Hemos apreciado la publicación del artículo titulado “Morbilidad mater- na extrema en el Instituto Nacional Materno Perinatal del Perú, expe- riencia y resultados”(1). La morbilidad materna extrema (MME) ocurre en aquella mujer que casi muere, pero sobrevive a una complicación que ocurre durante el embarazo, el parto o dentro de los 42 días de la termi- nación del embarazo(2,3). Es también denominada morbilidad materna extremadamente grave o near miss(4-6).

Se comunica el caso de una multigesta de 32 años con 18 semanas de gestación hospitalizada por hiperémesis gravídica, quien ingresó con signos de deshidratación, pérdida de peso (8,8%) y sufrió pérdida fetal. Se evidenció trastorno de conciencia, nistagmo horizontal y vertical y ataxia. La tomografía cerebral sin contraste no mostró alteraciones. Se diagnosticó Encefalopatía de Wernicke y se repuso tiamina, con evolución lenta favorable.

Objective: To determine the prevalence and risk factors of sexually transmitted infections (STIs) including Chlamydia trachomatis, Ureaplasma urealyticum and Mycoplasma genitalium among asymptomatic women with human papillomavirus (HPV) infection. Methods: A cross-sectional study was performed in 842 asymptomatic women from Cajamarca, Peru. The pathogens were detected using polymerase chain reaction (PCR) and the results were analyzed according to the HPV status: high-risk HPV, low-risk HPV and negative for HPV. Demographical and gyneco-obstetric data was analyzed to identify risk factors. Results: We found that 23.99% (202/842) women were positive for HPV, of whom 79.21% (160/202) were infected with a high-risk genotype. Co-infections were evaluated and 14.38% (23/160) were positive for Ureaplasma urealyticum, 9.38% (15/160) for Chlamydia trachomatis and 1.25% (2/160) for Mycoplasma gen...

[El documento adjunto corresponde al resumen de la conferencia. Se presenta en este apartado el propósito del estudio]: Purpose: The epidemiology of human papillomavirus (HPV) and co-infections with other sexually transmitted infections (STIs) remains poorly characterized in Peru. The aim of this study was to identify HPV infections and the presence of co-infections by other important STIs (Chlamydia trachomatis, Trichomonas vaginalis, and Herpes simplex virus) in women attending the public health system in northern Peru.