Revista médica de Chile
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Revista médica de Chile · Jun 2024
[Expert Validation of the FACT-C Survey for Measuring Quality of Life in Chilean Patients Diagnosed with Colorectal Cancer].
In Chile, there is limited information regarding the effects on the quality of life of patients undergoing colorectal resective surgery. Although the GES guideline of management of Colorectal Cancer (2013) includes a quality-of-life survey, presented in a non-translated version to Spanish, without instructions regarding its application method, and recently validated (2023). On the other hand, post-surgical and oncological follow-ups focus on evaluating symptoms, signs, and complementary tests associated with recurrences, leaving the non-standardized evaluation of quality of life to the discretion of the healthcare provider. Therefore, the need arises for a standardized instrument that evaluates the quality of life of patients diagnosed, treated, and monitored for colorectal cancer. ⋯ Our results affirm that the FACT-C survey has an excellent CVC, allowing us to continue with the next stage of the validation process in a sample of Chilean patients to ensure its applicability in our population.
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Revista médica de Chile · Jun 2024
Case Reports[Bivalvular Infective Endocarditis with Involvement of the Mitroaortic Fibrosis by Staphylococcus lugdunensis].
Bivalvular infective endocarditis is a clinical presentation that is associated to a greater extent with adverse outcomes. The involvement of the intervalvular mitral-aortic fibrosa is a rare complication associated with high mortality rates, requiring high complexity surgery. We report a case of a young male presenting to the emergency department with bivalvular endocarditis and mitral-aortic intervalvular fibrosa involvement.
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Revista médica de Chile · Jun 2024
Case Reports[Erdheim Chester Histiocytosis as a Diagnostic Challenge in a Systemic Presentation: A Case Report].
Histiocytosis are caused by pathogenic myeloid cells, and can be classified as Langerhans cell histiocytosis (LCH) and non-LCH. Erdheim-Chester disease (ECD) is a non-LCH, characterized by multi-organ involvement, typical imaging findings, and confirmatory histological studies. A case with multi-organ involvement and histological confirmation is presented. ⋯ Its diagnostic criteria include imaging and histological alterations, consistent with those described in this patient. The first line of treatment is interferon alpha, which has been shown to improve survival but is associated with adverse effects. As a second line, it has been proposed Vemurafenib when BRAFV600 mutation is present.
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Revista médica de Chile · Jun 2024
[Epidemiological Surveillance of Mumps Virus Infections in Chile: Laboratory Diagnosis During the Occurrence of the 2018 and 2019 Outbreak].
Mumps infections primarily affect childhood and the hallmark of infection is swelling of the parotid glands. The mumps cases decreased noticeably in Chile with the introduction of the triple virus vaccine. ⋯ The laboratory findings were essential for the accurate diagnosis of cases and the establishment of the outbreak by the epidemiological surveillance program.
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Revista médica de Chile · Jun 2024
[Pancreatoduodenectomy in Octogenarian Patients and the Need for Standardized Evaluation].
Pancreatoduodenectomy represents the only curative alternative in patients with periampullary tumors, currently with acceptable morbidity and mortality rates. However, there is little evidence in octogenarian patients. ⋯ Pancreatoduodenectomy is an appropriate treatment alternative in patients over 80 years of age with tumors of the periampullary area, which can offer low morbidity and mortality rates if they are correctly selected in the context of a multidisciplinary preoperative evaluation in high-volume centers.