Penile necrosis is a rare condition that may present in patients with diabetes mellitus or chronic kidney disease (CKD). The recommended treatment is controversial. We report a case of penile necrosis in a diabetic patient caused by episode of paraphimosis associated with uremic arteriopathy treated with partial amputation. Clinical Case: A 53-year-old male with a background of arterial hypertension, diabetes mellitus and CKD in hemodialysis. The patient presented with paraphimosis and glans necrosis. An emergency circumcision was carried out. A doppler ultrasound found fluid collection in the left corpus cavernosum, parietal vascular calcifications and vascular insufficiency in the corpus cavernosum that suggested necrosis. A partial amputation of the penis was carried out. After three years of follow-up, the outcome has remained favorable.

Introduction: Erectile dysfunction is highly prevalent in the population and vascular and neural processes are involved in its pathophysiology, including those related to late complications of diabetes mellitus. Objective: To determine the association between diabetes mellitus and corpus cavernosum arterial insufficiency in patients with erectile dysfunction. Methods: Cross-sectional study of secondary data analysis conducted in a private health facility in Lima during the year 2022. Patients with a confirmed diagnosis of erectile dysfunction were included. The independent variable was the diagnosis of diabetes mellitus and the dependent variable was the diagnosis of corpus cavernosum arterial insufficiency. Association statistics were performed and prevalence ratios were estimated using logistic regression. Results: Of 887 patients, the mean age was 48.5 years. In the bivariate analysis...

La meningitis infecciosa es una emergencia médica. Dentro del espectro de agentes infecciosos, el más importante es el Streptococcus pneumoniae, agente etiológico más frecuente de la meningitis bacteriana. El inicio de tratamiento antimicrobiano empírico es de gran importancia y considera a las cefalosporinas de tercera generación como la primera alternativa. Sin embargo, casos de resistencia a ceftriaxona han sido reportados en diversas partes del mundo, siendo un problema emergente, por lo que necesita una reconsideración de los esquemas antibióticos empíricos actuales. Presentamos el caso de un varón de 56 años que presenta meningitis aguda infecciosa por Streptococcus pneumoniae resistente a Ceftriaxona, que respondió favorablemente al tratamiento empírico combinado con Ceftriaxona y Vancomicina y que durante su estadía hospitalaria se detectó la presencia de hipotiroi...

Loxoscelism is the clinical problem produced by the bite of a spider of the genus Loxosceles. The most severe presentation is systemic loxoscelism that can compromise the patient’s life if itis not diagnosed and treated in time. There are no reports about how it presents in patients with an epilepsy diagnosis. We present the case of a 28-year old male patient, with a prior history of epilepsy in treatment with anticonvulsants. He developed systemic loxoscelism after a spider bite in the posterior middle third of the right arm. However, the patient did not develop seizures despite the unfavourable course of his clinical symptoms.