Objetivo: Identificar algunos aspectos relacionados con el estigma de personal asistencial hacia ... more Objetivo: Identificar algunos aspectos relacionados con el estigma de personal asistencial hacia habitantes de calle consumidores de sustancias psicoactivas. Metodologia: Para lograr este objetivo, se llevó a cabo un estudio cualitativo, con enfoque hermenéutico y de alcance descriptivo, mediante el análisis categorial de las transcripciones de las grabaciones de los discursos de dos grupos focales con 32 participantes, miembros del Sistema de Atención al Habitante de Calle Adulto de Medellín, Colombia. La sistematización y la codificación del análisis se hicieron en un archivo de Excel®, destacándose la emergencia de las categorías: “emociones”, “creencias” y “actitudes”. Resultados: En los discursos de los participantes, se reiteran contenidos ambivalentes de los estigmas hacia esta población. Por una parte, la frustración en su trabajo, como principal emoción que coincide con las creencias de desconfianza y actitudes evasivas hacia ellos; y, por otro, los sentimientos de gratific...
Se realizo la construccion e implementacion de un Fulon Semiautomatizado en el laboratorio de cur... more Se realizo la construccion e implementacion de un Fulon Semiautomatizado en el laboratorio de curticion de pieles de la facultad de Ciencias Pecuarias-ESPOCH, con la finalidad de que los estudiantes puedan llevar a cabo sus practicas y desarrollar conocimientos, destrezas y habilidades tecnicas en el proceso de tratamiento de pieles menores. Con el proposito de definir los materiales, elementos mecanicos y electricos requeridos para el adecuado proceso de tratamiento de pieles se realizo un esquema, en el que se establecio que el Fulon debe estar conformado por: madera Mascarey, pernos de acero inoxidable A304 con cabeza redonda, herrajes de aluminio, poleas tipo A, chumaceras de pie, bandas tipo B137; los elementos electricos seleccionados para la semi automatizacion son: motorreductor de 1,5HP, variador de frecuencia de 2HP, LOGO 230, temporizador, relays, disyuntores. Las dimensiones del Fulon son 65 cm de espesor y 1 m de diametro y su carga maxima a soportar es 150Kg, esta se d...
Objetivo: determinar la frecuencia de infecciones vaginales y lesiones intraepiteliales los resu... more Objetivo: determinar la frecuencia de infecciones vaginales y lesiones intraepiteliales los resultados de laboratorio de las usuarias de los laboratorios clínicos de Dinámica IPS de la ciudad de Medellín atendidas entre el 2005 y el 2010.Materiales y Método: estudio descriptivo transversal con fuentes secundarias de los resultados de pruebas realizadas a usuarias de Dinámica IPS atendidas en el periodo de estudio en el que se evaluaron variables como la edad y los resultados de citología vaginal (n= 261 789), Gram (n= 70 447) y directo de flujo vaginal (n= 89 527). Se excluyeron registros con información incompleta. Se realizó análisis estadístico con medianas y proporciones.Resultados: del total de muestras analizadas(n=261 789), el 1,99% correspondían a lesiones escamosas, de éstas el 0,038% corresponde a muestras positivas de cáncer de cuello uterino confirmada por patólogo; el 8,01% corresponde a lesiones intraepiteliales de alto grado y el 36,13% a lesiones escamosas de bajo...
Cuando recibí la amable invitación para escribir este Prólogo, me reencontré, con el hermoso títu... more Cuando recibí la amable invitación para escribir este Prólogo, me reencontré, con el hermoso título de la canción de Geraldo Vandré: Pra no dizer que no falei das flores. REFERÊNCIAS LABROUSSE, A. Géopolitique des drogues. Paris: Presses Universitaire de France, 2011. THOUMI, F.E. Reexamen de las bases "médicas y científicas" en la interpretación de las convenciones internacionales de drogas: ¿será que el "régimen" está desnudo? Fundacion Friederich Ebert. Seguridad. Analisis, v.1, 2016. Disponível em: <http://library.fes.de/pdf-files/ bueros/la-seguridad/12547.pdf>. Acesso em: 12 jan 2016.
