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The case of 9 patients reported in the context of the health alert due to the increase in cases of Monkeypox virus infection in the world in non-endemic countries is presented. It is important to know in a practical way the most important epidemiological and clinical criteria that make us think about ruling out Monkeypox in the current context of transmission in Peru. The characteristics of the confirmed cases are discussed versus those of other diseases that are part of the differential diagnosis such as chickenpox, hand-foot-mouth syndrome, etc.
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ABSTRACT Pilocytic astrocytoma is a glioma-like neoplasm, slow growing and with little risk of tumor progression. Its course with hydranencephaly is not described to our knowledge in the Colombian literature. We describe the case of a pediatric patient with the presence of convulsive neurological symptoms with a history of tuberous sclerosis which will be a key determinant in the relationship between the relationship between astrocytoma preceded by hydranencephaly, since they include genetic aberrant mechanisms for the development of the latter. The clinical outcome of the patient was purely palliative. Keywords: Astrocytoma; Juvenile Pilocytic Astrocytoma; Pilocytic Astrocytoma; Hydranencephaly; Hemihydranencephalies; Congenital Absence of Cerebral Hemispheres
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We present the case of a 5-year-old male patient with a medical history of recurrent bronchospasms since 3 months . He went to the pediatric allergy clinic at the Edgardo Rebagliati Martins National Hospital with his mother, who reported episodes of acute urticaria, one after consuming cooked pork and another 2 after consuming cooked beef. To the evaluation, non-contributory exam. The following tests were performed: specific IgE in vitro, where a positive result was obtained for pork albumin (26.6 KUA/L) and later skin tests, with a positive result for raw pork. Due to the appearance of lesions only after the consumption of cooked mammalian meat, alpha-gal syndrome was suspected and specific IgE testing against alpha-gal was requested through an external laboratory, which came back positive (>100 kU/L).
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We report the first successful case of fetal surgery for spina bifida repair in Peru. A pregnant woman was referred to our center at 23 weeks of gestation because of prenatal diagnosis of spina bifida. A multidisciplinary team was formed with the goal of performing the first open intrauterine surgery in Peru. A successful intrauterine surgery was carried out at 25 weeks of gestation and a healthy infant was born by cesarean section at 37 weeks of gestation. We demonstrated the feasibility of this complex intrauterine surgery in our local setting.
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We report the first successful case of fetal surgery for spina bifida repair in Peru. A pregnant woman was referred to our center at 23 weeks of gestation because of prenatal diagnosis of spina bifida. A multidisciplinary team was formed with the goal of performing the first open intrauterine surgery in Peru. A successful intrauterine surgery was carried out at 25 weeks of gestation and a healthy infant was born by cesarean section at 37 weeks of gestation. We demonstrated the feasibility of this complex intrauterine surgery in our local setting.
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Non-puerperal uterine inversion is very rare. A case associated with leiomyomatosis is reported. The case of a 45-year-old multiparous woman with severe vaginal bleeding, pelvic pain and vaginal foreign body sensation is presented. Uterine leiomyoma in abortive phase was diagnosed. She was scheduled for myomectomy with probable abdominal hysterectomy and complete uterine inversion was found. This report is an anecdotal case of non-puerperal uterine inversion, whose surgical treatment was successful.
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Gestational trophoblastic disease is a proliferative disorder of trophoblast cells. Choriocarcinoma is the most aggressive type due to its rapid vascular invasion and metastasis formation. We present three rare cases of choriocarcinoma. Three women 30, 47, and 44 years old respectively were admitted for vaginal bleeding and vaginal tumor as main complaints with different presentations of the disease and past medical history; various and rare metastases were found. We report these cases because of their rarity and aggressive pathology, showing a wide clinical spectrum, unusual presentations and the need for early diagnostic and optimal treatment.
