diff --git "a/data/dev.conll" "b/data/dev.conll" deleted file mode 100644--- "a/data/dev.conll" +++ /dev/null @@ -1,4651 +0,0 @@ -Mujer B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -22 I-PRESENT_ILLNESS -años, I-PRESENT_ILLNESS -sana. B-PAST_MEDICAL_HISTORY -Consultó B-PRESENT_ILLNESS -por I-PRESENT_ILLNESS -aumento I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -volumen I-PRESENT_ILLNESS -cérvico-parotídeo I-PRESENT_ILLNESS -derecho I-PRESENT_ILLNESS -sensible, I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -3 I-PRESENT_ILLNESS -meses I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -evolución I-PRESENT_ILLNESS -y I-PRESENT_ILLNESS -refractario I-PRESENT_ILLNESS -a I-PRESENT_ILLNESS -antiinflamatorios. I-PRESENT_ILLNESS -Fue B-TREATMENT -interpretado I-TREATMENT -como I-TREATMENT -síndrome I-TREATMENT -de I-TREATMENT -mononucleosis I-TREATMENT -infecciosa I-TREATMENT -y I-TREATMENT -por I-TREATMENT -su I-TREATMENT -persistencia I-TREATMENT -se I-TREATMENT -le I-TREATMENT -indicó I-TREATMENT -empíricamente I-TREATMENT -amoxicilina-ácido I-TREATMENT -clavulánico I-TREATMENT -sin I-TREATMENT -mejoría I-TREATMENT -clínica. I-TREATMENT -Finalmente, I-TREATMENT -le I-TREATMENT -indicaron I-TREATMENT -glucocorticoides I-TREATMENT -con B-EVOLUTION -resolución I-EVOLUTION -completa I-EVOLUTION -del I-EVOLUTION -cuadro. I-EVOLUTION - I-EVOLUTION -Dos I-EVOLUTION -meses I-EVOLUTION -después I-EVOLUTION -consultó I-EVOLUTION -nuevamente I-EVOLUTION -por I-EVOLUTION -fiebre I-EVOLUTION -asociado I-EVOLUTION -a I-EVOLUTION -múltiples I-EVOLUTION -adenopatías I-EVOLUTION -submandibulares I-EVOLUTION -sensibles I-EVOLUTION -e I-EVOLUTION -induradas, I-EVOLUTION -con I-EVOLUTION -aumento I-EVOLUTION -de I-EVOLUTION -volumen I-EVOLUTION -parotídeo I-EVOLUTION -ipsilateral. I-EVOLUTION -Presentaba B-EXPLORATION -PCR I-EXPLORATION -de I-EXPLORATION -41 I-EXPLORATION -mg/L I-EXPLORATION -y I-EXPLORATION -hemograma I-EXPLORATION -con I-EXPLORATION -neutro I-EXPLORATION -filia I-EXPLORATION -relativa. I-EXPLORATION -Las I-EXPLORATION -pruebas I-EXPLORATION -hepáticas I-EXPLORATION -y I-EXPLORATION -LDH I-EXPLORATION -estaban I-EXPLORATION -en I-EXPLORATION -rangos I-EXPLORATION -normales. I-EXPLORATION - I-EXPLORATION -Se I-EXPLORATION -solicitó I-EXPLORATION -TAC I-EXPLORATION -cervical I-EXPLORATION -que I-EXPLORATION -mostró I-EXPLORATION -aumento I-EXPLORATION -de I-EXPLORATION -volumen I-EXPLORATION -parotídeo I-EXPLORATION -y I-EXPLORATION -de I-EXPLORATION -grupos I-EXPLORATION -ganglionares I-EXPLORATION -cervicales I-EXPLORATION -bilaterales, I-EXPLORATION -ambos I-EXPLORATION -de I-EXPLORATION -predominio I-EXPLORATION -derecho. I-EXPLORATION -Además I-EXPLORATION -se I-EXPLORATION -informó I-EXPLORATION -un I-EXPLORATION -probable I-EXPLORATION -flegmón I-EXPLORATION -cervical. I-EXPLORATION -Se I-EXPLORATION -reiniciaron I-EXPLORATION -los I-EXPLORATION -antibióticos I-EXPLORATION -(ceftriaxona I-EXPLORATION -más I-EXPLORATION -clindamicina) I-EXPLORATION -sin I-EXPLORATION -respuesta. I-EXPLORATION -Dada B-TREATMENT -la I-TREATMENT -persistencia I-TREATMENT -del I-TREATMENT -cuadro, I-TREATMENT -se I-TREATMENT -escaló I-TREATMENT -a I-TREATMENT -esquema I-TREATMENT -antibiótico I-TREATMENT -de I-TREATMENT -segunda I-TREATMENT -línea I-TREATMENT -(vancomicina I-TREATMENT -más I-TREATMENT -levofloxacino) I-TREATMENT -y B-EXPLORATION -se I-EXPLORATION -amplió I-EXPLORATION -estudio I-EXPLORATION -con I-EXPLORATION -TAC I-EXPLORATION -de I-EXPLORATION -tórax-abdomen-pelvis I-EXPLORATION -que I-EXPLORATION -informó I-EXPLORATION -linfonodos I-EXPLORATION -precarinales I-EXPLORATION -de I-EXPLORATION -6 I-EXPLORATION -mm, I-EXPLORATION -sin I-EXPLORATION -otros I-EXPLORATION -hallazgos. I-EXPLORATION -El I-EXPLORATION -estudio I-EXPLORATION -inmunológico I-EXPLORATION -con I-EXPLORATION -ANA I-EXPLORATION -e I-EXPLORATION -infeccioso I-EXPLORATION -para I-EXPLORATION -VEB, I-EXPLORATION -CMV, I-EXPLORATION -VIH, I-EXPLORATION -sífilis, I-EXPLORATION -Toxoplasma I-EXPLORATION -gondii I-EXPLORATION -y I-EXPLORATION -Bartonella I-EXPLORATION -hensenlae I-EXPLORATION -fueron I-EXPLORATION -negativos. I-EXPLORATION -Finalmente, I-EXPLORATION -se I-EXPLORATION -realizó I-EXPLORATION -biopsia I-EXPLORATION -de I-EXPLORATION -ganglio I-EXPLORATION -cervical I-EXPLORATION -que I-EXPLORATION -reveló I-EXPLORATION -hallazgos I-EXPLORATION -compatibles I-EXPLORATION -con I-EXPLORATION -linfadenitis I-EXPLORATION -necrotizante I-EXPLORATION -histiocitaria. I-EXPLORATION -Se B-TREATMENT -suspendieron I-TREATMENT -los I-TREATMENT -antibióticos I-TREATMENT -y I-TREATMENT -se I-TREATMENT -indicó I-TREATMENT -tratamiento I-TREATMENT -con I-TREATMENT -prednisona I-TREATMENT -30 I-TREATMENT -mg I-TREATMENT -al I-TREATMENT -día I-TREATMENT -con I-TREATMENT -disminución I-TREATMENT -progresiva I-TREATMENT -de I-TREATMENT -las I-TREATMENT -dosis I-TREATMENT -a I-TREATMENT -partir I-TREATMENT -de I-TREATMENT -la I-TREATMENT -segunda I-TREATMENT -semana, I-TREATMENT -completando I-TREATMENT -1 I-TREATMENT -mes I-TREATMENT -de I-TREATMENT -tratamiento. I-TREATMENT -La B-EVOLUTION -fiebre I-EVOLUTION -cedió I-EVOLUTION -a I-EVOLUTION -las I-EVOLUTION -24 I-EVOLUTION -h I-EVOLUTION -tras I-EVOLUTION -el I-EVOLUTION -inicio I-EVOLUTION -de I-EVOLUTION -la I-EVOLUTION -terapia I-EVOLUTION -y I-EVOLUTION -no I-EVOLUTION -ha I-EVOLUTION -presentado I-EVOLUTION -recurrencias I-EVOLUTION -a I-EVOLUTION -los I-EVOLUTION -6 I-EVOLUTION -meses I-EVOLUTION -de I-EVOLUTION -seguimiento. I-EVOLUTION - I-EVOLUTION - -Paciente B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -60 I-PRESENT_ILLNESS -años, I-PRESENT_ILLNESS -sin B-PAST_MEDICAL_HISTORY -antecedentes I-PAST_MEDICAL_HISTORY -mórbidos, I-PAST_MEDICAL_HISTORY -a B-PRESENT_ILLNESS -quien I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -una I-PRESENT_ILLNESS -tomografía I-PRESENT_ILLNESS -computada I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -abdomen I-PRESENT_ILLNESS -efectuada I-PRESENT_ILLNESS -por I-PRESENT_ILLNESS -dolor I-PRESENT_ILLNESS -abdominal, I-PRESENT_ILLNESS -se I-PRESENT_ILLNESS -le I-PRESENT_ILLNESS -encontró I-PRESENT_ILLNESS -un I-PRESENT_ILLNESS -carcinoma I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -2 I-PRESENT_ILLNESS -cm I-PRESENT_ILLNESS -localizado I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -la I-PRESENT_ILLNESS -cabeza I-PRESENT_ILLNESS -del I-PRESENT_ILLNESS -páncreas. I-PRESENT_ILLNESS -Fue B-TREATMENT -sometido I-TREATMENT -a I-TREATMENT -una I-TREATMENT -operación I-TREATMENT -de I-TREATMENT -Whipple. I-TREATMENT -Había