Revista médica de Chile
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Revista médica de Chile · Jun 2024
Case Reports[Granulomas in Intestinal Biopsies? Intestinal Tuberculosis Mimicking Crohn's Disease: A Case Report].
Intestinal tuberculosis is a bacterial infection that represents 10% of extrapulmonary tuberculosis. It is known as the great mimicker due to its clinical presentation similar to other diseases such as Crohn's Disease or Neoplastic Intestinal Disease. ⋯ We present the case of a 57-year-old patient with an initial diagnosis of Crohn's Disease, starting immunosuppressive therapy. After no response to the initial therapy and with a new endoscopic and anatomopathological study, Intestinal Tuberculosis was concluded, which after starting therapy evolved favorably.
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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
[Perceived Benefits of a Virtual Educational Program for Older People: A Qualitative Exploration].
Education in older adults is a powerful tool for transforming themselves and their environment; through it, it is possible to change beliefs and attitudes that allow for deep and meaningful learning, enabling this age group to transmit what they have learned to their peers. ⋯ Virtual educational programs can be an effective tool to improve the physical and mental well-being of older adults. These programs provide useful knowledge and skills for daily life, promote physical independence, and strengthen emotional bonds. In addition, participants become agents of change in their communities by transmitting the knowledge acquired.