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Cedecea lapagei is a gram-negative, non-encapsulated, facultative anaerobic bacterium that has been reported in only a few cases with varying clinical presentations, drug susceptibility, and treatment since its first isolation in 1981. This study aimed to describe a case report of C. lapagei in Peru and systematically review the documented case reports of individuals infected with C. lapagei. A 59-year-old man who had become bedridden with Parkinson’s disease and had epilepsy presented with a 1-week history of fever and sore throat and was admitted. Physical examination revealed an obtundation state and abolished vesicular murmur in the right hemithorax. During hospitalization, the patient was diagnosed with various infections, including tuberculosis, for which he received broad-spectrum antibiotics. In the absence of clinical improvement, a urine culture was performed showing C. lapag...
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Phlegmasia cerulea dolens (phlebitis, cyanosis, pain) is a rare severe form of deep venous thrombosis, caused by obstruction of the vein flow of the lower limb (usually) with severe cyanosis and circulatory compromise which affects collateral vessels, unlike Phlegmasia alba dolens not compromise collateral vessels. It is characterized by sudden onset of pain, because an increase of the venous pressure, that can lead to pulselessness and gangrene. Is unfrequently in daily medical practice, so the diagnosis is important to avoid gangrene. We present three cases of patients attended with this disease. Diagnosis was confirmed by clinic and imaging; we present the evolution and medical treatment that was performed.
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The basic health needs of women are manifested from childhood and are influenced by nutrition, socioeconomic status and sex role (the role assigned by society) and the environment. Under these assumptions, reproductive health is closely linked to the basic and fundamental rights of the person. According to WHO, health is a state of complete physical, mental and social well being and not merely the absence of disease. According to this universal principle, reproductive health means: everyone has the right to reproduce and regulate their fertility, with the full knowledge of the personal and social consequences of their decisions and also has free access to the media that implanted; Women must be able to carry out necessary pregnancy and childbirth safely and that the end result is satisfying and family welfare; the couple should be able to have sex, free relations means unwanted pregnancy...
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Introducción El personal de salud, entre ellos los médicos, es parte fundamental en primera línea de defensa ante la pandemia de COVID-19, causada por SARS-Cov-2. Objetivo Caracterizar la clínica y evolución de los primeros casos de contagio por coronavirus en médicos de Perú. Metodología Se presentan una serie de seis casos de médicos infectados por coronavirus, con positividad confirmada para COVID-19, mostrando la evolución diaria desde el diagnóstico de la enfermedad, sus principales signos y síntomas, la evolución de los mismos y hasta el desenlace en cada caso. Resultados De los casos estudiados, cinco fueron hombres, tenían una mediana de edad de 28 años (rango intercuartílico: 27 a 33). Tres de ellos trabajaban más de 12 horas al día en servicios de hospitalización y emergencia; y tres no contaban con mascarilla como método de protección personal. Los síntom...
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Fetus in fetu is a rare condition, which has fewer than 200 cases reported to date. It is mainly located in the retro peritoneum; but it can occur at other levels. Treatment is always surgical and early detection and extraction allows clinical improvement and the successful development of the affected child. We report the case of an 18 month infant who is carried by her mother to medical appointment due to low weight for that age. In the physical exam, doctor found mass in the left hypochondrium and epigastrium and a total abdominal ultrasound is requested. Ultrasound reports findings relating to right hydronephrosis, and excretory urography and a CT with contrast reveals fetus parasite located in retro peritoneum. The infant is taken to surgery for lysis of peritoneal adhesions, resection of retroperitoneal tumor, and ureterolysis nephropexy. After this, the infant presented good evolut...
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Sacrococcygeal teratoma is the most common teratoma in the neonatal period. Fetal and neonatal mortality is high due to its large size. The case of a 27 year-old patient, 25 weeks gestation, who was admitted to the Perinatal Maternal National Institute with the diagnosis of sacrococcygeal teratoma is reported. During her hospitalization there was absence of fetal heartbeats. Delivery was vaginal and the patient did not present any complications; she was discharged in 24 hours.
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Ballantyne syndrome or mirror syndrome is a rare entity with the classic triad of fetal hydrops, generalized maternal edema and placentomegaly. There is high perinatal morbidity and mortality. The case of a 26 year-old with 25 weeks of gestation hospitalized at Instituto Materno Perinatal emergency for leg edema and decreased fetal movements is reported. Fetal hydrops and placentomegaly were diagnosed by ultrasound. Preeclampsia and fetal death occurred during hospitalization. Following vaginal delivery there was rapid improvement of symptoms and the patient was discharged 48 hours postpartum.
