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9.
Br J Hosp Med (Lond) ; 76(9): 545, 2015 Sep 02.
Artículo en Inglés | MEDLINE | ID: mdl-26352718
11.
Clin Med (Lond) ; 15(2): 208-9, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-25824079

RESUMEN

Cystic echinococcosis, commonly known as hydatid disease, is caused by the larval stage of the tapeworm Echinococcus granulosus. Humans are an accidental host to this rare disease in the UK, with around 10-20 new cases reported each year. Once suspected, the diagnosis is confirmed through a combination of relevant history, imaging studies and serological testing. This lesson presents a case of hydatid disease and outlines the significant management issues when cysts rupture and the disease becomes disseminated.


Asunto(s)
Dolor Abdominal/parasitología , Tos/parasitología , Equinococosis/diagnóstico , Echinococcus granulosus/aislamiento & purificación , Adulto , Animales , Equinococosis/fisiopatología , Humanos , Masculino , Radiografía Torácica , Tomografía Computarizada por Rayos X
12.
Br J Hosp Med (Lond) ; 76(3): 159-62, 2015 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-25761806

RESUMEN

Carbon monoxide poisoning is both an ancient and current cause of inadvertent (accidental) death and more recently has emerged as a cause of suicide worldwide. This article describes the pathophysiology and epidemiology of this most toxic and frequently occult poison.


Asunto(s)
Intoxicación por Monóxido de Carbono/terapia , Eritropoyetina/uso terapéutico , Hematínicos/uso terapéutico , Oxigenoterapia Hiperbárica/métodos , Accidentes/estadística & datos numéricos , Intoxicación por Monóxido de Carbono/epidemiología , Intoxicación por Monóxido de Carbono/metabolismo , Carboxihemoglobina/metabolismo , Hemoglobinas/metabolismo , Humanos , Intento de Suicidio/estadística & datos numéricos , Reino Unido/epidemiología
20.
Postgrad Med J ; 90(1059): 33-42, 2014 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-24198341

RESUMEN

Lyme disease, while still an uncommon disease in the UK, is on the increase. Case numbers have increased by 3.6-fold since 2001, with over 950 cases reported by the Health Protection Agency (HPA) in 2011, compared with less than 500 cases annually pre-2004. HPA indications of the true incidence are suggested to be closer to 3000 cases/year, of which around 82% of cases are indigenously acquired. Three genospecies, Borrelia burgdorferi sensu stricto, Borrelia afzelli and Borrelia garinii, represent the predominant pathogenic variants in the UK. Erythema migrans is the commonest manifestation, occurring in 60%-91% of cases. In the UK, neuroborelliosis is the most common complication, while myocarditis is unusual, and death from either conduction disease or carditis is extremely rare. The role of Borrelia infection in chronic dilated cardiomyopathy in the UK remains unproven. Controversy over the existence of either 'chronic Lyme disease' and/or 'post-Lyme disease syndrome' continues unabated. National medical societies, patient advocacy groups, insurance companies, lawyers, doctors, the private health medical sector and scientific journals have all become embroiled in this bitter controversy. New developments include diagnostic tests able to detect Lyme disease at an earlier stage, shorter durations of antibiotic therapy and potential advances in vaccines against Borrelia.


Asunto(s)
Eritema Crónico Migrans/diagnóstico , Enfermedad de Lyme/diagnóstico , Neuroborreliosis de Lyme/diagnóstico , Piel/microbiología , Mordeduras de Garrapatas/microbiología , Enfermedades por Picaduras de Garrapatas/diagnóstico , Animales , Vacunas Bacterianas , Borrelia burgdorferi/aislamiento & purificación , Grupo Borrelia Burgdorferi/aislamiento & purificación , Eritema Crónico Migrans/epidemiología , Eritema Crónico Migrans/microbiología , Femenino , Humanos , Enfermedad de Lyme/epidemiología , Enfermedad de Lyme/microbiología , Neuroborreliosis de Lyme/epidemiología , Neuroborreliosis de Lyme/microbiología , Masculino , Juego de Reactivos para Diagnóstico , Piel/patología , Enfermedades por Picaduras de Garrapatas/epidemiología , Enfermedades por Picaduras de Garrapatas/microbiología , Reino Unido/epidemiología
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