I-TREATMENT -2 I-TREATMENT -adenopatías I-TREATMENT -regionales I-TREATMENT -con I-TREATMENT -metástasis I-TREATMENT -de I-TREATMENT -carcinoma I-TREATMENT -y I-TREATMENT -no I-TREATMENT -existía I-TREATMENT -diseminación I-TREATMENT -a I-TREATMENT -distancia. I-TREATMENT -Tres I-TREATMENT -meses I-TREATMENT -después I-TREATMENT -de I-TREATMENT -la I-TREATMENT -operación I-TREATMENT -se I-TREATMENT -inició I-TREATMENT -quimioterapia I-TREATMENT -con I-TREATMENT -GEM. I-TREATMENT -Después B-EVOLUTION -de I-EVOLUTION -recibir I-EVOLUTION -11 I-EVOLUTION -dosis I-EVOLUTION -de I-EVOLUTION -GEM, I-EVOLUTION -transcurridos I-EVOLUTION -4 I-EVOLUTION -meses I-EVOLUTION -de I-EVOLUTION -su I-EVOLUTION -inicio I-EVOLUTION -y I-EVOLUTION -habiendo I-EVOLUTION -recibido I-EVOLUTION -una I-EVOLUTION -dosis I-EVOLUTION -total I-EVOLUTION -acumulada I-EVOLUTION -de I-EVOLUTION -16.400 I-EVOLUTION -mg I-EVOLUTION -(9.318 I-EVOLUTION -mg/m2), I-EVOLUTION -presentó I-EVOLUTION -edema I-EVOLUTION -palpebral I-EVOLUTION -y I-EVOLUTION -de I-EVOLUTION -tobillos I-EVOLUTION -e I-EVOLUTION -hipertensión I-EVOLUTION -arterial I-EVOLUTION -de I-EVOLUTION -hasta I-EVOLUTION -160/110 I-EVOLUTION -mmHg. I-EVOLUTION -Los B-EXPLORATION -exámenes I-EXPLORATION -de I-EXPLORATION -laboratorio I-EXPLORATION -mostraron I-EXPLORATION -hematuria I-EXPLORATION -microscópica I-EXPLORATION -(26-50 I-EXPLORATION -hematíes I-EXPLORATION -por I-EXPLORATION -campo), I-EXPLORATION -proteinuria I-EXPLORATION -(1.740 I-EXPLORATION -mg/24 I-EXPLORATION -h), I-EXPLORATION -cilindruria I-EXPLORATION -granulosa, I-EXPLORATION -ascenso I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -creatinina I-EXPLORATION -sérica I-EXPLORATION -hasta I-EXPLORATION -un I-EXPLORATION -máximo I-EXPLORATION -de I-EXPLORATION -2, I-EXPLORATION -0 I-EXPLORATION -mg/dL I-EXPLORATION -con I-EXPLORATION -caída I-EXPLORATION -del I-EXPLORATION -clearance I-EXPLORATION -de I-EXPLORATION -creatinina I-EXPLORATION -a I-EXPLORATION -52 I-EXPLORATION -ml/min/1, I-EXPLORATION -73 I-EXPLORATION -m2 I-EXPLORATION -(medido) I-EXPLORATION -a I-EXPLORATION -los I-EXPLORATION -21 I-EXPLORATION -días I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -última I-EXPLORATION -dosis. I-EXPLORATION -Previo I-EXPLORATION -a I-EXPLORATION -ello I-EXPLORATION -se I-EXPLORATION -había I-EXPLORATION -observado I-EXPLORATION -anemia I-EXPLORATION -progresiva I-EXPLORATION -(hemoglobina I-EXPLORATION -6.0 I-EXPLORATION -g/dL) I-EXPLORATION -y I-EXPLORATION -trombocitopenia I-EXPLORATION -(20.000 I-EXPLORATION -mm3), I-EXPLORATION -que I-EXPLORATION -se I-EXPLORATION -atribuyeron I-EXPLORATION -a I-EXPLORATION -mielodepresión I-EXPLORATION -por I-EXPLORATION -GEM. I-EXPLORATION -La I-EXPLORATION -bilirrubinemia I-EXPLORATION -total I-EXPLORATION -ascendió I-EXPLORATION -a I-EXPLORATION -1, I-EXPLORATION -79 I-EXPLORATION -mg/dL, I-EXPLORATION -la I-EXPLORATION -directa I-EXPLORATION -a I-EXPLORATION -0, I-EXPLORATION -93 I-EXPLORATION -mg/dL I-EXPLORATION -y I-EXPLORATION -la I-EXPLORATION -LDH I-EXPLORATION -a I-EXPLORATION -701 I-EXPLORATION -U/L I-EXPLORATION -(VN: I-EXPLORATION -125-243), I-EXPLORATION -lo I-EXPLORATION -que I-EXPLORATION -se I-EXPLORATION -interpretó I-EXPLORATION -como I-EXPLORATION -secundario I-EXPLORATION -a I-EXPLORATION -toxicidad I-EXPLORATION -hepática I-EXPLORATION -por I-EXPLORATION -GEM. I-EXPLORATION -Se B-TREATMENT -suspendió I-TREATMENT -la I-TREATMENT -administración I-TREATMENT -de I-TREATMENT -nuevas I-TREATMENT -dosis I-TREATMENT -de I-TREATMENT -GEM, I-TREATMENT -se I-TREATMENT -prescribió I-TREATMENT -furosemi-de I-TREATMENT -para I-TREATMENT -controlar I-TREATMENT -el I-TREATMENT -edema I-TREATMENT -y I-TREATMENT -olmesartán I-TREATMENT -para I-TREATMENT -el I-TREATMENT -manejo I-TREATMENT -de I-TREATMENT -la I-TREATMENT -hipertensión I-TREATMENT -arterial. I-TREATMENT - I-TREATMENT -Estando B-EXPLORATION -el I-EXPLORATION -recuento I-EXPLORATION -de I-EXPLORATION -plaquetas I-EXPLORATION -sobre I-EXPLORATION -100.000 I-EXPLORATION -mm3 I-EXPLORATION -se I-EXPLORATION -efectuó I-EXPLORATION -una I-EXPLORATION -biopsia I-EXPLORATION -renal I-EXPLORATION -percutánea I-EXPLORATION -que I-EXPLORATION -mostró I-EXPLORATION -hallazgos I-EXPLORATION -característicos I-EXPLORATION -de I-EXPLORATION -una I-EXPLORATION -microangiopatía I-EXPLORATION -trombótica I-EXPLORATION -crónica I-EXPLORATION -activa. I-EXPLORATION -El I-EXPLORATION -examen I-EXPLORATION -de I-EXPLORATION -microscopía I-EXPLORATION -óptica I-EXPLORATION -reveló I-EXPLORATION -la I-EXPLORATION -presencia I-EXPLORATION -de I-EXPLORATION -glomérulos I-EXPLORATION -con I-EXPLORATION -numerosos I-EXPLORATION -dobles I-EXPLORATION -contornos I-EXPLORATION -en I-EXPLORATION -sus I-EXPLORATION -asas I-EXPLORATION -capilares I-EXPLORATION -y I-EXPLORATION -arteriolas, I-EXPLORATION -con I-EXPLORATION -intensa I-EXPLORATION -disminución I-EXPLORATION -de I-EXPLORATION -su I-EXPLORATION -lumen, I-EXPLORATION -hiperplasia I-EXPLORATION -concéntrica I-EXPLORATION -de I-EXPLORATION -miocélulas I-EXPLORATION -y I-EXPLORATION -depósito I-EXPLORATION -hialino I-EXPLORATION -mural I-EXPLORATION -sugerente I-EXPLORATION -de I-EXPLORATION -material I-EXPLORATION -microtrombótico I-EXPLORATION -incorporado I-EXPLORATION -en I-EXPLORATION -su I-EXPLORATION -endotelio I-EXPLORATION -y I-EXPLORATION -pared. I-EXPLORATION -El I-EXPLORATION -examen I-EXPLORATION -de I-EXPLORATION -inmunofluorescencia I-EXPLORATION -no I-EXPLORATION -mostró I-EXPLORATION -presencia I-EXPLORATION -de I-EXPLORATION -complejos I-EXPLORATION -inmunes I-EXPLORATION -en I-EXPLORATION -los I-EXPLORATION -glomérulos. I-EXPLORATION -La I-EXPLORATION -microscopía I-EXPLORATION -electrónica I-EXPLORATION -confirmó I-EXPLORATION -las I-EXPLORATION -alteraciones I-EXPLORATION -glomerulares I-EXPLORATION -encontradas I-EXPLORATION -en I-EXPLORATION -la I-EXPLORATION -microscopía I-EXPLORATION -óptica; I-EXPLORATION -en I-EXPLORATION -especial, I-EXPLORATION -se I-EXPLORATION -demostró I-EXPLORATION -la I-EXPLORATION -presencia I-EXPLORATION -de I-EXPLORATION -múltiples I-EXPLORATION -dobles I-EXPLORATION -contornos I-EXPLORATION -con I-EXPLORATION -interposición I-EXPLORATION -celular I-EXPLORATION -y I-EXPLORATION -expansión I-EXPLORATION -acentuada I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -lámina I-EXPLORATION -rara I-EXPLORATION -interna I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -membrana I-EXPLORATION -basal I-EXPLORATION -por I-EXPLORATION -material I-EXPLORATION -electrón-lúcido I-EXPLORATION -y I-EXPLORATION -detritus I-EXPLORATION -subendotelial. I-EXPLORATION -Todas I-EXPLORATION -estas I-EXPLORATION -alteraciones I-EXPLORATION -se I-EXPLORATION -encontraron I-EXPLORATION -en I-EXPLORATION -ausencia I-EXPLORATION -de I-EXPLORATION -depósitos I-EXPLORATION -densos I-EXPLORATION -de I-EXPLORATION -tipo I-EXPLORATION -complejo I-EXPLORATION -inmune. I-EXPLORATION -La I-EXPLORATION -lesión I-EXPLORATION -pedicelar I-EXPLORATION -fue I-EXPLORATION -moderada. I-EXPLORATION - I-EXPLORATION -La B-EVOLUTION -suspensión I-EVOLUTION -de I-EVOLUTION -la I-EVOLUTION -GEM I-EVOLUTION -se I-EVOLUTION -acompañó I-EVOLUTION -de I-EVOLUTION -una I-EVOLUTION -mejoría I-EVOLUTION -en I-EVOLUTION -la I-EVOLUTION -función I-EVOLUTION -renal I-EVOLUTION -y I-EVOLUTION -de I-EVOLUTION -los I-EVOLUTION -parámetros I-EVOLUTION -hematológicos. I-EVOLUTION -En B-EXPLORATION -el I-EXPLORATION -último I-EXPLORATION -control, I-EXPLORATION -10 I-EXPLORATION -sem I-EXPLORATION -después I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -última I-EXPLORATION -dosis I-EXPLORATION -de I-EXPLORATION -GEM, I-EXPLORATION -la I-EXPLORATION -hemoglobina I-EXPLORATION -fue I-EXPLORATION -12, I-EXPLORATION -3 I-EXPLORATION -g/dL, I-EXPLORATION -plaquetas I-EXPLORATION -147.000 I-EXPLORATION -mm3, I-EXPLORATION -leucocitos I-EXPLORATION -4.700 I-EXPLORATION -mm3, I-EXPLORATION -creatinina I-EXPLORATION -sérica I-EXPLORATION -1, I-EXPLORATION -18 I-EXPLORATION -mg/dl, I-EXPLORATION -clearance I-EXPLORATION -de I-EXPLORATION -creatinina I-EXPLORATION -85 I-EXPLORATION -ml/min/1, I-EXPLORATION -73 I-EXPLORATION -m2 I-EXPLORATION -y I-EXPLORATION -LDH I-EXPLORATION -normal. I-EXPLORATION -El B-TREATMENT -paciente I-TREATMENT -continuó I-TREATMENT -recibiendo I-TREATMENT -olmesartán I-TREATMENT -como I-TREATMENT -terapia I-TREATMENT -antihipertensiva I-TREATMENT -originada I-TREATMENT -por I-TREATMENT -el I-TREATMENT -daño I-TREATMENT -renal I-TREATMENT -por I-TREATMENT -GEM. I-TREATMENT - I-TREATMENT -. I-TREATMENT - I-TREATMENT - -Hombre B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -46 I-PRESENT_ILLNESS -años I-PRESENT_ILLNESS -con B-PAST_MEDICAL_HISTORY -antecedentes I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -infección I-PAST_MEDICAL_HISTORY -respiratoria I-PAST_MEDICAL_HISTORY -la I-PAST_MEDICAL_HISTORY -semana I-PAST_MEDICAL_HISTORY -previa, I-PAST_MEDICAL_HISTORY -luego B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -cinco I-PRESENT_ILLNESS -días I-PRESENT_ILLNESS -comenzó I-PRESENT_ILLNESS -con I-PRESENT_ILLNESS -disartria, I-PRESENT_ILLNESS -diplopía, I-PRESENT_ILLNESS -vértigo I-PRESENT_ILLNESS -y I-PRESENT_ILLNESS -ataxia. I-PRESENT_ILLNESS -Al B-EXPLORATION -examen I-EXPLORATION -se I-EXPLORATION -objetivó I-EXPLORATION -disartria, I-EXPLORATION -midriasis I-EXPLORATION -con I-EXPLORATION -reflejos I-EXPLORATION -fotomotores I-EXPLORATION -(RFM) I-EXPLORATION -disminuidos, I-EXPLORATION -paresia I-EXPLORATION -del I-EXPLORATION -recto I-EXPLORATION -superior I-EXPLORATION -izquierdo, I-EXPLORATION -nistagmus I-EXPLORATION -bihorizontal, I-EXPLORATION -ROT I-EXPLORATION -abolidos, I-EXPLORATION -dismetría I-EXPLORATION -bilateral I-EXPLORATION -y I-EXPLORATION -Romberg I-EXPLORATION -positivo. I-EXPLORATION -Se I-EXPLORATION -estudió I-EXPLORATION -con I-EXPLORATION -RM I-EXPLORATION -encéfalo I-EXPLORATION -normal. I-EXPLORATION -La I-EXPLORATION -EMG I-EXPLORATION -presentó I-EXPLORATION -alteración I-EXPLORATION -del I-EXPLORATION -reflejo I-EXPLORATION -de I-EXPLORATION -pestañeo. I-EXPLORATION -Sin I-EXPLORATION -disociación I-EXPLORATION -en I-EXPLORATION -LCR I-EXPLORATION -y I-EXPLORATION -anticuerpos I-EXPLORATION -anti-GQ1b I-EXPLORATION -positivos I-EXPLORATION -en I-EXPLORATION -suero. I-EXPLORATION -Evolucionó B-EVOLUTION -con I-EVOLUTION -sopor, I-EVOLUTION -midriasis I-EVOLUTION -arrefléctica, I-EVOLUTION -biparesia I-EVOLUTION -facial I-EVOLUTION -y I-EVOLUTION -paresia I-EVOLUTION -de I-EVOLUTION -extremidades I-EVOLUTION -superiores. I-EVOLUTION -Requirió B-TREATMENT -intubación I-TREATMENT -para I-TREATMENT -manejo I-TREATMENT -de I-TREATMENT -vía I-TREATMENT -aérea I-TREATMENT -y I-TREATMENT -monitorización I-TREATMENT -por I-TREATMENT -disautonomía. I-TREATMENT -Se I-TREATMENT -establecieron I-TREATMENT -los I-TREATMENT -diagnósticos I-TREATMENT -de I-TREATMENT -SMF, I-TREATMENT -SGB I-TREATMENT -y I-TREATMENT -EB. I-TREATMENT -Recibió I-TREATMENT -IgIV I-TREATMENT -(0, I-TREATMENT -4 I-TREATMENT -gr/kg/día I-TREATMENT -por I-TREATMENT -5 I-TREATMENT -días I-TREATMENT -consecutivos). I-TREATMENT -A B-EVOLUTION -los I-EVOLUTION -6 I-EVOLUTION -meses I-EVOLUTION -tenía I-EVOLUTION -examen I-EVOLUTION -neurológico I-EVOLUTION -normal. I-EVOLUTION - I-EVOLUTION - -Mujer B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -52 I-PRESENT_ILLNESS -años I-PRESENT_ILLNESS -edad, I-PRESENT_ILLNESS -no B-PAST_MEDICAL_HISTORY -fumadora, I-PAST_MEDICAL_HISTORY -con I-PAST_MEDICAL_HISTORY -antecedentes I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -GPA I-PAST_MEDICAL_HISTORY -diagnosticada I-PAST_MEDICAL_HISTORY -en I-PAST_MEDICAL_HISTORY -1995. I-PAST_MEDICAL_HISTORY -Al B-PRESENT_ILLNESS -diagnóstico I-PRESENT_ILLNESS -presentó I-PRESENT_ILLNESS -compromiso I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -VAS, I-PRESENT_ILLNESS -pulmón I-PRESENT_ILLNESS -(cuya I-PRESENT_ILLNESS -biopsia I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -masa I-PRESENT_ILLNESS -pulmonar I-PRESENT_ILLNESS -por I-PRESENT_ILLNESS -videotoracoscopía I-PRESENT_ILLNESS -mostró I-PRESENT_ILLNESS -infamación I-PRESENT_ILLNESS -granulomatosa I-PRESENT_ILLNESS -necrotizante), I-PRESENT_ILLNESS -y I-PRESENT_ILLNESS -micro-hematuria I-PRESENT_ILLNESS -asociado I-PRESENT_ILLNESS -a I-PRESENT_ILLNESS -astenia, I-PRESENT_ILLNESS -pérdida I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -peso I-PRESENT_ILLNESS -y I-PRESENT_ILLNESS -fiebre, I-PRESENT_ILLNESS -por I-PRESENT_ILLNESS -lo I-PRESENT_ILLNESS -que I-PRESENT_ILLNESS -se I-PRESENT_ILLNESS -diagnosticó I-PRESENT_ILLNESS -GPA I-PRESENT_ILLNESS -generalizada. I-PRESENT_ILLNESS -Al B-EXPLORATION -diagnóstico I-EXPLORATION -la I-EXPLORATION -VSG I-EXPLORATION -fue I-EXPLORATION -de I-EXPLORATION -113 I-EXPLORATION -mm, I-EXPLORATION -el I-EXPLORATION -ANCA I-EXPLORATION -c I-EXPLORATION -positivos I-EXPLORATION -(no I-EXPLORATION -se I-EXPLORATION -realizó I-EXPLORATION -PR3) I-EXPLORATION -y I-EXPLORATION -la I-EXPLORATION -CFV I-EXPLORATION -normal. I-EXPLORATION -Recibió B-TREATMENT -tratamiento I-TREATMENT -con I-TREATMENT -esteroides I-TREATMENT -y I-TREATMENT -ciclofosfamida I-TREATMENT -con