal carcinoma. Report of one case].
We report a previously healthy 34-year-old woman, presenting with a seven-month history of arterial hypertension, amenorrhea, weight gain, facial edema, acne, hirsutism and low back pain. A CT scan showed a right adrenal mass of 18 × 13 × 12.5 cm, and multiple vertebral and rib fractures. The hormonal study confirmed Cushing's Syndrome. ⋯ Study of vertebral fractures with magnetic resonance (MRI) showed crush fractures, without images of metastatic bone lesions. One year after surgery, a CT scan showed no signs of tumor recurrence. The patient was lost from follow-up thereafter.
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Revista médica de Chile · Nov 2020
Case Reports[Removal of an infected gastric cyanoacrylate plug. Report of one case].
In patients with actively bleeding gastric varices, the treatment of choice is the endoscopic use of sclerosing agents such as cyanoacrylate. We report a 69-year-old man who, after being treated with cyanoacrylate, suffered from recurrent febrile episodes. After an extensive study and broad-spectrum antibiotic treatment, discarding other presumably infectious focus, the superinfection of the cyanoacrylate plug was suspected, and its surgical removal was decided. ⋯ The patient evolved without fever and without new episodes of bacteremia, but with decompensation of his cirrhosis manifested by ascites, spontaneous bacterial peritonitis, pneumonia, and collections in the pancreatic bed. These complications were managed with medical treatment consisting in a long course of broad-spectrum antibiotics. Thereafter, the patient evolved satisfactorily.
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Revista médica de Chile · Nov 2020
[Prevalence of low hand grip strength in Chilean older adults. Findings from the national health survey 2016-2017].
Handgrip strength is an indicator of frailty in older people. ⋯ The prevalence of low grip strength increased substantially with age.
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Revista médica de Chile · Nov 2020
[Adherence to COVID-19 trasmission prevention measures among health care workers].
COVID-19 is highly transmissible, thus requiring strict measures to prevent its propagation. ⋯ The adherence reported by health care workers was adequate in most of the evaluated recommendations.
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The prognosis of Non-Hodgkin Lymphoma (NHL) depends on the type of lymphoma, the extension of the disease and the response to therapy. ⋯ Early treatment response assessed by interim PET/CT is the strongest prognostic factor in NHL patients.