Varón de 78 años, 2 semanas antes de su ingreso al Hospital Nacional Dos de Mayo (HNDM), presenta dificultad para movilizar el lado derecho del cuerpo, anorexia y apatía. El día del ingreso lo encuentran inconsciente con asimetría facial derecha. Antecedente de nefrectomía izquierda 5 años antes. Examen físico: paciente en regular estado general, PA 110/70; FC: 64; FR: 20, Sat. O2 95%. con trastorno de conciencia, disartria, afasia, hemiparesia derecha directa. Lesión nodular eritomato-violácea en la piel de la región escapular izquierda, de 1.5x 2 cm de diámetro. TAC cerebral: imagen hipodensa amplia en región parietal izquierda con edema vasogénico. TAC pulmonar: masa pulmonar sólida heterogénea en lóbulo superior derecho, nódulos en ambos campos pulmonares y adenomegalia hiliar ipsolateral y biopsia de piel: carcinoma renal de células claras (CRCC).

19-year-old young man who made a suicide attempt in february 2019, ingesting 04 bags of rat poison “Klerat”. Taken to Emergency in the city of Tarapoto (San Martín Region); they perform gastric lavage; Receive 2 doses of Phytomenadione and send it to your home. At 11 days post-intoxication, he presents musculoskeletal pain, reddish urine, bleeding from the gums, epistaxis, bruising, increased gingivorrhagia and a feeling of fainting; He is taken to the Yurimaguas Hospital. Laboratory tests find: INR: 9.7 and changes in Prothrombin Time (PT): 45 and Activated Partial Thromboplastin Time (APTT): 60. He receives treatment with Phytomenadione and Tranexamic Acid. For the persistence of scarce gingivorrhagia and coagulation disorders, the reference is made to the Dos de Mayo National Hospital in the city of Lima. Where found: INR: 11.5, TP: 120 sec. APTT: 86.5, Hb: 12.2 Leukocytes: 10,09...

Adult T-cell lymphoma (ATLL) is an aggressive neoplasm of T-lymphocytes, usually associated with human T-lymphotropic virus type 1 (HTLV-1). Variegated clinical presentation. Primary gastric lymphomas most frequently have type B non-Hodgkin lymphoma (NH) as an etiology, and a minimal percentage is due to T lymphocytes. Literature on primary gastric lymphomas due to HTLV1 Negative T cells that metastasize to bone is scarce. The case of a 41-year-old adult who was admitted for a pathological fracture is presented. At 15 days he presented diarrhea, abdominal distension. An upper endoscopy finds: "Ulcerated gastric lesions, neoproliferative appearance." Biopsy reported: Non-Hodgkin lymphoma to T lymphocyte. HTLV1: negative. He had 3 sessions of chemotherapy with CHOEP scheme. There was a favorable response, at first. Unfortunately DID NOT RETURN. He returned 2 months later in poor general co...

Adult T-cell lymphoma (ATLL) is an aggressive neoplasm of T-lymphocytes, usually associated with human T-lymphotropic virus type 1 (HTLV-1). Variegated clinical presentation. Primary gastric lymphomas most frequently have type B non-Hodgkin lymphoma (NH) as an etiology, and a minimal percentage is due to T lymphocytes. Literature on primary gastric lymphomas due to HTLV1 Negative T cells that metastasize to bone is scarce. The case of a 41-year-old adult who was admitted for a pathological fracture is presented. At 15 days he presented diarrhea, abdominal distension. An upper endoscopy finds: "Ulcerated gastric lesions, neoproliferative appearance." Biopsy reported: Non-Hodgkin lymphoma to T lymphocyte. HTLV1: negative. He had 3 sessions of chemotherapy with CHOEP scheme. There was a favorable response, at first. Unfortunately DID NOT RETURN. He returned 2 months later in poor general co...

Identifica los factores clínico-epidemiológicos asociados a la infección urinaria en la población pediátrica hospitalizada, en el Hospital Nacional Dos de Mayo. Desde el 2011 al 2016. El estudio es descriptivo de corte transversal, en el tiempo retrospectivo. En cuanto a la muestra todos los niños que han sido hospitalizados, con el diagnóstico de infección urinaria, aún con otra comorbilidad. Se ha aplicado el Programa estadístico SPSS 23 (Statistical Package for the Social Sciences) del 2016. Estadística Descriptiva. Análisis bivariante y multivariante. En total 150 casos de niños hospitalizados con diagnóstico de Infección Urinaria. El mayor número de hospitalizaciones en 2014; 26%. Los diagnósticos fueron ITU sintomática (76%), pielonefritis aguda: (16.7%), ITU recurrente (5.3%) y Urosepsis (2.0%). Los casos de ITU se dan más en el sexo femenino (77.3%), varones (2...