Browsing by Author "Sacoto Flores, Goethe Salomon"

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Cetoacidosis diabética y estado hiperglucémico hiperosmolar en COVID-19. Reporte de casos
(2021) Cajilema Acero, Luis Andres
Introduction: Introduction: Diabetes Mellitus (DM) is an independent risk factor to predict severity in COVID-19 infection.Clinical cases: we present four cases of hyperglycemic seizures type hyperosmolar nonketotic state (EHNC) and diabetic ketoacidosis (DKA) associated with COVID-19, three with a history of DM and one with a new diagnosis of DM. The outcome was fatal for the CAD cases and the EHNC case was discharged in stable condition.Conclusion: it is essential to understand the presentation characteristics of acute complications of diabetes in patients with COVID-19 and to suspect this type of metabolic alterations in SARS-CoV-2 infection, important aspects for a timely diagnosis and treatment, greatly improving the prognosis of patients
Granulomatosis con poliangitis (Wegener) con sangrado gastrointestinal. Reporte de caso
(2022) Lopez Valencia, Jessica Anabel; Bermeo Cabrera, Marcia Janneth; Sacoto Flores, Goethe Salomon
Introduction: ANCA-associated vasculitides (AAV) are characterized by inflammation of small caliber blood vessels and a high percentage of positivity for antineutrophil cytoplasmic antibodies (ANCA).Clinical case: It is a case of a 74-year-old mestizo man, with dysphonia, weight loss, superficial erythematous lesions distributed in lower limbs. One week prior to admission, he presented rectal bleeding, diffuse abdominal pain with clinical data of hypovolemic shock, ulcerative colitis was identified (colonoscopy) and positive serology for PR3-ANCA. Immunosuppressive treatment was started with favorable evolution.Conclusion: AAV have variable clinical phenotypes with forms from mild to fulminant, they should be suspected early, treated promptly to favorably influence their prognosis.