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Aspergillus fumigatus is an opportunistic fungus that mainly affects immunocompromised patients. Due to significant immunosuppressive therapy, patients who undergo orthotopic heart transplant have an increased risk of infection. Aspergillosis is the most common fungal infection in orthotopic heart transplant recipients (70%) and usually presents as invasive aspergillosis, which has a rapidly progressive course and is highly fatal. In heart transplant patients with invasive aspergillosis, overall mortality may range from 53% to 78%. Aspergillus mediastinitis infection is somewhat rare in orthotopic heart transplant recipients, with only 6 reported cases. Treatment may require early surgical drainage and antifungal therapy. We present the case of a 50-year-old man who developed Aspergillus mediastinitis 1 year after heart transplant surgery. This case illustrates the diagnostic challenge of an atypical presentation of Aspergillus mediastinitis and the importance of multiple drainage procedures in refractory disease, combined with long-term antifungal therapy.

Valorar el rendimiento diagnóstico de la toracoscopia en los derrames pleurales. Estudio prospectivo que incluye a 110 pacientes con derrames pleurales diagnosticados clínicamente como benignos (14,5%), malignos (34,5%) y no filiados (50,9%). A todos se les practicó toracoscopia con anestesia local y sedación consciente para el estudio de la cavidad pleural y la toma de muestras. La toracoscopia confirmó los siguientes diagnósticos: 30,35% como pleuritis inespecífica, 17,86% de mesotelioma y 1,79% de pleuritis tuberculosa. El resto de derrames fueron diagnosticados como malignos por carcinomatosis pleural. La toracoscopia es una técnica con baja morbilidad, de gran utilidad para obtener muestras histológicas para estudio y, por lo tanto, para poder establecer un diagnóstico definitivo en los derrames pleurales. The aim of this study was to investigate the effectiveness of thoracoscopy in the diagnosis of non-affiliated pleural effusions. A fiveyear prospective study including data from one hundred and ten patients that were clinically diagnosed as benign (14,5 %), malign (34,5 %) and non-affiliated (50,9%). Pleural effusions in patents without oncology disease and negative biopsy or cytology were considered as benign. Malignant diagnosis was established according to a pleural biopsy, compatible cytology and/or clinical features. Remaining cases were considered as non-affiliated. Thoracoscopy was done under local anesthesia and sedation. Thoracoscopy confirmed previous clinical diagnosis of benignity and malignity. Regarding non-affiliated patients the 30,35% were diagnosed after thoracoscopy as unspecific pleuritis, 17,86% of mesotelioma and 1,79% of pleural tuberculosis (TBC). The other 48,21% of patients reported as non-affiliated were diagnosed of pleural carcinoma. Our results indicate that thoracoscopy is a cost effective and reliable technique for obtaining histological diagnosis in PE, and also allows a directed pleurodesis if indicated. Medicina

L’articolo ricostruisce l’idea di devianza femminile presente nella criminologia positivistica lombrosiana, in particolare le nozioni di “prostituta nata” e “delinquente nata” e la decostruzione delle stesse nozioni avvenuta attraverso le teorie del Labelling Approach e della produzione sociale dello “stigma”. Allo stesso tempo la ricerca verifica quanto la criminologia lombrosiana abbia determinato la produzione legislativa sulla prostituzione da Camillo Benso di Cavour ai giorni nostri e quanto determini le retoriche securitarie contemporanea trasformando l’idea di sicurezza sociale in sicurezza intesa come ordine pubblico.

Il capitolo, a partire da una rassegna dei fondamentali contributi teorici riconducibili alle criminologie post-coloniali, affronta i nodi analitici e metodologici che afferiscono al tentativo di ricondurre tali prospettive nelle cornici della criminologia critica