Estadísticas

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      "titulo" => "Infecciones por mordedura de perro asociadas a CDC grupo EF-4a. Comunicación de 2 casos"
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          "titulo" => "Infections by dog bite associated to CDC group EF-4a. Two cases"
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      "titulo" => "Variantes del virus de la hepatitis C en diferentes grupos de riesgo. Estudio comparativo de un método de genotipificación y otro de serotipificación"
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    "titulo" => "Absceso del músculo psoas. Descripción de una serie de 19 casos"
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        "resumen" => "El absceso del músculo psoas (AP) es una enfermedad diagnosticada cada vez con mayor frecuencia en los últimos años. Presentamos los AP que se diagnosticaron en nuestro centro durante un período de 91 meses, analizando las principales características clínicas, los agentes microbiológicos causales, los factores de riesgo, el tratamiento utilizado y las diferencias entre los AP primarios y secundarios. En total hubo 19 casos, de los cuales 14 fueron AP secundario (73,7%) y 5 AP primario (26,3%). Los principales focos de infección en los AP secundarios fueron el óseo y el genitourinario, siendo más raro el foco intestinal. Los datos clínicos más frecuentes fueron el dolor lumbar, irradiado o no al miembro inferior, la fiebre y la leucocitosis con neutrofilia. Los gérmenes identificados con mayor frecuencia fueron los bacilos gramnegativos y anaerobios entéricos, seguidos por Staphylococcus aureus y Mycobacterium tuberculosis. En un porcentaje elevado de enfermos (57,8%) existía el antecedente de inmunodeficiencia. En cuanto al tratamiento, se utilizó el drenaje quirúrgico en 5 casos (26,3%), mientras que 10 casos (52,6%) se trataron por drenaje percutáneo (DPCT). Cuatro enfermos (21%) fueron tratados exclusivamente con antibióticos. Tres casos (15,3%) del grupo tratado con DPCT recidivaron, y precisaron de nuevo drenaje para su curación. Del total de casos, 18 se curaron mientras que hubo un solo fallecimiento atribuido a la enfermedad tumoral de base en estadio avanzado. Creemos que el DPCT es una buena opción terapéutica tanto en los AP primarios como en los secundarios, evitando el riesgo que supone una cirugía mayor. En los casos en los que no exista inmunodeficiencia de base, creemos que habría que descartar la existencia de un AP secundario, tal como ocurrió en 7 de los 8 casos sin el antecedente de inmunodeficiencia que hubo en nuestra serie."
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        "resumen" => "Abscess of the psoas muscle (PA) is every more frequently observed in recent years. The PA diagnosed in the authors' center over a period of 91 months are presented, analyzing the main clinical features, microbiologic causal agents, risk factors, treatment and the differences between primary and secondary PA. A total of 19 cases of which 14 were secondary PA (73.7%) and 5 primary PA (26.3%) were diagnosed. The main foci of infection of the former were the bone and the genitourinary tract, with intestinal infection being rare. The most frequent clinical data were lumbar pain with possible irradiation to the lower limb, fever, and leucocytosis with neutrophilia. Gram negative and enteric anerobes were the bacteria most often identified, followed by Staphylococcus aureus and Mycobacterium tuberculosis. In a high percentage of patients (57.8%) a history of immunodeficiency was reported. In regard to treatment, surgical drainage was performed in 5 cases (26.3%), while ten cases (52.6%) were treated by DPCT. Four patients (21%) were exclusively treated with antibiotics. Recurrence was observed in three cases (15.3%) of the DPCT group requiring new drainage. Of all the cases, 18 were cured while one death occurred, being attributed to the underlying tumoral disease of advanced stage. The authors believe DPCT to be a good therapeutic option in both primary and secondary PA, thereby avoiding the risks of major surgery. In the cases with no underlying immunodeficiency the existence of secondary PA should be discarded as occurred in 7 out of 8 cases with no history of immunodeficiency in this series of patients"
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