RESUMEN
In this work, we analyze the spreading of Covid-19 in Mexico using the spatial SEIRD epidemiologic model. We use the information of the 32 regions (States) that conform the country, such as population density, verified infected cases, and deaths in each State. We extend the SEIRD compartmental epidemiologic with diffusion mechanisms in the exposed and susceptible populations. We use the Fickian law with the diffusion coefficient proportional to the population density to encompass the diffusion effects. The numerical results suggest that the epidemiologic model demands time-dependent parameters to incorporate non-monotonous behavior in the actual data in the global dynamic. The diffusional model proposed in this work has great potential in predicting the virus spreading on different scales, i.e., local, national, and between countries, since the complete reduction in people mobility is impossible.
RESUMEN
The infection by Nocardia spp is not common in immunocompetent patients. The empirical antimicrobial treatment directed by anatomical regions does not contemplate the particularities of the germ and the microbiological analysis is necessary for the specific treatment. We present the case of a previously healthy and immunocompetent patient, without known risk factors for Nocardia spp. infection, with evidence of involvement of the pulmonary parenchyma and the skin and subsequent development of multiple brain abscesses.
La infección por Nocardia spp. no es común en pacientes inmunocompetentes. El tratamiento antimicrobiano empírico dirigido según las regiones anatómicas, no contempla las particularidades del germen y el análisis microbiológico se hace necesario para el tratamiento específico. A continuación, se presenta el caso de una paciente previamente sana, inmunocompetente y sin factores de riesgo conocidos para la infección por Nocardia spp., con evidencia de compromiso en el parénquima pulmonar y la piel, que posteriormente desarrolló varios abscesos cerebrales.
Asunto(s)
Absceso Encefálico/microbiología , Nocardiosis/diagnóstico , Neumonía Bacteriana/diagnóstico , Antibacterianos/uso terapéutico , Absceso Encefálico/diagnóstico por imagen , Absceso Encefálico/tratamiento farmacológico , Ceftriaxona/uso terapéutico , Quimioterapia Combinada , Femenino , Cefalea/etiología , Humanos , Inmunocompetencia , Imagen por Resonancia Magnética , Persona de Mediana Edad , Neuroimagen , Nocardiosis/tratamiento farmacológico , Neumonía Bacteriana/complicaciones , Neumonía Bacteriana/diagnóstico por imagen , Atelectasia Pulmonar/diagnóstico por imagen , Atelectasia Pulmonar/etiología , Tomografía Computarizada por Rayos X , Combinación Trimetoprim y Sulfametoxazol/uso terapéuticoRESUMEN
La infección por Nocardia spp. no es común en pacientes inmunocompetentes. El tratamiento antimicrobiano empírico dirigido según las regiones anatómicas, no contempla las particularidades del germen y el análisis microbiológico se hace necesario para el tratamiento específico. A continuación, se presenta el caso de una paciente previamente sana, inmunocompetente y sin factores de riesgo conocidos para la infección por Nocardia spp., con evidencia de compromiso en el parénquima pulmonar y la piel, que posteriormente desarrolló varios abscesos cerebrales.
The infection by Nocardia spp is not common in immunocompetent patients. The empirical antimicrobial treatment directed by anatomical regions does not contemplate the particularities of the germ and the microbiological analysis is necessary for the specific treatment. We present the case of a previously healthy and immunocompetent patient, without known risk factors for Nocardia spp. infection, with evidence of involvement of the pulmonary parenchyma and the skin and subsequent development of multiple brain abscesses.
Asunto(s)
Absceso Encefálico , Nocardia , Enfermedades Cutáneas Infecciosas , Antibacterianos , NocardiosisRESUMEN
Parasitic infections are distributed worldwide and affect hundreds of millions of individuals-primarily those living in endemic areas or in regions with a high rate of immigration from endemic areas-causing significant morbidity and mortality. A broad spectrum of parasitic infections (eg, amebiasis, malaria, trypanosomiasis, ascariasis, strongyloidiasis, dirofilariasis, cystic echinococcosis, schistosomiasis, paragonimiasis) frequently affect the lungs, mediastinum, and thoracic wall, manifesting with abnormal imaging findings that often make diagnosis challenging. Although most of these infections result in nonspecific abnormalities, familiarity with their imaging features as well as their epidemiologic, clinical, and physiopathologic characteristics may be helpful to the radiologist in formulating an adequate differential diagnosis.