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artículo
Guillain-Barré syndrome is a disabling immunologically mediated disease associated with multiple triggering agents. The dengue outbreak in Perú peaked in the second half of May 2023. The presentation of neurological complications, including immune-mediated complications, has a wide variability in its clinical manifestations and is considered a severe presentation of dengue. We present the case of a 69-year-old male patient with Guillain-Barré syndrome and positive serology for the nonstructural viral protein 1 (NS1) antigen for dengue without warning signs, who 10 days after the onset of symptoms went to the emergency room for ascending flaccid quadriparesis that in the electrodiagnostic study was classified as acute sensory-motor axonal neuropathy (AMSAN) with favorable evolution after treatment with plasma exchange.
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artículo
Coronavirus disease 2019 (COVID-19), caused by the SARS-CoV-2 virus, shows mainly clinical manifestations at the respiratory level. It can affect, however, other organs and systems, including the central nervous system, generating neurological manifestations that include the Guillain Barré Syndrome (GBS). We present the cases of two male patients, aged 35 and 46, with GBS, one classified as AMAN and the other as AIDP. Both patients showed positive serology for SARS-CoV-2 and reported respiratory symptoms prior to the weakness condition. RT-PCR in pharyngeal secretion and CSF was negative in both cases. The infection by SARS-CoV-2 was confirmed by the total antibody test in serum through a positive CLIA immunoassay, positive for IgG in the two cases. The characteristics of the cases support a possible postinfectious relationship between SARS-CoV-2 and GBS, and open as well the possibilit...
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Introducción: La resucitación cardiopulmonar es un conjunto de maniobras que deben realizarse en forma sistemática y simultánea, para salvar vidas. El que las realice, debe tener un sólido conocimiento teórico-práctico de la técnica a usar. Objetivo: Determinar la diferencia en el conocimiento teórico-práctico de Reanimación Cardio Pulmonar según el tipo de intervención educativa en estudiantes de medicina del Perú. Métodos: Estudio de intervención de tipo educativo, realizado en estudiantes de dos universidades peruanas. La variable principal fue medir el cambio del nivel de conocimiento teórico-práctico según el tipo de instrucción (Teórico, teórico – practico o Practico), medida con un cuestionario previamente validado1. Se utilizó las pruebas estadísticas de chi cuadrado para las variables categóricas y ANOVA para el análisis de variables numéricas versus...