I-TREATMENT -remisión I-TREATMENT -completa I-TREATMENT -de I-TREATMENT -los I-TREATMENT -síntomas, I-TREATMENT -analítica I-TREATMENT -e I-TREATMENT -imágenes. I-TREATMENT -Se I-TREATMENT -realizó I-TREATMENT -mantenimiento I-TREATMENT -con I-TREATMENT -ciclofosfamida. I-TREATMENT - I-TREATMENT -A B-EVOLUTION -lo I-EVOLUTION -largo I-EVOLUTION -de I-EVOLUTION -la I-EVOLUTION -evolución, I-EVOLUTION -presentó I-EVOLUTION -múltiples I-EVOLUTION -recaídas I-EVOLUTION -que I-EVOLUTION -respondieron I-EVOLUTION -a I-EVOLUTION -terapéutica I-EVOLUTION -específica. I-EVOLUTION -Las I-EVOLUTION -recaídas I-EVOLUTION -siempre I-EVOLUTION -fueron I-EVOLUTION -en I-EVOLUTION -VAS, I-EVOLUTION -con I-EVOLUTION -otitis, I-EVOLUTION -sinusitis I-EVOLUTION -y I-EVOLUTION -epistaxis I-EVOLUTION -recurrentes. I-EVOLUTION -Presentó I-EVOLUTION -perforación I-EVOLUTION -del I-EVOLUTION -tabique I-EVOLUTION -nasal I-EVOLUTION -y I-EVOLUTION -mielosupresión I-EVOLUTION -por I-EVOLUTION -ciclofosfamida, I-EVOLUTION -por B-TREATMENT -lo I-TREATMENT -cual I-TREATMENT -se I-TREATMENT -rotó I-TREATMENT -el I-TREATMENT -tratamiento I-TREATMENT -a I-TREATMENT -micofenolato I-TREATMENT -en I-TREATMENT -dosis I-TREATMENT -de I-TREATMENT -tres I-TREATMENT -gramos I-TREATMENT -día. I-TREATMENT - I-TREATMENT -Al B-EVOLUTION -año I-EVOLUTION -del I-EVOLUTION -diagnóstico I-EVOLUTION -comenzó I-EVOLUTION -con I-EVOLUTION -disnea I-EVOLUTION -y I-EVOLUTION -estridor I-EVOLUTION -laríngeo. I-EVOLUTION -Se B-EXPLORATION -realizó I-EXPLORATION -EFR I-EXPLORATION -que I-EXPLORATION -evidenció I-EXPLORATION -curva I-EXPLORATION -cajón I-EXPLORATION -y I-EXPLORATION -TAC I-EXPLORATION -de I-EXPLORATION -traquea I-EXPLORATION -y I-EXPLORATION -laringe I-EXPLORATION -que I-EXPLORATION -mostró I-EXPLORATION -una I-EXPLORATION -ESG. I-EXPLORATION -Requirió B-TREATMENT -tratamiento I-TREATMENT -con I-TREATMENT -radiofrecuencia I-TREATMENT -y I-TREATMENT -dilatación. I-TREATMENT -Durante I-TREATMENT -los I-TREATMENT -años I-TREATMENT -2003, I-TREATMENT -2005, I-TREATMENT -2006 I-TREATMENT -se I-TREATMENT -efectuaron I-TREATMENT -dilataciones, I-TREATMENT -llegando I-TREATMENT -a I-TREATMENT -realizar I-TREATMENT -traqueostomía I-TREATMENT -en I-TREATMENT -el I-TREATMENT -2008. I-TREATMENT -Falleció B-EVOLUTION -en I-EVOLUTION -el I-EVOLUTION -año I-EVOLUTION -2009 I-EVOLUTION -en I-EVOLUTION -contexto I-EVOLUTION -de I-EVOLUTION -una I-EVOLUTION -neumonía I-EVOLUTION -nosocomial. I-EVOLUTION - I-EVOLUTION - -Hombre B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -31 I-PRESENT_ILLNESS -años I-PRESENT_ILLNESS -que I-PRESENT_ILLNESS -consultó I-PRESENT_ILLNESS -por I-PRESENT_ILLNESS -pérdida I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -fuerzas I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -instalación I-PRESENT_ILLNESS -rápida, I-PRESENT_ILLNESS -con I-PRESENT_ILLNESS -compromiso I-PRESENT_ILLNESS -inicial I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -miembros I-PRESENT_ILLNESS -inferiores I-PRESENT_ILLNESS -y I-PRESENT_ILLNESS -progresión I-PRESENT_ILLNESS -a I-PRESENT_ILLNESS -miembros I-PRESENT_ILLNESS -superiores I-PRESENT_ILLNESS -determinando I-PRESENT_ILLNESS -cuadriparesia I-PRESENT_ILLNESS -con I-PRESENT_ILLNESS -cefaloparesia. I-PRESENT_ILLNESS -Destacaba B-PAST_MEDICAL_HISTORY -entre I-PAST_MEDICAL_HISTORY -sus I-PAST_MEDICAL_HISTORY -antecedentes I-PAST_MEDICAL_HISTORY -ser I-PAST_MEDICAL_HISTORY -portador I-PAST_MEDICAL_HISTORY -del I-PAST_MEDICAL_HISTORY -virus I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -la I-PAST_MEDICAL_HISTORY -inmunodeficiencia I-PAST_MEDICAL_HISTORY -humana I-PAST_MEDICAL_HISTORY -(VIH) I-PAST_MEDICAL_HISTORY -en I-PAST_MEDICAL_HISTORY -etapa I-PAST_MEDICAL_HISTORY -SIDA I-PAST_MEDICAL_HISTORY -sin I-PAST_MEDICAL_HISTORY -cumplimiento I-PAST_MEDICAL_HISTORY -del I-PAST_MEDICAL_HISTORY -tratamiento I-PAST_MEDICAL_HISTORY -antiretroviral. I-PAST_MEDICAL_HISTORY -Presentaba B-PRESENT_ILLNESS -diarrea I-PRESENT_ILLNESS -con I-PRESENT_ILLNESS -múltiples I-PRESENT_ILLNESS -deposiciones I-PRESENT_ILLNESS -diarias I-PRESENT_ILLNESS -durante I-PRESENT_ILLNESS -los I-PRESENT_ILLNESS -10 I-PRESENT_ILLNESS -días I-PRESENT_ILLNESS -previos I-PRESENT_ILLNESS -a I-PRESENT_ILLNESS -la I-PRESENT_ILLNESS -consulta. I-PRESENT_ILLNESS -Al B-EXPLORATION -ingreso I-EXPLORATION -se I-EXPLORATION -encontraba I-EXPLORATION -vigil, I-EXPLORATION -eupneico I-EXPLORATION -y I-EXPLORATION -apirético. I-EXPLORATION -Tenía I-EXPLORATION -aceptable I-EXPLORATION -estado I-EXPLORATION -de I-EXPLORATION -hidratación I-EXPLORATION -y I-EXPLORATION -TA I-EXPLORATION -de I-EXPLORATION -110/70 I-EXPLORATION -mmHg. I-EXPLORATION -En I-EXPLORATION -la I-EXPLORATION -valoración I-EXPLORATION -neuromuscular I-EXPLORATION -se I-EXPLORATION -objetivaba I-EXPLORATION -cuadriparesia I-EXPLORATION -con I-EXPLORATION -cefaloparesia. I-EXPLORATION -El I-EXPLORATION -K+pl I-EXPLORATION -al I-EXPLORATION -momento I-EXPLORATION -del I-EXPLORATION -ingreso I-EXPLORATION -fue I-EXPLORATION -informado I-EXPLORATION -como I-EXPLORATION -indetectable, I-EXPLORATION -con I-EXPLORATION -un I-EXPLORATION -valor I-EXPLORATION -de I-EXPLORATION -K+ I-EXPLORATION -urinario I-EXPLORATION -en I-EXPLORATION -muestra I-EXPLORATION -aislada I-EXPLORATION -de I-EXPLORATION -5 I-EXPLORATION -mEq/L. I-EXPLORATION -Presentaba I-EXPLORATION -elevación I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -CK. I-EXPLORATION -Se B-TREATMENT -inició I-TREATMENT -reposición I-TREATMENT -hidroelectrolítica I-TREATMENT -con I-TREATMENT -mejoría I-TREATMENT -de I-TREATMENT -la I-TREATMENT -cuadriparesia I-TREATMENT -y I-TREATMENT -normalización I-TREATMENT -de I-TREATMENT -los I-TREATMENT -valores I-TREATMENT -de I-TREATMENT -K+pl I-TREATMENT -y I-TREATMENT -CK. I-TREATMENT -Al I-TREATMENT -igual I-TREATMENT -que I-TREATMENT -el I-TREATMENT -caso I-TREATMENT -1, I-TREATMENT -la I-TREATMENT -severa I-TREATMENT -disminución I-TREATMENT -del I-TREATMENT -potasio I-TREATMENT -plasmático I-TREATMENT -se I-TREATMENT -debió I-TREATMENT -a I-TREATMENT -una I-TREATMENT -alteración I-TREATMENT -a I-TREATMENT -nivel I-TREATMENT -del I-TREATMENT -balance I-TREATMENT -externo I-TREATMENT -por I-TREATMENT -pérdidas I-TREATMENT -de I-TREATMENT -origen I-TREATMENT -digestivo, I-TREATMENT -lo I-TREATMENT -que I-TREATMENT -concuerda I-TREATMENT -con I-TREATMENT -el I-TREATMENT -valor I-TREATMENT -de I-TREATMENT -K+ I-TREATMENT -en I-TREATMENT -orina I-TREATMENT -de I-TREATMENT -5 I-TREATMENT -mEq/L. I-TREATMENT -La B-EVOLUTION -reposición I-EVOLUTION -hidroelectrolítica I-EVOLUTION -revirtió I-EVOLUTION -el I-EVOLUTION -cuadro I-EVOLUTION -en I-EVOLUTION -las I-EVOLUTION -primeras I-EVOLUTION -48 I-EVOLUTION -h I-EVOLUTION -de I-EVOLUTION -tratamiento. I-EVOLUTION - I-EVOLUTION - -Paciente B-PRESENT_ILLNESS -78 I-PRESENT_ILLNESS -años, I-PRESENT_ILLNESS -sexo I-PRESENT_ILLNESS -masculino. I-PRESENT_ILLNESS -Hipertensión I-PRESENT_ILLNESS -arterial I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -tratamiento, I-PRESENT_ILLNESS -enfermedad I-PRESENT_ILLNESS -arterial I-PRESENT_ILLNESS -oclusiva I-PRESENT_ILLNESS -carotídea I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -estudio. I-PRESENT_ILLNESS - I-PRESENT_ILLNESS -Se I-PRESENT_ILLNESS -presenta I-PRESENT_ILLNESS -con I-PRESENT_ILLNESS -cuadro I-PRESENT_ILLNESS -clínico I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -3 I-PRESENT_ILLNESS -meses I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -baja I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -peso I-PRESENT_ILLNESS -9 I-PRESENT_ILLNESS -kg, I-PRESENT_ILLNESS -disfagia I-PRESENT_ILLNESS -y I-PRESENT_ILLNESS -saciedad I-PRESENT_ILLNESS -precoz. I-PRESENT_ILLNESS -Endoscopia B-EXPLORATION -digestiva I-EXPLORATION -compatible I-EXPLORATION -con I-EXPLORATION -lesión I-EXPLORATION -pediculada I-EXPLORATION -subcardial I-EXPLORATION -en I-EXPLORATION -cara I-EXPLORATION -posterior. I-EXPLORATION -Biopsia I-EXPLORATION -endoscópica: I-EXPLORATION -"tumor I-EXPLORATION -estromal I-EXPLORATION -fusocelular I-EXPLORATION -con I-EXPLORATION -> I-EXPLORATION -10 I-EXPLORATION -mitosis I-EXPLORATION -atípicas I-EXPLORATION -por I-EXPLORATION -50 I-EXPLORATION -campos", I-EXPLORATION -compatible I-EXPLORATION -con I-EXPLORATION -GIST. I-EXPLORATION - I-EXPLORATION -Tomografía I-EXPLORATION -axial I-EXPLORATION -computada I-EXPLORATION -de I-EXPLORATION -abdomen: I-EXPLORATION -lesión I-EXPLORATION -subcardial I-EXPLORATION -de I-EXPLORATION -6 I-EXPLORATION -cm I-EXPLORATION -diámetro I-EXPLORATION -mayor, I-EXPLORATION -sin I-EXPLORATION -adenopatías I-EXPLORATION -ni I-EXPLORATION -signos I-EXPLORATION -de I-EXPLORATION -diseminación I-EXPLORATION -sistémica, I-EXPLORATION -que I-EXPLORATION -se I-EXPLORATION -confirma I-EXPLORATION -con I-EXPLORATION -un I-EXPLORATION -tránsito I-EXPLORATION -esófago I-EXPLORATION -estómago I-EXPLORATION -y I-EXPLORATION -duodeno I-EXPLORATION -con I-EXPLORATION -sulfato I-EXPLORATION -de I-EXPLORATION -bario: I-EXPLORATION -lesión I-EXPLORATION -pediculada I-EXPLORATION -subcardial. I-EXPLORATION -Se B-TREATMENT -programa I-TREATMENT -resección I-TREATMENT -tumoral I-TREATMENT -laparoscópica: I-TREATMENT -Gastrotomía I-TREATMENT -anterior, I-TREATMENT -resección I-TREATMENT -de I-TREATMENT -tumor I-TREATMENT -con I-TREATMENT -sutura I-TREATMENT -mecánica I-TREATMENT -a I-TREATMENT -pedículo, I-TREATMENT -gastrorrafia, I-TREATMENT -biopsia I-TREATMENT -de I-TREATMENT -serosa I-TREATMENT -gástrica I-TREATMENT -y I-TREATMENT -peritoneo. I-TREATMENT -Postoperatorio B-EXPLORATION -sin I-EXPLORATION -complicaciones. I-EXPLORATION - I-EXPLORATION -Biopsia: I-EXPLORATION -Carcinoma I-EXPLORATION -escamoso I-EXPLORATION -fusocelular I-EXPLORATION -sarcomatoide, I-EXPLORATION -polipoide I-EXPLORATION -y I-EXPLORATION -ulcerado I-EXPLORATION -6, I-EXPLORATION -5 I-EXPLORATION -x I-EXPLORATION -5 I-EXPLORATION -x I-EXPLORATION -4 I-EXPLORATION -cm. I-EXPLORATION -Margen I-EXPLORATION -positivo I-EXPLORATION -de I-EXPLORATION -pedículo. I-EXPLORATION -Sin I-EXPLORATION -permeaciones I-EXPLORATION -vasculares, I-EXPLORATION -linfáticas I-EXPLORATION -ni I-EXPLORATION -perineurales. I-EXPLORATION -Peritoneo I-EXPLORATION -y I-EXPLORATION -serosa I-EXPLORATION -gástrica: I-EXPLORATION -sin I-EXPLORATION -neoplasia. I-EXPLORATION - I-EXPLORATION -Se B-TREATMENT -programa I-TREATMENT -para I-TREATMENT -gastrectomía I-TREATMENT -total I-TREATMENT -más I-TREATMENT -esofagectomía I-TREATMENT -distal I-TREATMENT -con I-TREATMENT -diagnóstico I-TREATMENT -de I-TREATMENT -carcinoma I-TREATMENT -escamoso I-TREATMENT -de I-TREATMENT -la I-TREATMENT -unión I-TREATMENT -gastroesofágica: I-TREATMENT -en I-TREATMENT -el I-TREATMENT -intraoperatorio I-TREATMENT -se I-TREATMENT -recibió I-TREATMENT -biopsia I-TREATMENT -rápida I-TREATMENT -de I-TREATMENT -límite I-TREATMENT -oral I-TREATMENT -infiltrado I-TREATMENT -por I-TREATMENT -carcinoma, I-TREATMENT -recorte I-TREATMENT -revela I-TREATMENT -compromiso I-TREATMENT -neoplásico I-TREATMENT -proximal I-TREATMENT -por I-TREATMENT -lo I-TREATMENT -que I-TREATMENT -se I-TREATMENT -decidió I-TREATMENT -no I-TREATMENT -reconstituir I-TREATMENT -en I-TREATMENT -un I-TREATMENT -tiempo I-TREATMENT -por I-TREATMENT -las I-TREATMENT -condiciones I-TREATMENT -del I-TREATMENT -paciente I-TREATMENT -en I-TREATMENT -el I-TREATMENT -intraoperatorio, I-TREATMENT -efectuándose I-TREATMENT -esofagogastrectomía I-TREATMENT -total I-TREATMENT -transhiatal, I-TREATMENT -esofagostoma I-TREATMENT -cervical I-TREATMENT -terminal I-TREATMENT -transitorio I-TREATMENT -y I-TREATMENT -yeyunostomía I-TREATMENT -de I-TREATMENT -Wietzel, I-TREATMENT -dejando I-TREATMENT -para I-TREATMENT -un I-TREATMENT -segundo I-TREATMENT -tiempo I-TREATMENT -la I-TREATMENT -reconstitución I-TREATMENT -definitiva I-TREATMENT -del I-TREATMENT -tránsito I-TREATMENT -digestivo. I-TREATMENT - I-TREATMENT -Biopsia B-EXPLORATION -definitiva: I-EXPLORATION -Carcinoma I-EXPLORATION -espinocelular I-EXPLORATION -fusocelular I-EXPLORATION -sarcomatoide I-EXPLORATION -esofágico I-EXPLORATION -con I-EXPLORATION -extensión I-EXPLORATION -hasta I-EXPLORATION -submucosa, I-EXPLORATION -compromiso I-EXPLORATION -de I-EXPLORATION -grupo I-EXPLORATION -1 I-EXPLORATION -y I-EXPLORATION -5 I-EXPLORATION -(4/37), I-EXPLORATION -sin I-EXPLORATION -adenopatías I-EXPLORATION -mediastínicas. I-EXPLORATION -Nódulo I-EXPLORATION -metastásico I-EXPLORATION -en I-EXPLORATION -epiplón I-EXPLORATION -menor I-EXPLORATION -correspondiente I-EXPLORATION -a I-EXPLORATION -ganglio I-EXPLORATION -N° I-EXPLORATION -5. I-EXPLORATION -Márgenes I-EXPLORATION -quirúrgicos I-EXPLORATION -sin I-EXPLORATION -neoplasia. I-EXPLORATION - I-EXPLORATION -Al B-TREATMENT -mes I-TREATMENT -postoperatorio I-TREATMENT -se I-TREATMENT -realizó I-TREATMENT -reconstrucción I-TREATMENT -con I-TREATMENT -ascenso I-TREATMENT -de I-TREATMENT -colon I-TREATMENT -derecho I-TREATMENT -e I-TREATMENT -íleon I-TREATMENT -terminal I-TREATMENT -vía I-TREATMENT -retroesternal: I-TREATMENT -esófago-íleo I-TREATMENT -anastomosis I-TREATMENT -cervical I-TREATMENT -terminolateral, I-TREATMENT -transverso-duodeno I-TREATMENT -anastomosis