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3. Viruela símica de manifestación atípica.

Author

Orlando Barón, Javier, Morera, Ricardo, Hernández, Manuela, Sebastián Arciniegas, Hernán, and Jovanny Vargas, Ledmar

Subjects
MONKEYPOX, BODY fluids, MUCOUS membranes, COMMUNICABLE diseases, HOSPITAL emergency services
Abstract

Copyright of Medicina Interna de Mexico is the property of Colegio de Medicina Interna de Mexico and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2024
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8. Mucormicosis oral asociada a COVID-19 y diabetes mellitus: descripción de un caso.

Author

César Velasco, Julio, Jovanny Vargas, Ledmar, García, Lorena, José Torres, Iván, and Camilo González, Iván

Abstract

Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2024
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11. Porfiria eritropoyética congénita: una enfermedad infrecuente.

Author

Quintero, Ricardo Andrés, Jassir Rozo, Edwar, Acosta, Camila Andrea, Vargas, Ledmar Jovanny, Lizarazo, Deisy Natalia, and Restrepo, María Paula

Abstract

Copyright of Medicina Interna de Mexico is the property of Colegio de Medicina Interna de Mexico and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2024
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14. Lonomic accident: Report of two cases

Author

Arango, María Fernanda, Agudelo, Lorena García, Vargas, Ledmar Jovanny, Sierra, Alina Patricia, Silva, Diana Carolina, Aldana, Paula del Pilar, and Tavera, Leider Yesid Daza

Subjects
hemostasia, accidente, lonomia obliqua, veneno, lepidóptera, lonomia, hemorragia, hemostasis, venom, accident, lepidopterism, hemorrhage
Abstract

Resumen Introducción: dentro de los insectos del orden lepidóptero, la familia Saturniidae tiene más de 2.400 especies, allí se encuentran Hylesia y Lonomia. Objetivo: presentar dos casos de pacientes con accidente lonómico, el manejo y desenlace para reconocer la importancia de estos eventos en las regiones silvestres de la Orinoquia colombiana. Casos clínicos: paciente de 8 años proveniente de área rural quien refería contacto en región palmar de mano derecha con gusanos quién 48 horas después de dicho contacto presentó equimosis en extremidades, flictena sangrante en talón derecho, cefalea, escalofríos y artralgias, además se evidenciaron tiempos de coagulación prolongados. Paciente de 13 años de características similares a las del caso previamente descrito sin presentar manifestaciones clínicas, pero que presentaba tiempos de coagulación prolongados. Se consideró que cursaba con accidente lonómico por lo que se aplicaron 5 ampollas de suero antilonómico polivalente a cada una sin registrar reacciones adversas. En ambos casos cursaron con evolución clínica adecuada con disminución a rangos de seguridad de tiempos de coagulación. Conclusiones: el veneno lonómico actúa en la cascada de coagulación produciendo manifestaciones hemorrágicas de gravedad variable. El suero antilonómico es el único tratamiento eficaz, a pesar de estar disponible desde hace más de 20 años en Brasil hay un 5% de progresión a síndromes hemorrágicos severos y un 1.5 a 2% de mortalidad. A pesar de tener gran relevancia clínica en las Américas existe subregistro, es importante conocer sus manifestaciones y el manejo para así poder evitar complicaciones mortales. Abstract Background: among the insects of the order Lepidoptera, the family Saturniidae has more than 2,400 species, there are Hylesia and Lonomia. Objective: to present two cases of patients with lonomic accident, the management and outcome to recognize the importance of these events in the wild regions of the Colombian orinoquia. Clinical case: an 8-year-old patient from a rural area who refers to contact in the palmar region of the right hand with worms for more than 48 hours, presents ecchymosis in the extremities, bleeding flictena in the right heel, headache, chills and arthralgias. Clotting times are performed which are prolonged. A 13-year-old patient who also referred contact without presenting clinical manifestations but presenting prolonged clotting times. They are considered to occur due to a lonomic accident, so 5 ampoules of polyvalent antilonomic serum are administered to each one without registering adverse reactions. They have an adequate clinical evolution with a decrease in the safe ranges of clotting times. Conclusions: the lonomic venom acts in the coagulation cascade producing hemorrhagic manifestations of variable severity. Antilonomic serum is the only effective treatment, despite being available for more than 20 years in Brazil, there is a 5% progression to severe hemorrhagic syndromes and 1.5 to 2% mortality. Despite being of great clinical relevance in the Americas, there is an underreporting, it is important to know its manifestations and management in order to avoid fatal complications.