Revista Facultad Nacional De Salud Publica, Apr 1, 2012
Enfermera, especialista en farmacodependencia, Profesor titular, Grupo de investigación en Cuidad... more Enfermera, especialista en farmacodependencia, Profesor titular, Grupo de investigación en Cuidado, upb.
Enfermera, especialista en farmacodependencia, Profesor titular, Grupo de investigación en Cuidad... more Enfermera, especialista en farmacodependencia, Profesor titular, Grupo de investigación en Cuidado, upb.
This paper demonstrates that it is possible to find an ideal filter response (Chebyshev, Butterwo... more This paper demonstrates that it is possible to find an ideal filter response (Chebyshev, Butterworth,..) considering the antenna as the last resonator of a filter under certain circumstances related with the antenna performance and the bandwidth of the filtenna device. If these circumstances are not accomplished, we can achieve excellent performance as well, by means of an iterative process the goal of which is defined by either a filter mask or a classical filter function itself. The methodology is based on the conventional coupling matrix technique for filter design and has been validated by fabricating a microstrip prototype using hairpin resonators and a rectangular patch antenna.
We present a single-centre, retrospective study (1985-2012) of 22 cases of mucormycosis in childr... more We present a single-centre, retrospective study (1985-2012) of 22 cases of mucormycosis in children. A total of 158 mucormycosis cases were identified, of which 22 (13.96%) were children. The mean age of the children was 10.3 years (range: 6 months-18 years), and 59% of the infections occurred in males. The rhinocerebral form was the main clinical presentation (77.27%), followed by the primary cutaneous and pulmonary patterns. The major underlying predisposing factors were diabetes mellitus in 68.18% of the patients and haematologic diseases in 27.7% of the patients. The cases were diagnosed by mycological tests, with positive cultures in 95.4% of the patients. Rhizopus arrhizus was the foremost aetiologic agent in 13/22 cases (59.1%). In 21 cultures, the aetiologic agents were identified morphologically and by molecular identification. In 10 cultures, the internal transcribed spacer region of the ribosomal DNA was sequenced. Clinical cure and mycological cure were achieved in 27.3% cases, which were managed with amphotericin B deoxycholate and by treatment of the underlying conditions.
We present a single-centre, retrospective study (1985-2012) of 22 cases of mucormycosis in childr... more We present a single-centre, retrospective study (1985-2012) of 22 cases of mucormycosis in children. A total of 158 mucormycosis cases were identified, of which 22 (13.96%) were children. The mean age of the children was 10.3 years (range: 6 months-18 years), and 59% of the infections occurred in males. The rhinocerebral form was the main clinical presentation (77.27%), followed by the primary cutaneous and pulmonary patterns. The major underlying predisposing factors were diabetes mellitus in 68.18% of the patients and haematologic diseases in 27.7% of the patients. The cases were diagnosed by mycological tests, with positive cultures in 95.4% of the patients. Rhizopus arrhizus was the foremost aetiologic agent in 13/22 cases (59.1%). In 21 cultures, the aetiologic agents were identified morphologically and by molecular identification. In 10 cultures, the internal transcribed spacer region of the ribosomal DNA was sequenced. Clinical cure and mycological cure were achieved in 27.3% cases, which were managed with amphotericin B deoxycholate and by treatment of the underlying conditions.
Mycetoma is a chronic granulomatous disease. It is classified into eumycetoma caused by fungi and... more Mycetoma is a chronic granulomatous disease. It is classified into eumycetoma caused by fungi and actinomycetoma due to filamentous actinomycetes. Mycetoma can be found in geographic areas in close proximity to the Tropic of Cancer. Mexico is one of the countries in which this disease is highly endemic. In this retrospective study we report epidemiologic, clinical and microbiologic data of mycetoma observed in the General Hospital of Mexico in a 33 year-period (1980 to 2013). A total of 482 cases were included which were clinical and microbiology confirmed. Four hundred and forty four cases (92.11%) were actinomycetomas and 38 cases (7.88%) were eumycetomas. Most patients were agricultural workers; there was a male predominance with a sex ratio of 3:1. The mean age was 34.5 years old (most ranged from 21 to 40 years). The main affected localization was lower and upper limbs (70.74% and 14.52% respectively). Most of the patients came from humid tropical areas (Morelos, Guerrero and Hidalgo were the regions commonly reported). The main clinical presentation was as tumorlike soft tissue swelling with draining sinuses (97.1%). Grains were observed in all the cases. The principal causative agents for actinomycetoma were: Nocardia brasiliensis (78.21%) and Actinomadura madurae (8.7%); meanwhile, for eumycetomas: Madurella mycetomatis and Scedosporium boydii (synonym: Pseudallescheria boydii) were identified. This is a single-center, with long-follow up, cross-sectional study that allows determining the prevalence and characteristics of mycetoma in different regions of Mexico.