I-TREATMENT -laterolateral, I-TREATMENT -íleo-transverso I-TREATMENT -anastomosis I-TREATMENT -latero-lateral I-TREATMENT -y I-TREATMENT -yeyunostomía I-TREATMENT -de I-TREATMENT -Wietzel. I-TREATMENT - I-TREATMENT -Evolucionó B-EVOLUTION -con I-EVOLUTION -fístula I-EVOLUTION -cervical I-EVOLUTION -de I-EVOLUTION -bajo I-EVOLUTION -débito I-EVOLUTION -sin I-EVOLUTION -repercusión I-EVOLUTION -clínica, I-EVOLUTION -alta I-EVOLUTION -al I-EVOLUTION -día I-EVOLUTION -21 I-EVOLUTION -postoperatorio I-EVOLUTION -con I-EVOLUTION -régimen I-EVOLUTION -líquido I-EVOLUTION -y I-EVOLUTION -aporte I-EVOLUTION -por I-EVOLUTION -yeyunostomía. I-EVOLUTION - I-EVOLUTION -Paciente I-EVOLUTION -en I-EVOLUTION -excelentes I-EVOLUTION -condiciones I-EVOLUTION -a I-EVOLUTION -los I-EVOLUTION -18 I-EVOLUTION -meses I-EVOLUTION -postoperatorios, I-EVOLUTION -autovalente, I-EVOLUTION -requirió I-EVOLUTION -dilatación I-EVOLUTION -endoscópica I-EVOLUTION -de I-EVOLUTION -anastomosis I-EVOLUTION -cervical, I-EVOLUTION -sin I-EVOLUTION -incidentes. I-EVOLUTION - I-EVOLUTION - -Hombre B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -41 I-PRESENT_ILLNESS -años, I-PRESENT_ILLNESS -fumador. B-PAST_MEDICAL_HISTORY -Historia B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -2 I-PRESENT_ILLNESS -meses I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -dolor I-PRESENT_ILLNESS -dorsal I-PRESENT_ILLNESS -irradiado I-PRESENT_ILLNESS -a I-PRESENT_ILLNESS -hombro I-PRESENT_ILLNESS -izquierdo, I-PRESENT_ILLNESS -intensidad I-PRESENT_ILLNESS -8/10 I-PRESENT_ILLNESS -sin I-PRESENT_ILLNESS -respuesta I-PRESENT_ILLNESS -a I-PRESENT_ILLNESS -analgésicos, I-PRESENT_ILLNESS -tos I-PRESENT_ILLNESS -con I-PRESENT_ILLNESS -expectoración I-PRESENT_ILLNESS -mucosa, I-PRESENT_ILLNESS -baja I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -peso I-PRESENT_ILLNESS -y I-PRESENT_ILLNESS -sudoración I-PRESENT_ILLNESS -nocturna. I-PRESENT_ILLNESS -Examen B-EXPLORATION -físico I-EXPLORATION -inicial I-EXPLORATION -normal. I-EXPLORATION -Presentó I-EXPLORATION -anemia I-EXPLORATION -leve, I-EXPLORATION -VHS: I-EXPLORATION -96 I-EXPLORATION -mm/h, I-EXPLORATION -examen I-EXPLORATION -de I-EXPLORATION -orina, I-EXPLORATION -función I-EXPLORATION -renal, I-EXPLORATION -pruebas I-EXPLORATION -hepáticas I-EXPLORATION -y I-EXPLORATION -perfil I-EXPLORATION -lipídico I-EXPLORATION -normales. I-EXPLORATION -Tomografía I-EXPLORATION -computada I-EXPLORATION -de I-EXPLORATION -columna I-EXPLORATION -dorsal I-EXPLORATION -sin I-EXPLORATION -hallazgos I-EXPLORATION -significativos. I-EXPLORATION -Radiografía I-EXPLORATION -de I-EXPLORATION -tórax: I-EXPLORATION -nódulos I-EXPLORATION -subpleurales I-EXPLORATION -en I-EXPLORATION -vértices I-EXPLORATION -pulmonares I-EXPLORATION -y I-EXPLORATION -lóbulo I-EXPLORATION -superior I-EXPLORATION -izquierdo. I-EXPLORATION -Hemocultivos I-EXPLORATION -negativos. I-EXPLORATION -Ecotomografía I-EXPLORATION -abdominal I-EXPLORATION -normal, I-EXPLORATION -aTAC I-EXPLORATION -de I-EXPLORATION -tórax I-EXPLORATION -ateromatosis I-EXPLORATION -aórtica I-EXPLORATION -segmentaria I-EXPLORATION -en I-EXPLORATION -aorta I-EXPLORATION -descendente, I-EXPLORATION -con I-EXPLORATION -engrosamiento I-EXPLORATION -extraintimal, I-EXPLORATION -estenosis I-EXPLORATION -significativa I-EXPLORATION -de I-EXPLORATION -ostium I-EXPLORATION -en I-EXPLORATION -tronco I-EXPLORATION -celíaco. I-EXPLORATION -Nodulos I-EXPLORATION -pulmonares I-EXPLORATION -y I-EXPLORATION -condensaciones I-EXPLORATION -apicales I-EXPLORATION -bilaterales. I-EXPLORATION -VDRL: I-EXPLORATION -No I-EXPLORATION -reactivo, I-EXPLORATION -VIH I-EXPLORATION -negativo, I-EXPLORATION -PPD: I-EXPLORATION -10 I-EXPLORATION -mm. I-EXPLORATION -Quatiferon I-EXPLORATION -(-). I-EXPLORATION -El I-EXPLORATION -paciente I-EXPLORATION -evolucionó I-EXPLORATION -con I-EXPLORATION -escleritis I-EXPLORATION -bilateral I-EXPLORATION -y I-EXPLORATION -fiebre I-EXPLORATION -hasta I-EXPLORATION -37, I-EXPLORATION -8 I-EXPLORATION -°C. I-EXPLORATION -Se I-EXPLORATION -sospecha I-EXPLORATION -vasculitis I-EXPLORATION -de I-EXPLORATION -grandes I-EXPLORATION -vasos. I-EXPLORATION -Nuevos I-EXPLORATION -estudios I-EXPLORATION -demostraron I-EXPLORATION -ANCA I-EXPLORATION -citoplasmático I-EXPLORATION -(C): I-EXPLORATION -positivo, I-EXPLORATION -anti I-EXPLORATION -proteinasa I-EXPLORATION -3 I-EXPLORATION -(PR3) I-EXPLORATION -+6, I-EXPLORATION -5 I-EXPLORATION -(VN I-EXPLORATION -< I-EXPLORATION -1, I-EXPLORATION -2), I-EXPLORATION -C3 I-EXPLORATION -y I-EXPLORATION -C4 I-EXPLORATION -normales, I-EXPLORATION -ANA, I-EXPLORATION -anticuerpos I-EXPLORATION -anti-ADN I-EXPLORATION -y I-EXPLORATION -ENA I-EXPLORATION -negativos. I-EXPLORATION -Biopsia I-EXPLORATION -pulmonar: I-EXPLORATION -Nodulo I-EXPLORATION -con I-EXPLORATION -centro I-EXPLORATION -fibroso, I-EXPLORATION -necrosis I-EXPLORATION -y I-EXPLORATION -reacción I-EXPLORATION -histiocitaria, I-EXPLORATION -con I-EXPLORATION -células I-EXPLORATION -gigantes. I-EXPLORATION -Se I-EXPLORATION -reconoce I-EXPLORATION -neumonía I-EXPLORATION -organizativa I-EXPLORATION -periférica, I-EXPLORATION -signos I-EXPLORATION -de I-EXPLORATION -hemorragia I-EXPLORATION -antigua, I-EXPLORATION -concordante I-EXPLORATION -con I-EXPLORATION -PG. I-EXPLORATION -Recibió B-TREATMENT -corticoterapia I-TREATMENT -y I-TREATMENT -ciclofosfamida I-TREATMENT -oral I-TREATMENT -por I-TREATMENT -un I-TREATMENT -año I-TREATMENT -y I-TREATMENT -posteriormente I-TREATMENT -mantención I-TREATMENT -con I-TREATMENT -azatioprina. I-TREATMENT -Presentó B-EVOLUTION -buena I-EVOLUTION -respuesta I-EVOLUTION -clínica, I-EVOLUTION -normalización I-EVOLUTION -de I-EVOLUTION -los I-EVOLUTION -parámetros I-EVOLUTION -inflamatorios, I-EVOLUTION -radiografía I-EVOLUTION -y I-EVOLUTION -aTAC I-EVOLUTION -de I-EVOLUTION -tórax. I-EVOLUTION -Anti I-EVOLUTION -PR3 I-EVOLUTION -(-) I-EVOLUTION -a I-EVOLUTION -los I-EVOLUTION -6 I-EVOLUTION -meses. I-EVOLUTION - I-EVOLUTION - -Presentamos B-PRESENT_ILLNESS -el I-PRESENT_ILLNESS -caso I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -una I-PRESENT_ILLNESS -paciente I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -sexo I-PRESENT_ILLNESS -femenino, I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -75 I-PRESENT_ILLNESS -años, I-PRESENT_ILLNESS -con B-PAST_MEDICAL_HISTORY -antecedentes I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -hipertensión I-PAST_MEDICAL_HISTORY -e I-PAST_MEDICAL_HISTORY -hipotiroidismo I-PAST_MEDICAL_HISTORY -postquirúrgico I-PAST_MEDICAL_HISTORY -(por I-PAST_MEDICAL_HISTORY -bocio I-PAST_MEDICAL_HISTORY -nodular). I-PAST_MEDICAL_HISTORY -Consultó B-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -agosto I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -2008 I-PRESENT_ILLNESS -por I-PRESENT_ILLNESS -un I-PRESENT_ILLNESS -cuadro I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -9 I-PRESENT_ILLNESS -meses I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -evolución I-PRESENT_ILLNESS -caracterizado I-PRESENT_ILLNESS -por I-PRESENT_ILLNESS -fatigabilidad, I-PRESENT_ILLNESS -síncopes I-PRESENT_ILLNESS -a I-PRESENT_ILLNESS -repetición I-PRESENT_ILLNESS -y I-PRESENT_ILLNESS -disnea I-PRESENT_ILLNESS -progresiva. I-PRESENT_ILLNESS -Dentro B-EXPLORATION -del I-EXPLORATION -estudio I-EXPLORATION -se I-EXPLORATION -pesquisó I-EXPLORATION -anemia I-EXPLORATION -severa I-EXPLORATION -normocítica I-EXPLORATION -normocrómica, I-EXPLORATION -con I-EXPLORATION -hemoglobina I-EXPLORATION -de I-EXPLORATION -6, I-EXPLORATION -8 I-EXPLORATION -g/dL, I-EXPLORATION -leucocitos I-EXPLORATION -y I-EXPLORATION -plaquetas I-EXPLORATION -normales. I-EXPLORATION -Además I-EXPLORATION -destacó I-EXPLORATION -una I-EXPLORATION -VHS I-EXPLORATION -de I-EXPLORATION -140 I-EXPLORATION -mm/h. I-EXPLORATION -Por I-EXPLORATION -sospecha I-EXPLORATION -de I-EXPLORATION -MM I-EXPLORATION -se I-EXPLORATION -continuó I-EXPLORATION -estudio I-EXPLORATION -destacando I-EXPLORATION -proteínas I-EXPLORATION -totales I-EXPLORATION -14, I-EXPLORATION -6 I-EXPLORATION -g/dL, I-EXPLORATION -albúmina I-EXPLORATION -2 I-EXPLORATION -g/dL, I-EXPLORATION -calcio I-EXPLORATION -corregido I-EXPLORATION -10, I-EXPLORATION -8 I-EXPLORATION -mg/dL, I-EXPLORATION -creatinina: I-EXPLORATION -0, I-EXPLORATION -8 I-EXPLORATION -mg/dL, I-EXPLORATION -B2 I-EXPLORATION -microglobulina I-EXPLORATION -10, I-EXPLORATION -2 I-EXPLORATION -mg/L. I-EXPLORATION -La I-EXPLORATION -electroforesis I-EXPLORATION -de I-EXPLORATION -proteínas I-EXPLORATION -reveló I-EXPLORATION -un I-EXPLORATION -peak I-EXPLORATION -monoclonal I-EXPLORATION -en I-EXPLORATION -gamma I-EXPLORATION -y I-EXPLORATION -se I-EXPLORATION -vio I-EXPLORATION -un I-EXPLORATION -aumento I-EXPLORATION -de I-EXPLORATION -inmunoglobulina I-EXPLORATION -IgG I-EXPLORATION -de I-EXPLORATION -3.450 I-EXPLORATION -mg/dl, I-EXPLORATION -siendo I-EXPLORATION -el I-EXPLORATION -resto I-EXPLORATION -de I-EXPLORATION -las I-EXPLORATION -Ig I-EXPLORATION -menores I-EXPLORATION -al I-EXPLORATION -rango I-EXPLORATION -normal. I-EXPLORATION -Se I-EXPLORATION -realizó I-EXPLORATION -un I-EXPLORATION -mielograma I-EXPLORATION -que I-EXPLORATION -mostró I-EXPLORATION -25% I-EXPLORATION -de I-EXPLORATION -plasmoblastos I-EXPLORATION -y I-EXPLORATION -plasmocitos, I-EXPLORATION -algunos I-EXPLORATION -binucleados. I-EXPLORATION -La I-EXPLORATION -serie I-EXPLORATION -radiológica I-EXPLORATION -reveló I-EXPLORATION -imágenes I-EXPLORATION -líticas I-EXPLORATION -en I-EXPLORATION -calota I-EXPLORATION -y I-EXPLORATION -en I-EXPLORATION -columna I-EXPLORATION -lumbar. I-EXPLORATION -Por I-EXPLORATION -lo I-EXPLORATION -tanto, I-EXPLORATION -se I-EXPLORATION -hizo I-EXPLORATION -el I-EXPLORATION -diagnóstico I-EXPLORATION -de I-EXPLORATION -MM I-EXPLORATION -IgG, I-EXPLORATION -con I-EXPLORATION -índices I-EXPLORATION -pronósticos I-EXPLORATION -de I-EXPLORATION -Durie I-EXPLORATION -Salmon I-EXPLORATION -IIIA I-EXPLORATION -e I-EXPLORATION -ISS I-EXPLORATION -de I-EXPLORATION -3 I-EXPLORATION -puntos. I-EXPLORATION - I-EXPLORATION -Se B-TREATMENT -inició I-TREATMENT -tratamiento I-TREATMENT -con I-TREATMENT -hidratación, I-TREATMENT -pamidronato I-TREATMENT -y I-TREATMENT -melfalán/prednisona, I-TREATMENT -recuperándose I-TREATMENT -la I-TREATMENT -hipercalcemia. I-TREATMENT -Recibió I-TREATMENT -tratamiento I-TREATMENT -con I-TREATMENT -melfalán/prednisona I-TREATMENT -por I-TREATMENT -6 I-TREATMENT -ciclos I-TREATMENT -y I-TREATMENT -radioterapia I-TREATMENT -de I-TREATMENT -columna I-TREATMENT -lumbar, I-TREATMENT -destacando I-TREATMENT -en I-TREATMENT -los I-TREATMENT -controles I-TREATMENT -ambulatorios I-TREATMENT -mejoría I-TREATMENT -en I-TREATMENT -albúmina I-TREATMENT -y I-TREATMENT -calcemia, I-TREATMENT -pero I-TREATMENT -pancitopenia I-TREATMENT -progresiva I-TREATMENT -e I-TREATMENT -infecciones I-TREATMENT -urinarias I-TREATMENT -a I-TREATMENT -repetición. I-TREATMENT -En B-EVOLUTION -marzo I-EVOLUTION -de I-EVOLUTION -2009 I-EVOLUTION -estuvo I-EVOLUTION -hospitalizada I-EVOLUTION -por I-EVOLUTION -neumonía. I-EVOLUTION -En I-EVOLUTION -noviembre I-EVOLUTION -de I-EVOLUTION -2009 I-EVOLUTION -evolucionó I-EVOLUTION -con I-EVOLUTION -mayor I-EVOLUTION -dolor I-EVOLUTION -óseo I-EVOLUTION -y I-EVOLUTION -postración. I-EVOLUTION -Además, I-EVOLUTION -llamó I-EVOLUTION -la I-EVOLUTION -atención I-EVOLUTION -la I-EVOLUTION -aparición I-EVOLUTION -de I-EVOLUTION -lesiones I-EVOLUTION -cutáneas I-EVOLUTION -nodulares, I-EVOLUTION -violáceas, I-EVOLUTION -dolorosas I-EVOLUTION -de I-EVOLUTION -1, I-EVOLUTION -5 I-EVOLUTION -a I-EVOLUTION -2 I-EVOLUTION -cm I-EVOLUTION -en I-EVOLUTION -cuero I-EVOLUTION -cabelludo, I-EVOLUTION -ángulo I-EVOLUTION -mandibular I-EVOLUTION -izquierdo, I-EVOLUTION -cuello I-EVOLUTION -y I-EVOLUTION -dorso. I-EVOLUTION -Se B-EXPLORATION -realizó I-EXPLORATION -una I-EXPLORATION -punción I-EXPLORATION -de I-EXPLORATION -las I-EXPLORATION -lesiones I-EXPLORATION -que I-EXPLORATION -mostró I-EXPLORATION -una I-EXPLORATION -celularidad I-EXPLORATION -constituida I-EXPLORATION -exclusivamente I-EXPLORATION -por I-EXPLORATION -células I-EXPLORATION -plasmáticas I-EXPLORATION -predominando I-EXPLORATION -proplasmocitos. I-EXPLORATION -La I-EXPLORATION -biopsia I-EXPLORATION -mostró I-EXPLORATION -igualmente I-EXPLORATION -infiltración I-EXPLORATION -por I-EXPLORATION -células I-EXPLORATION -plasmáticas. I-EXPLORATION -Debido B-TREATMENT -a I-TREATMENT -progresión I-TREATMENT -de I-TREATMENT -la I-TREATMENT -enfermedad I-TREATMENT -se I-TREATMENT -cambió I-TREATMENT -el I-TREATMENT -tratamiento I-TREATMENT -a I-TREATMENT -talidomida/dexametasona, I-TREATMENT -sin I-TREATMENT -resultados. I-TREATMENT -Se B-EVOLUTION -derivó I-EVOLUTION -a I-EVOLUTION -cuidados I-EVOLUTION -paliativos I-EVOLUTION -y I-EVOLUTION -la I-EVOLUTION -paciente I-EVOLUTION -falleció I-EVOLUTION -2 I-EVOLUTION -meses I-EVOLUTION -después, I-EVOLUTION -por I-EVOLUTION -infección I-EVOLUTION -en I-EVOLUTION -mieloma I-EVOLUTION -refractario. I-EVOLUTION - I-EVOLUTION - -Paciente B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -sexo I-PRESENT_ILLNESS -masculino I-PRESENT_ILLNESS -con B-PAST_MEDICAL_HISTORY -antecedente