Published
2022

15. Accidente Lonómico: Reporte de dos casos

Author

Arango, María Fernanda, primary, Garcia Agudelo, Lorena, additional, Vargas, Ledmar Jovanny, additional, Patricia Sierra, Alina, additional, Silva, Diana Carolina, additional, Aldana, Paula del Pilar, additional, and Daza Tavera, Leider Yesid, additional

Published
2022
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19. Acute intermittent porphyria: A case report

Author

Bustos, José, Vargas, Ledmar, and Quintero, Ricardo

Subjects
Porphyria, acute intermittent, dolor abdominal, hyponatremia, hiponatremia, polyneuropathies, abdominal pain, porfiria intermitente aguda, polineuropatías, convulsiones, seizures
Abstract

Resumen El término 'porfiria' proviene del griego 'porphyra' y alude a un grupo heterogéneo de trastornos metabólicos causados por una deficiencia enzimática en la biosíntesis del grupo hemo. La causa de la porfiria intermitente aguda es la deficiencia de la enzima deaminasa del porfobilinógeno. Se presenta el caso de una mujer de 40 años que presentó dolor abdominal de 10 días de evolución, trastorno hidroelectrolítico grave debido a hiponatremia e hipopotasemia, taquicardia e hipertensión arterial sistémica persistentes, por lo cual fue sometida a una laparotomía en la que no se encontró ninguna afección de origen quirúrgico, A los siete días del examen inicial, la paciente desarrolló cuadriparesia flácida aguda y presentó una crisis convulsiva tónico-clónica generalizada. Los estudios neurofisiológicos evidenciaron una polineuropatía axonal mixta, y los valores de porfobilinógeno y porfirinas en orina eran elevados. Tras diagnosticarse porfiria intermitente aguda, esta se trató con hemina, lo que estabilizó los signos clínicos y normalizó el porfobilinógeno. La prevalencia de esta enfermedad es de 1 en 2.000 personas. Tiene un patrón de herencia autosómico dominante y se manifiesta principalmente en mujeres con edades entre los 20 y los 40 años. La enfermedad cursa con síntomas neurológicos y viscerales, y se trata con la administración de hemina y dextrosa, evitando las soluciones hipotónicas por el riesgo de exacerbar la hiponatremia. Abstract The term 'porphyria' comes from the Greek 'porphyra'. It refers to a heterogeneous group of metabolic disorders caused by the enzymatic deficiency in the biosynthesis of the heme group. Acute intermittent porphyria is caused by a deficiency of the porphobilinogen deaminase enzyme. A 40-year-old woman presented with abdominal pain for ten days (which required laparotomy that evidenced no surgical pathology), severe hydroelectrolytic disorder due to hyponatremia and resistant hypokalemia, persistent tachycardia and hypertension. Seven days later, she developed acute flabby quadriparesis and presented a single generalized tonic-clonic convulsive crisis. Neurophysiological studies supported mixed axonal polyneuropathy and urine results of porphobilinogen and porphyrins were elevated. After acute intermittent porphyria was diagnosed, hemin was administered, which stabilized the patient's clinical signs and normalized the porphobilinogen. The prevalence of this entity is 1 in 2,000 people. It is an autosomal dominant disease, which affects mainly women between 20 and 40 years of age. This entity manifests with neurological and visceral symptoms. Management consists of hematin and dextrose administration avoiding hypotonic solutions because of the risk of exacerbating hyponatremia.

Published
2020

21. Accidente Lonómico: Reporte de dos casos.

Author

Fernanda Arango, María, García Agudelo, Lorena, Jovanny Vargas, Ledmar, Patricia Sierra, Alina, Carolina Silva, Diana, del Pilar Aldana, Paula, and Daza Tavera, Leider Yesid

Abstract

Copyright of CES Medicina is the property of Universidad CES and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2022
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22. Piomiositis de esternocleidomastoideo.

Author

Angulo-Lozano, Sergio, Angulo-Lozano, Sebastián, Pérez, Fabio Alejandro, and Vargas, Ledmar J.

Abstract

Copyright of Medicina Interna de Mexico is the property of Colegio de Medicina Interna de Mexico and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2022
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23. Anticonceptivos orales como factor asociado a prolactinomas: Revisión sistemática/meta-análisis.

Author

Jovanny Vargas, Ledmar, Fonseca Fonseca, Leydi Catherine, Vergara López, Sofía Alejandra, and Mesa Espinal, Mario Santiago

Subjects
ORAL contraceptives, CONTRACEPTION, PITUITARY tumors, OPEN access publishing, OLDER women
Abstract

Copyright of Ciencia e Innovación en Salud is the property of Universidad Simon Bolivar (USB) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2022
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24. Síndrome cardiorrenal: enfoque diagnóstico, terapéutico y pronóstico.