Mycetoma is a chronic granulomatous disease. It is classified into eumycetoma caused by fungi and... more Mycetoma is a chronic granulomatous disease. It is classified into eumycetoma caused by fungi and actinomycetoma due to filamentous actinomycetes. Mycetoma can be found in geographic areas in close proximity to the Tropic of Cancer. Mexico is one of the countries in which this disease is highly endemic. In this retrospective study we report epidemiologic, clinical and microbiologic data of mycetoma observed in the General Hospital of Mexico in a 33 year-period (1980 to 2013). A total of 482 cases were included which were clinical and microbiology confirmed. Four hundred and forty four cases (92.11%) were actinomycetomas and 38 cases (7.88%) were eumycetomas. Most patients were agricultural workers; there was a male predominance with a sex ratio of 3:1. The mean age was 34.5 years old (most ranged from 21 to 40 years). The main affected localization was lower and upper limbs (70.74% and 14.52% respectively). Most of the patients came from humid tropical areas (Morelos, Guerrero and Hidalgo were the regions commonly reported). The main clinical presentation was as tumorlike soft tissue swelling with draining sinuses (97.1%). Grains were observed in all the cases. The principal causative agents for actinomycetoma were: Nocardia brasiliensis (78.21%) and Actinomadura madurae (8.7%); meanwhile, for eumycetomas: Madurella mycetomatis and Scedosporium boydii (synonym: Pseudallescheria boydii) were identified. This is a single-center, with long-follow up, cross-sectional study that allows determining the prevalence and characteristics of mycetoma in different regions of Mexico.
The aims of this study were to determine HPV in a male population and its correlation with penile... more The aims of this study were to determine HPV in a male population and its correlation with penile gross inspection and urethral pap smears. Fifty male volunteers were included in the study; all of them were sexual partners of women with evidence of HPV-related cervical diseases. Urethral Pap smear features and polymerase chain reaction (PCR; HPV detection) of urethral samples were correlated. Statistical analyses were conducted to identify variables associated with high and low-risk HPV types. Mean age of participants was 33.14 6 1.52 (range, 23-50 years), and the mean age for those with high risk HPV was 32.12 6 6.66 and 34.08 6 6.58 for subjects with low-risk HPV (P ¼ 0.820). Penile gross inspection revealed 19 (38%) cases with no lesions, papules in balanoprepusial furrol/sulcus in 23 (46%) cases, papilla in 23 (46%) cases, urethral lesions in 22 (44%) cases, penile body plaques in 22 (44%) cases, melanoses in 11 (22%) cases, sebaceous cysts on scrotum in 10 (20%) cases, and molting of the glands in 28 (56%) cases. Cytopathologic analysis revealed koilocytes in 24 (48%) cases. Dyskeratosis was observed in 24 (48%) cases. A bacterial background was found in 27 (54%) cases, and inflammatory cells were found in 27 (54%) cases. Twenty-six (52%) cases showed cytological features suggestive of Gardnerella Vaginalis. Twenty-four (48%) cases were high-risk HPV, and 26 (52%) were low-risk HPV (P ¼ 0.037) as assessed by PCR-based detection. There was a statistically significant difference between koilocytes and bacterial background with high-risk human papillomavirus (P ¼ 0.001). Abnormal colposcopy examination detected lesions were sampled for cytology by Pap smears. Diagn. Cytopathol. 2011;00:000-000.
