Revista médica de Chile
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Revista médica de Chile · Nov 2023
[Prevalence of frailty in the different regions of Chile: A cross-sectional analysis of the National Health Survey 2016-2017].
Frailty is an increasingly frequent geriatric syndrome in the population; however, its regional prevalence in Chile has not been quantified. ⋯ The prevalence off rail individuals was higher in the central zone of Chile, it increased as age increased, and it was higher in women with a lower educational level.
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Revista médica de Chile · Nov 2023
Case Reports[Polymorphic lymphoproliferative disorder, lymphomatoid granulomatosis-type, in a patient with iatrogenic immunosuppression, an unusual entity].
Patients with immunodeficiency, whether congenital or acquired, have a significantly higher incidence of malignancies, especially mature lymphoid neoplasms and lymphoproliferative disorders. We present the case of a 50-year-old patient with a history of dermatomyositis and antisynthetase syndrome on immunosuppressive therapy, who consulted due to increased volume of the lacrimal gland in the upper left eyelid, associated with weight loss and night sweats. He was admitted for an elective biopsy. ⋯ In this scenario, an infectious, neoplastic, or rheumatological etiology was considered a differential diagnosis, especially in the context of our patient. Finally, the biopsies evidenced extensive necrosis with angiocentric and angiodestructive lymphoid infiltration associated with positive EBV. After extensively reviewing the symptoms, histology, and new classifications of mature B-lymphoid neoplasms, the diagnosis of polymorphic B-lymphoproliferative disorder, lymphomatoid granulomatosis-type was made, an uncommon entity rarely associated with iatrogenic immunosuppression.
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Revista médica de Chile · Nov 2023
Review[Intervention fo Effective Development od Self-Care in Heralth Students: a Scoping Review].
Self-care is a central element in the training of health students. The lack of effective strategies to develop it is associated with a 50% prevalence of burnout in this population. ⋯ There are a variety of effective strategies to assess and promote self-care in health students. The studies we found stand out for being of good quality and applicable to the different study plans.
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Revista médica de Chile · Nov 2023
Case ReportsFish tank granuloma not associated to Mycobacterium marinum but to Microbacterium paraoxydans.
Fish tank granuloma has traditionally been associated with Mycobacterium marinum. We report the case of a 54 old-year woman that worked in a freshwater fish pet store and developed a skin ulcer in a hand finger with a suppurative granuloma secondary to Microbacterium paraoxydans. ⋯ She evolved satisfactorily after receiving a sequential treatment with beta-lactams and linezolid. To our knowledge, it is the first known description of this type.