Guillain-Barré syndrome shows a cyto-albuminologic dissociation in most patients. Pleocytosis or hypoglycorrhachia may defer the diagnosis, a reason for which an infectious etiology must be ruled out. Three cases of Guillain- Barré are described, whose cerebrospinal fluid tests showed limphocytic pleocytosis and persistently elevated protein concentration, while one of the cases also showed hypoglycorrhachia, and the classic cyto-albuminologic dissociation was only demonstrated in subsequent analysis. The neurophysiologic evaluation revealed an axonal disruption in all the patients. The atypical alterations in the context of acute flaccid paralysis warrant a retesting of the cerebrospinal fluid in order to rule out other etiologies, but without postponing the start of treatment.

Dopa-responsive dystonia (DRD) encompasses a heterogenous group of primary dystonias, caused by enzymatic deficiencies across the amines pathway and, by definition, show as their main characteristic a favorable and sustained response to levodopa. There are up to 6 genes associated with DRD, including pathogenic variants of the GCH1 gene as the most frequently involved. The typical presentation of DRD is characterized by start in childhood, lower limb-onset dystonia with daytime fluctuation, mild parkinsonism, and a sustained response to low doses of levodopa. A systematic literature search on DRD reported cases in Latin America is presented.

Infection with the human immunodeficiency virus (HIV) is the main risk factor for developing cryptococcal meningitis. However, there is a poorly known entity, idiopathic CD4+ T-cell lymphopenia, which leads to an unexplainable CD4+ circulating T-cell deficit, predisposing patients to many complications, including infections caused by opportunistic microorganisms. We present the case of a patient with cryptococcal meningitis secondary to idiopathic T-CD4+ lymphopenia, which, as far as we know, is the very first case of its kind reported in Peru. This entity should be considered in patients negative for HIV infection developing non-common infections of the central nervous system, since outcome, management, and prognosis may be different in patients with this condition.

Infection with the human immunodeficiency virus (HIV) is the main risk factor for developing cryptococcal meningitis. However, there is a poorly known entity, idiopathic CD4+ T-cell lymphopenia, which leads to an unexplainable CD4+ circulating T-cell deficit, predisposing patients to many complications, including infections caused by opportunistic microorganisms. We present the case of a patient with cryptococcal meningitis secondary to idiopathic T-CD4+ lymphopenia, which, as far as we know, is the very first case of its kind reported in Peru. This entity should be considered in patients negative for HIV infection developing non-common infections of the central nervous system, since outcome, management, and prognosis may be different in patients with this condition.

Objetivo: Determinar la prevalencia del síndrome de Burnout y sus dimensiones, así como sus factores asociados en estudiantes de medicina de la Facultad de Medicina Humana “Daniel Alcides Carrión” de la Universidad Nacional San Luis Gonzaga de Ica. Materiales y Métodos: Se realizó un estudio transversal con los estudiantes de medicina pertenecientes al semestre académico 2016-II de la UNSLG. Se emplearon dos encuestas autoadministradas anónimas, una relacionada a las características sociodemográficas y otra, laescala de Maslach Burnout Inventory en su versión para estudiantes (MBI-SS) validada en español.Resultados: Se encuestó un total de 368 (59,5%) estudiantes, donde la media de edad fue de 22.11, con una predominancia del sexo femenino con un 53% (n=195). La prevalencia del SBO fue del 12% (n=45), un 34,5% (n=127) mostraron niveles altos de agotamiento emocional, un 2...

Objetivo: Determinar la prevalencia del síndrome de Burnout y sus dimensiones, así como sus factores asociados en estudiantes de medicina de la Facultad de Medicina Humana “Daniel Alcides Carrión” de la Universidad Nacional San Luis Gonzaga de Ica. Materiales y Métodos: Se realizó un estudio transversal con los estudiantes de medicina pertenecientes al semestre académico 2016-II de la UNSLG. Se emplearon dos encuestas autoadministradas anónimas, una relacionada a las características sociodemográficas y otra, laescala de Maslach Burnout Inventory en su versión para estudiantes (MBI-SS) validada en español.Resultados: Se encuestó un total de 368 (59,5%) estudiantes, donde la media de edad fue de 22.11, con una predominancia del sexo femenino con un 53% (n=195). La prevalencia del SBO fue del 12% (n=45), un 34,5% (n=127) mostraron niveles altos de agotamiento emocional, un 2...