Gram-negative folliculitis may be the result of prolonged antibacterial treatments in patients wi... more Gram-negative folliculitis may be the result of prolonged antibacterial treatments in patients with acne and rosacea. It is caused by alteration of facial skin flora and the nasal mucous, a decrease of Gram-positive bacteria and a proliferation of Gram-negative bacteria (for example Escherichia coli, Pseudomonas aeruginosa, Serratia marcescens, Klebsiella sp. and Proteus mirabilis). It should be considered in patients with acne who have not had a clinical improvement after 3-6 months of treatment with tetracyclines. The disease is underestimated, probably because bacteriological studies are rarely requested and the increased use of oral isotretinoin for acne management. One of the most effective treatments for Gram-negative folliculitis is oral isotretinoin (0.5-1 mg / kg / day for 4-5 months). We report the case of Gram negative folliculitis successfully treated with oral isotretinoin. Streszczenie Gram-ujemne zapalenie mieszków włosowych moŜe być wynikiem długotrwałego leczenia przeciwbakteryjnego u pacjentów z trądzikiem i trądzikiem róŜowatym. Jest to spowodowane zmianą flory bakteryjnej skóry twarzy i błony śluzowej nosa, zmniejszeniem ilości bakterii Gram-dodatnich i wzrost liczby bakterii Gram-ujemnych (na przykład Escherichia coli, Pseudomonas aeruginosa, Serratia marcescens, sp Klebsiella. i Proteus mirabilis). NaleŜy rozwaŜyć u pacjentów z trądzikiem, którzy nie mieli poprawy klinicznej po 3-6 miesiącach leczenia tetracyklinami. Częstotliwość tej choroby jest zaniŜona, prawdopodobnie dlatego, Ŝe badania bakteriologiczne rzadko są wykonywane i istnieje zwiększone uŜywanie doustnej izotretynoiny w leczeniu trądziku. Jednym z najbardziej skutecznych metod leczenia Gram-ujemnych zapaleń mieszków włosowych jest doustna izotretynoina (0,5-1 mg / kg mc. / dobę przez 4-5 miesięcy). Prezentujemy przypadek Gram-ujemnego zapalenia mieszków włosowych skutecznie leczonego doustną izotretynoiną.
Objetivo: Identificar algunos aspectos relacionados con el estigma de personal asistencial hacia ... more Objetivo: Identificar algunos aspectos relacionados con el estigma de personal asistencial hacia habitantes de calle consumidores de sustancias psicoactivas. Metodologia: Para lograr este objetivo, se llevó a cabo un estudio cualitativo, con enfoque hermenéutico y de alcance descriptivo, mediante el análisis categorial de las transcripciones de las grabaciones de los discursos de dos grupos focales con 32 participantes, miembros del Sistema de Atención al Habitante de Calle Adulto de Medellín, Colombia. La sistematización y la codificación del análisis se hicieron en un archivo de Excel®, destacándose la emergencia de las categorías: “emociones”, “creencias” y “actitudes”. Resultados: En los discursos de los participantes, se reiteran contenidos ambivalentes de los estigmas hacia esta población. Por una parte, la frustración en su trabajo, como principal emoción que coincide con las creencias de desconfianza y actitudes evasivas hacia ellos; y, por otro, los sentimientos de gratific...
Se realizo la construccion e implementacion de un Fulon Semiautomatizado en el laboratorio de cur... more Se realizo la construccion e implementacion de un Fulon Semiautomatizado en el laboratorio de curticion de pieles de la facultad de Ciencias Pecuarias-ESPOCH, con la finalidad de que los estudiantes puedan llevar a cabo sus practicas y desarrollar conocimientos, destrezas y habilidades tecnicas en el proceso de tratamiento de pieles menores. Con el proposito de definir los materiales, elementos mecanicos y electricos requeridos para el adecuado proceso de tratamiento de pieles se realizo un esquema, en el que se establecio que el Fulon debe estar conformado por: madera Mascarey, pernos de acero inoxidable A304 con cabeza redonda, herrajes de aluminio, poleas tipo A, chumaceras de pie, bandas tipo B137; los elementos electricos seleccionados para la semi automatizacion son: motorreductor de 1,5HP, variador de frecuencia de 2HP, LOGO 230, temporizador, relays, disyuntores. Las dimensiones del Fulon son 65 cm de espesor y 1 m de diametro y su carga maxima a soportar es 150Kg, esta se d...