Author

Jassir Rozo-Ortiz, Edward, Jovanny Vargas, Ledmar, Geraldyne Bautista-Moreno, Daniela, Magreth Ortega-García, Suzzan, Gabriel Valencia-Rincón, Luis, Zareth Hernández-Blanco, Leidy, and Catherine Fonseca-Fonseca, Leydi

Abstract

BACKGROUND: Cardiorenal syndrome represents a number of important interactions between the heart and kidney disease. OBJECTIVE: To review the scientific bibliography of patients with heart failure to evaluate the appearance of kidney failure or vice versa. METHODOLOGY: A literature search was performed in the following databases: Pubmed/Medline, Science Direct, Scopus, DOAJ, Embase, Cochrane, Direme, Redalyc and Scielo. The words used to carry out the search were: Cardiorenal syndrome; Diagnosis; Treatment; Management; Prognosis. RESULTS: Cardiorenal syndrome is classified into five types listed from 1 to 5. Its clinical manifestations include those typical of heart and kidney disease according to the severity of involvement in the target organ. The diagnosis is based on the use of different biomarkers such as cystatin C, creatinine, albuminuria, IL-18, among others, which at the same time allows to establish a prognosis in each patient. Treatment is based on the indication of medicinal products that block the pathological mechanisms, including loop diuretics, thiazide-type diuretics, beta-blockers, vasodilators, inotropics, in addition to ultrafiltration and blocking of SARS. CONCLUSIONS: Cardiorenal syndrome has a bidirectional relationship, in which the myocardial or renal involvement can affect the other, establishing a very common pathological association with a complex pathophysiology. [ABSTRACT FROM AUTHOR]

Published
2021
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25. Síntomas respiratorios en trabajadores de ladrilleras de Tunja Boyacá, Colombia.

Author

González, Nubia, Valero, Adriana, Rodríguez, Yesica, Rodríguez, José, and Vargas, Ledmar

Abstract

Copyright of Medicina Interna de Mexico is the property of Colegio de Medicina Interna de Mexico and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2021
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26. Porfiria intermitente aguda: reporte de caso Porfiria intermitente aguda.

Author

Bustos, José, Vargas, Ledmar, and Quintero, Ricardo

Abstract

The porphyrias come from the Greek porphyra. These are a heterogeneous group of metabolic disorders caused by enzymatic deficiency for the biosynthesis of the Hem group. Acute intermittent porphyria is caused by a deficiency of the porphobilinogen deaminase enzyme. A 40-year-old woman with 10 days of abdominal pain evolution (required laparotomy without finding surgical pathology), severe hydroelectrolytic disorder due to hyponatremia and resistant hypokalemia, maintained tachycardia and hypertension. 7 days later, acute flabby quadriparesis development and presented a single generalized tonic-clonic convulsive crisis. Neurophysiological studies supported mixed axonal polyneuropathy and urine results of porphobilinogen and porphyrins were elevated. After Acute Intermittent Porphyria was diagnosed, hemin was administered, which stabilized the patient's clinic and showed normalization of the porphobilinogen. The prevalence of this entity is 1/2000 people. An autosomal dominant disease, which manifests mainly in women between the ages of 20 and 40 years. This entity manifests with neurological and visceral symptoms. Management is given with hematin and dextrose, avoiding hypotonic solutions because of the risk of exacerbating hyponatremia. [ABSTRACT FROM AUTHOR]

Published
2020

29. Caracterización clínica y epidemiológica del Chagas agudo en la población pediátrica en el Hospital Regional de la Orinoquia, 2015-2020.

Author

Liseth Holguín, Mónica, García, Lorena, Vargas, Ledmar, Medina, Sharon, and Geraldine Gross, Nicolle

Abstract

Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2021

30. Síndrome visual por el uso de computadores en población universitaria.

Author

Jovanny Vargas, Ledmar, María Mogollón, Danna, Fernando Calderón, Briaunerth, Arévalo, Valentina, Angélica Tristancho, María, and Elisa Escobar, Bertha

Abstract

Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2021

31. Caracterización clínica y epidemiológica de la COVID-19 en mujeres gestantes en un hospital regional de la Orinoquia, 2020-2021.

Author

Holguín, Mónica L., Vargas, Ledmar J., Silva, Lina A., and García, Lorena

Abstract

Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2021

32. Caracterización clínica y epidemiológica de la COVID-19 en la población pediátrica del Hospital Regional de la Orinoquia, 2020-2021.

Author

Liseth Holguín, Mónica, García, Lorena, Vargas, Ledmar, Alejandra Munévar, Karyn, and Paola Mesa, Lyanne

Abstract

Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2021

33. Caracterización de la sobreinfección bacteriana en pacientes con SARS-CoV-2 hospitalizados en la unidad de cuidado intensivo de adultos en un hospital de tercer nivel.

Author

Isabel Márquez, Adriana, Andrea Acosta, Camila, Yisset Bonilla, Katherin, Sebastián Poveda, Jair, Patricia Mora, Diana, Gerardo Fernández, Daniel, and Jovanny Vargas, Ledmar

Abstract

Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2021

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