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Ballantyne syndrome or mirror syndrome is a rare entity with the classic triad of fetal hydrops, generalized maternal edema and placentomegaly. There is high perinatal morbidity and mortality. The case of a 26 year-old with 25 weeks of gestation hospitalized at Instituto Materno Perinatal emergency for leg edema and decreased fetal movements is reported. Fetal hydrops and placentomegaly were diagnosed by ultrasound. Preeclampsia and fetal death occurred during hospitalization. Following vaginal delivery there was rapid improvement of symptoms and the patient was discharged 48 hours postpartum.
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The main origin of amelogenesis imperfecta (AI) is a genetic alteration inherited by a family member which affects the dental enamel of the teeth of a person with this condition in various ways. The present clinical case from the Teaching Dental Clinic of the Peruvian University Cayetano Heredia is of a 6-year 5-month-old male child who came to the dental office accompanied by his father and 8-year-old sister, diagnosed with the same AI condition. The comprehensive treatment proposed for this patient was determined by radiographic and clinical examinations and consultations with specialists in different areas. The purpose of this publication was to report a case and describe possible clinical approaches.
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Background. Cervical ectopic pregnancy is the implantation of the embryo in the lining of ​​the endocervical canal lining. It represents less than 1% of all ectopic pregnancies. Case description: We report two patients who come to the emergency room for transvaginal bleeding. The diagnosis of cervical ectopic pregnancy was made by transvaginal ultrasound (7- and 8-weeks' gestation). Treatment was started with methotrexate (28-year-old patient) and methotrexate-folinic acid (35-year-old patient). Due to the increase in human chorionic gonadotropin hormone, it was decided to perform an abdominal hysterectomy (28-year-old patient) and McDonald-type cervical curettage-cerclage (35-year-old patient). There were no complications after surgery in both patients. Conclusions: The treatment of cervical ectopic pregnancy is controversial. The most appropriate therapy should be chosen to preserv...
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Background: Case reports and case series are essential sources of knowledge; however, they only provide low-quality scientific evidence. These studies are common in the medical field because they allow to formulate new hypotheses and to report new and rare pathologies in a structured way and complications or adverse drug events. Hence, the primary objective of a case report or case series is contributing to the scientific knowledge. To publishing these studies, it is recommended to follow the CARE statement's recommendations to guarantee a structured report with a minimum of pertinent and relevant information to make a clear and precise interpretation of the findings. This review aims to provide a scientific writing guide for case reports and case series and maximize their publicity in indexed peer-reviewed journals.
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Infectious sacroiliitis is a rare condition that is sometimes diagnosed late due to the poor specificity of the symptoms. In addition, imaging techniques such as scintigraphy, tomography, and nuclear magnetic resonance are required to assess the extent and severity of the lesions. If early diagnosis and treatment are made, the clinical evolution is satisfactory and leaves no sequelae. Clinical case: the case of an 83-year-old female patient is presented, with a history of ischemic cerebrovascular disease, high blood pressure, type 2 diabetes mellitus and urinary tract infection, who presented with moderately intense colic-like abdominal pain, afebrile, and reported that at the time After getting up from his chair he felt weakness in his left side. On admission, hypertensive, febrile with T°: 38°C SatO2: 98% with FiO2: 0.4. On physical examination, there was edema in MMII with pitting (...
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Introduction: Hepatic ectopic pregnancy (HEP) is an extraordinarily rare form of extrauterine implantation, associated with a high risk of hemorrhagic complications and maternal mortality. Case presentation: This case illustrates the clinical presentation, diagnosis, and management of a 30-year-old patient with complicated HEP. The diagnosis was confirmed through abdominal ultrasound, revealing a viable fetus implanted in the right hepatic lobe. Due to hemodynamic instability, an urgent laparotomy was performed with hepatic resection and in situ management of the placenta, combined with methotrexate therapy to prevent complications related to residual placental tissue. Conclusion: The reported experience underscores the importance of early diagnosis using advanced imaging and a multidisciplinary approach to reduce morbidity and mortality in critical conditions. It provides key evidence f...