Objetivo: determinar la frecuencia de infecciones vaginales y lesiones intraepiteliales los resu... more Objetivo: determinar la frecuencia de infecciones vaginales y lesiones intraepiteliales los resultados de laboratorio de las usuarias de los laboratorios clínicos de Dinámica IPS de la ciudad de Medellín atendidas entre el 2005 y el 2010.Materiales y Método: estudio descriptivo transversal con fuentes secundarias de los resultados de pruebas realizadas a usuarias de Dinámica IPS atendidas en el periodo de estudio en el que se evaluaron variables como la edad y los resultados de citología vaginal (n= 261 789), Gram (n= 70 447) y directo de flujo vaginal (n= 89 527). Se excluyeron registros con información incompleta. Se realizó análisis estadístico con medianas y proporciones.Resultados: del total de muestras analizadas(n=261 789), el 1,99% correspondían a lesiones escamosas, de éstas el 0,038% corresponde a muestras positivas de cáncer de cuello uterino confirmada por patólogo; el 8,01% corresponde a lesiones intraepiteliales de alto grado y el 36,13% a lesiones escamosas de bajo...
Cuando recibí la amable invitación para escribir este Prólogo, me reencontré, con el hermoso títu... more Cuando recibí la amable invitación para escribir este Prólogo, me reencontré, con el hermoso título de la canción de Geraldo Vandré: Pra no dizer que no falei das flores. REFERÊNCIAS LABROUSSE, A. Géopolitique des drogues. Paris: Presses Universitaire de France, 2011. THOUMI, F.E. Reexamen de las bases "médicas y científicas" en la interpretación de las convenciones internacionales de drogas: ¿será que el "régimen" está desnudo? Fundacion Friederich Ebert. Seguridad. Analisis, v.1, 2016. Disponível em: <http://library.fes.de/pdf-files/ bueros/la-seguridad/12547.pdf>. Acesso em: 12 jan 2016.
Revista Facultad Nacional De Salud Publica, Apr 1, 2012
Enfermera, especialista en farmacodependencia, Profesor titular, Grupo de investigación en Cuidad... more Enfermera, especialista en farmacodependencia, Profesor titular, Grupo de investigación en Cuidado, upb.
Enfermera, especialista en farmacodependencia, Profesor titular, Grupo de investigación en Cuidad... more Enfermera, especialista en farmacodependencia, Profesor titular, Grupo de investigación en Cuidado, upb.
This paper demonstrates that it is possible to find an ideal filter response (Chebyshev, Butterwo... more This paper demonstrates that it is possible to find an ideal filter response (Chebyshev, Butterworth,..) considering the antenna as the last resonator of a filter under certain circumstances related with the antenna performance and the bandwidth of the filtenna device. If these circumstances are not accomplished, we can achieve excellent performance as well, by means of an iterative process the goal of which is defined by either a filter mask or a classical filter function itself. The methodology is based on the conventional coupling matrix technique for filter design and has been validated by fabricating a microstrip prototype using hairpin resonators and a rectangular patch antenna.
We present a single-centre, retrospective study (1985-2012) of 22 cases of mucormycosis in childr... more We present a single-centre, retrospective study (1985-2012) of 22 cases of mucormycosis in children. A total of 158 mucormycosis cases were identified, of which 22 (13.96%) were children. The mean age of the children was 10.3 years (range: 6 months-18 years), and 59% of the infections occurred in males. The rhinocerebral form was the main clinical presentation (77.27%), followed by the primary cutaneous and pulmonary patterns. The major underlying predisposing factors were diabetes mellitus in 68.18% of the patients and haematologic diseases in 27.7% of the patients. The cases were diagnosed by mycological tests, with positive cultures in 95.4% of the patients. Rhizopus arrhizus was the foremost aetiologic agent in 13/22 cases (59.1%). In 21 cultures, the aetiologic agents were identified morphologically and by molecular identification. In 10 cultures, the internal transcribed spacer region of the ribosomal DNA was sequenced. Clinical cure and mycological cure were achieved in 27.3% cases, which were managed with amphotericin B deoxycholate and by treatment of the underlying conditions.
