Medicina
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Item “Edema agudo de pulmón secundario a infección por influenza”(Carrera de Medicina, 2019-06-01) Pérez Plaza, Santiago Andrés; Cruz Castillo, Yessenia Magaly, Dra. Esp.Pneumonia is pulmonary parenchymal infection, very prevalent and with high morbidity and mortality. This pathology can be typical or atypical. The etiology of pneumonia must be determined. Acute pulmonary edema is an abnormal accumulation of fluid, of rapid development, in pulmonary extravascular components. It can be cardiogenic and non-cardiogenic. We review the non-cardiogenic acute pulmonary edema, which is due to a pulmonary injury. We present the case of an Influenza B infection with pulmonary edema and respiratory system in a 40-year-old male patient, which presents with brown expectoration, thermal rise, odynophagia, dyspnea and myalgias. Presents desaturation, bilateral cottony infiltrates in the imaging tests. A PAFI ratio of 220 mmHg is determined, which indicates an acute respiratory distraction syndrome, which does not require mechanical ventilation. A rapid test is performed that indicates the presence of Influenza B. The treatment used, including antibiotic therapy, antivirals, analgesia, oxygen therapy, beta-2 agonists and anticholinergics was effective, as the patient's clinical picture improved daily. The treatment was in accordance with the bibliographic suggestions investigated.Item Shock Séptico Secundario a Neumonía(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-10-01) Moreno Caballeros, Evelyn Nataly; Lozano Heredia, Rebeca Dra. Esp.Female patient 11 months old emergency attends with his mother which refers thermal rise, irritability. Physical examination saturation of 84% to ambient air temperature 35.9 °, rhythmic heart sounds no heart murmurs, vesicular murmur preserved with diagnostic impression of acute respiratory infection to rule out community-acquired pneumonia. You are asking for a standard chest radiography, paracetamol 20 drops every 8 hours and return with X-ray results, returns at 15 hours referring watery rhinorrhea, but patient leaves the office while attention was performed. Attends private clinic where they treat the patient pathology but unfavorably evolves so is transferred to Hospital Básico IESS Latacunga. Pneumonia is a widespread localized infection or lung parenchyma with predominantly alveolar commitment, is a frequent cause of morbidity and mortality especially in populations with high risk factors such as: low socioeconomic status, low birth weight, absence of breastfeeding, the lower age, lack of immunizations, intra and extra home pollution, etc. Under these conditions there is a predominance of bacterial causes and cases of greater severity, in the winter months. So it is necessary to diagnose and treat in time to avoid complications. Finally we know for a diagnosis and make timely treatment of pneumonia have diagnostic criteria, additional tests which help us to avoid the complications of this disease and death in this case.