We present a single-centre, retrospective study (1985-2012) of 22 cases of mucormycosis in childr... more We present a single-centre, retrospective study (1985-2012) of 22 cases of mucormycosis in children. A total of 158 mucormycosis cases were identified, of which 22 (13.96%) were children. The mean age of the children was 10.3 years (range: 6 months-18 years), and 59% of the infections occurred in males. The rhinocerebral form was the main clinical presentation (77.27%), followed by the primary cutaneous and pulmonary patterns. The major underlying predisposing factors were diabetes mellitus in 68.18% of the patients and haematologic diseases in 27.7% of the patients. The cases were diagnosed by mycological tests, with positive cultures in 95.4% of the patients. Rhizopus arrhizus was the foremost aetiologic agent in 13/22 cases (59.1%). In 21 cultures, the aetiologic agents were identified morphologically and by molecular identification. In 10 cultures, the internal transcribed spacer region of the ribosomal DNA was sequenced. Clinical cure and mycological cure were achieved in 27.3% cases, which were managed with amphotericin B deoxycholate and by treatment of the underlying conditions.
Mycetoma is a chronic granulomatous disease. It is classified into eumycetoma caused by fungi and... more Mycetoma is a chronic granulomatous disease. It is classified into eumycetoma caused by fungi and actinomycetoma due to filamentous actinomycetes. Mycetoma can be found in geographic areas in close proximity to the Tropic of Cancer. Mexico is one of the countries in which this disease is highly endemic. In this retrospective study we report epidemiologic, clinical and microbiologic data of mycetoma observed in the General Hospital of Mexico in a 33 year-period (1980 to 2013). A total of 482 cases were included which were clinical and microbiology confirmed. Four hundred and forty four cases (92.11%) were actinomycetomas and 38 cases (7.88%) were eumycetomas. Most patients were agricultural workers; there was a male predominance with a sex ratio of 3:1. The mean age was 34.5 years old (most ranged from 21 to 40 years). The main affected localization was lower and upper limbs (70.74% and 14.52% respectively). Most of the patients came from humid tropical areas (Morelos, Guerrero and Hidalgo were the regions commonly reported). The main clinical presentation was as tumorlike soft tissue swelling with draining sinuses (97.1%). Grains were observed in all the cases. The principal causative agents for actinomycetoma were: Nocardia brasiliensis (78.21%) and Actinomadura madurae (8.7%); meanwhile, for eumycetomas: Madurella mycetomatis and Scedosporium boydii (synonym: Pseudallescheria boydii) were identified. This is a single-center, with long-follow up, cross-sectional study that allows determining the prevalence and characteristics of mycetoma in different regions of Mexico.
Mycetoma is a chronic granulomatous disease. It is classified into eumycetoma caused by fungi and... more Mycetoma is a chronic granulomatous disease. It is classified into eumycetoma caused by fungi and actinomycetoma due to filamentous actinomycetes. Mycetoma can be found in geographic areas in close proximity to the Tropic of Cancer. Mexico is one of the countries in which this disease is highly endemic. In this retrospective study we report epidemiologic, clinical and microbiologic data of mycetoma observed in the General Hospital of Mexico in a 33 year-period (1980 to 2013). A total of 482 cases were included which were clinical and microbiology confirmed. Four hundred and forty four cases (92.11%) were actinomycetomas and 38 cases (7.88%) were eumycetomas. Most patients were agricultural workers; there was a male predominance with a sex ratio of 3:1. The mean age was 34.5 years old (most ranged from 21 to 40 years). The main affected localization was lower and upper limbs (70.74% and 14.52% respectively). Most of the patients came from humid tropical areas (Morelos, Guerrero and Hidalgo were the regions commonly reported). The main clinical presentation was as tumorlike soft tissue swelling with draining sinuses (97.1%). Grains were observed in all the cases. The principal causative agents for actinomycetoma were: Nocardia brasiliensis (78.21%) and Actinomadura madurae (8.7%); meanwhile, for eumycetomas: Madurella mycetomatis and Scedosporium boydii (synonym: Pseudallescheria boydii) were identified. This is a single-center, with long-follow up, cross-sectional study that allows determining the prevalence and characteristics of mycetoma in different regions of Mexico.
The aims of this study were to determine HPV in a male population and its correlation with penile... more The aims of this study were to determine HPV in a male population and its correlation with penile gross inspection and urethral pap smears. Fifty male volunteers were included in the study; all of them were sexual partners of women with evidence of HPV-related cervical diseases. Urethral Pap smear features and polymerase chain reaction (PCR; HPV detection) of urethral samples were correlated. Statistical analyses were conducted to identify variables associated with high and low-risk HPV types. Mean age of participants was 33.14 6 1.52 (range, 23-50 years), and the mean age for those with high risk HPV was 32.12 6 6.66 and 34.08 6 6.58 for subjects with low-risk HPV (P ¼ 0.820). Penile gross inspection revealed 19 (38%) cases with no lesions, papules in balanoprepusial furrol/sulcus in 23 (46%) cases, papilla in 23 (46%) cases, urethral lesions in 22 (44%) cases, penile body plaques in 22 (44%) cases, melanoses in 11 (22%) cases, sebaceous cysts on scrotum in 10 (20%) cases, and molting of the glands in 28 (56%) cases. Cytopathologic analysis revealed koilocytes in 24 (48%) cases. Dyskeratosis was observed in 24 (48%) cases. A bacterial background was found in 27 (54%) cases, and inflammatory cells were found in 27 (54%) cases. Twenty-six (52%) cases showed cytological features suggestive of Gardnerella Vaginalis. Twenty-four (48%) cases were high-risk HPV, and 26 (52%) were low-risk HPV (P ¼ 0.037) as assessed by PCR-based detection. There was a statistically significant difference between koilocytes and bacterial background with high-risk human papillomavirus (P ¼ 0.001). Abnormal colposcopy examination detected lesions were sampled for cytology by Pap smears. Diagn. Cytopathol. 2011;00:000-000.
Gram-negative folliculitis may be the result of prolonged antibacterial treatments in patients wi... more Gram-negative folliculitis may be the result of prolonged antibacterial treatments in patients with acne and rosacea. It is caused by alteration of facial skin flora and the nasal mucous, a decrease of Gram-positive bacteria and a proliferation of Gram-negative bacteria (for example Escherichia coli, Pseudomonas aeruginosa, Serratia marcescens, Klebsiella sp. and Proteus mirabilis). It should be considered in patients with acne who have not had a clinical improvement after 3-6 months of treatment with tetracyclines. The disease is underestimated, probably because bacteriological studies are rarely requested and the increased use of oral isotretinoin for acne management. One of the most effective treatments for Gram-negative folliculitis is oral isotretinoin (0.5-1 mg / kg / day for 4-5 months). We report the case of Gram negative folliculitis successfully treated with oral isotretinoin. Streszczenie Gram-ujemne zapalenie mieszków włosowych moŜe być wynikiem długotrwałego leczenia przeciwbakteryjnego u pacjentów z trądzikiem i trądzikiem róŜowatym. Jest to spowodowane zmianą flory bakteryjnej skóry twarzy i błony śluzowej nosa, zmniejszeniem ilości bakterii Gram-dodatnich i wzrost liczby bakterii Gram-ujemnych (na przykład Escherichia coli, Pseudomonas aeruginosa, Serratia marcescens, sp Klebsiella. i Proteus mirabilis). NaleŜy rozwaŜyć u pacjentów z trądzikiem, którzy nie mieli poprawy klinicznej po 3-6 miesiącach leczenia tetracyklinami. Częstotliwość tej choroby jest zaniŜona, prawdopodobnie dlatego, Ŝe badania bakteriologiczne rzadko są wykonywane i istnieje zwiększone uŜywanie doustnej izotretynoiny w leczeniu trądziku. Jednym z najbardziej skutecznych metod leczenia Gram-ujemnych zapaleń mieszków włosowych jest doustna izotretynoina (0,5-1 mg / kg mc. / dobę przez 4-5 miesięcy). Prezentujemy przypadek Gram-ujemnego zapalenia mieszków włosowych skutecznie leczonego doustną izotretynoiną.
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