I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -transfusión I-PAST_MEDICAL_HISTORY -sanguínea I-PAST_MEDICAL_HISTORY -en I-PAST_MEDICAL_HISTORY -1972, I-PAST_MEDICAL_HISTORY -en I-PAST_MEDICAL_HISTORY -el I-PAST_MEDICAL_HISTORY -contexto I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -sangrado I-PAST_MEDICAL_HISTORY -por I-PAST_MEDICAL_HISTORY -úlcera I-PAST_MEDICAL_HISTORY -duodenal. I-PAST_MEDICAL_HISTORY -Además, I-PAST_MEDICAL_HISTORY -cáncer I-PAST_MEDICAL_HISTORY -testicular I-PAST_MEDICAL_HISTORY -a I-PAST_MEDICAL_HISTORY -los I-PAST_MEDICAL_HISTORY -15 I-PAST_MEDICAL_HISTORY -años I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -hemicolectomía I-PAST_MEDICAL_HISTORY -izquierda I-PAST_MEDICAL_HISTORY -por I-PAST_MEDICAL_HISTORY -cáncer I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -colon I-PAST_MEDICAL_HISTORY -a I-PAST_MEDICAL_HISTORY -los I-PAST_MEDICAL_HISTORY -46 I-PAST_MEDICAL_HISTORY -años. I-PAST_MEDICAL_HISTORY -El B-PRESENT_ILLNESS -año I-PRESENT_ILLNESS -1994, I-PRESENT_ILLNESS -a I-PRESENT_ILLNESS -los I-PRESENT_ILLNESS -51 I-PRESENT_ILLNESS -años, I-PRESENT_ILLNESS -se I-PRESENT_ILLNESS -diagnosticó I-PRESENT_ILLNESS -cirrosis, I-PRESENT_ILLNESS -con I-PRESENT_ILLNESS -estudio I-PRESENT_ILLNESS -que B-EXPLORATION -mostró I-EXPLORATION -PCR I-EXPLORATION -positiva I-EXPLORATION -para I-EXPLORATION -VHC. I-EXPLORATION -Se I-EXPLORATION -realizó I-EXPLORATION -biopsia I-EXPLORATION -hepática I-EXPLORATION -que I-EXPLORATION -mostraba I-EXPLORATION -hepatitis I-EXPLORATION -crónica I-EXPLORATION -con I-EXPLORATION -fibrosis I-EXPLORATION -grado I-EXPLORATION -III, I-EXPLORATION -sin I-EXPLORATION -cirrosis. I-EXPLORATION -Recibió B-TREATMENT -interferon I-TREATMENT -con I-TREATMENT -persistencia I-TREATMENT -de I-TREATMENT -PCR I-TREATMENT -+ I-TREATMENT -de I-TREATMENT -VHC. I-TREATMENT -Evolucionó B-EVOLUTION -con I-EVOLUTION -complicaciones I-EVOLUTION -de I-EVOLUTION -la I-EVOLUTION -hipertensión I-EVOLUTION -portal, I-EVOLUTION -iniciando I-EVOLUTION -controles I-EVOLUTION -en I-EVOLUTION -nuestro I-EVOLUTION -centro I-EVOLUTION -en I-EVOLUTION -el I-EVOLUTION -2007. I-EVOLUTION -Ese I-EVOLUTION -año I-EVOLUTION -se I-EVOLUTION -diagnosticó I-EVOLUTION -hepatocarcinoma I-EVOLUTION -que B-TREATMENT -fue I-TREATMENT -quimioembolizado. I-TREATMENT -Se I-TREATMENT -trasplantó I-TREATMENT -en I-TREATMENT -mayo I-TREATMENT -de I-TREATMENT -2008. I-TREATMENT -Post I-TREATMENT -trasplante I-TREATMENT -se I-TREATMENT -inició I-TREATMENT -inmunosupresión I-TREATMENT -con I-TREATMENT -prednisona I-TREATMENT -y I-TREATMENT -ciclosporina, I-TREATMENT -adicionando I-TREATMENT -micofenolato I-TREATMENT -por I-TREATMENT -falla I-TREATMENT -renal. I-TREATMENT -Se B-EVOLUTION -mantuvo I-EVOLUTION -con I-EVOLUTION -creatinina I-EVOLUTION -1, I-EVOLUTION -4-1, I-EVOLUTION -5 I-EVOLUTION -mg/dl, I-EVOLUTION -pero I-EVOLUTION -1 I-EVOLUTION -año I-EVOLUTION -y I-EVOLUTION -medio I-EVOLUTION -post I-EVOLUTION -trasplante I-EVOLUTION -tuvo I-EVOLUTION -alza I-EVOLUTION -hasta I-EVOLUTION -1, I-EVOLUTION -9-2, I-EVOLUTION -0 I-EVOLUTION -mg/dl. I-EVOLUTION -En B-TREATMENT -ese I-TREATMENT -momento I-TREATMENT -se I-TREATMENT -suspendió I-TREATMENT -ciclosporina I-TREATMENT -y I-TREATMENT -se I-TREATMENT -agregó I-TREATMENT -sirolimus. I-TREATMENT -Presentó B-EVOLUTION -úlceras I-EVOLUTION -orales, I-EVOLUTION -suspendiéndose B-TREATMENT -micofenolato. I-TREATMENT -Por B-EXPLORATION -estudio I-EXPLORATION -de I-EXPLORATION -falla I-EXPLORATION -renal I-EXPLORATION -se I-EXPLORATION -solicitó I-EXPLORATION -PCR I-EXPLORATION -para I-EXPLORATION -VHC, I-EXPLORATION -la I-EXPLORATION -que I-EXPLORATION -resultó I-EXPLORATION -negativa. I-EXPLORATION -Se I-EXPLORATION -solicitó I-EXPLORATION -carga I-EXPLORATION -viral I-EXPLORATION -en I-EXPLORATION -2 I-EXPLORATION -oportunidades, I-EXPLORATION -ambas I-EXPLORATION -negativas. I-EXPLORATION -Se I-EXPLORATION -interpretó I-EXPLORATION -como I-EXPLORATION -eliminación I-EXPLORATION -espontánea I-EXPLORATION -de I-EXPLORATION -VHC. I-EXPLORATION - I-EXPLORATION - -Paciente B-PRESENT_ILLNESS -femenino I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -41 I-PRESENT_ILLNESS -años, I-PRESENT_ILLNESS -con B-PAST_MEDICAL_HISTORY -antecedente I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -Diabetes I-PAST_MEDICAL_HISTORY -Mellitus I-PAST_MEDICAL_HISTORY -tipo I-PAST_MEDICAL_HISTORY -2 I-PAST_MEDICAL_HISTORY -tratada I-PAST_MEDICAL_HISTORY -farmacológicamente. I-PAST_MEDICAL_HISTORY -Ingresa B-PRESENT_ILLNESS -al I-PRESENT_ILLNESS -servicio I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -otorrinolaringología I-PRESENT_ILLNESS -(ORL) I-PRESENT_ILLNESS -del I-PRESENT_ILLNESS -Hospital I-PRESENT_ILLNESS -San I-PRESENT_ILLNESS -Juan I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -Dios I-PRESENT_ILLNESS -por I-PRESENT_ILLNESS -un I-PRESENT_ILLNESS -cuadro I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -otalgia I-PRESENT_ILLNESS -derecha I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -3 I-PRESENT_ILLNESS -meses I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -evolución, I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -inicio I-PRESENT_ILLNESS -insidioso, I-PRESENT_ILLNESS -el I-PRESENT_ILLNESS -cual I-PRESENT_ILLNESS -aumenta I-PRESENT_ILLNESS -progresivamente I-PRESENT_ILLNESS -llegando I-PRESENT_ILLNESS -a I-PRESENT_ILLNESS -una I-PRESENT_ILLNESS -intensidad I-PRESENT_ILLNESS -10/10 I-PRESENT_ILLNESS -al I-PRESENT_ILLNESS -momento I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -la I-PRESENT_ILLNESS -consulta, I-PRESENT_ILLNESS -según I-PRESENT_ILLNESS -la I-PRESENT_ILLNESS -Escala I-PRESENT_ILLNESS -Visual I-PRESENT_ILLNESS -Análoga I-PRESENT_ILLNESS -(EVA). I-PRESENT_ILLNESS -Al B-EXPLORATION -examen I-EXPLORATION -la I-EXPLORATION -paciente I-EXPLORATION -se I-EXPLORATION -encontraba I-EXPLORATION -afebril, I-EXPLORATION -sin I-EXPLORATION -embargo I-EXPLORATION -se I-EXPLORATION -evidencia I-EXPLORATION -otorrea I-EXPLORATION -purulenta, I-EXPLORATION -hipoacusia I-EXPLORATION -y I-EXPLORATION -aumento I-EXPLORATION -de I-EXPLORATION -volumen I-EXPLORATION -preauricular I-EXPLORATION -ipsilateral. I-EXPLORATION -El I-EXPLORATION -estudio I-EXPLORATION -del I-EXPLORATION -cuadro I-EXPLORATION -arroja I-EXPLORATION -como I-EXPLORATION -diagnóstico I-EXPLORATION -una I-EXPLORATION -otitis I-EXPLORATION -externa I-EXPLORATION -necrotizante, I-EXPLORATION -además I-EXPLORATION -de I-EXPLORATION -una I-EXPLORATION -mastoiditis I-EXPLORATION -ebúrnea. I-EXPLORATION -El B-TREATMENT -manejo I-TREATMENT -inicial I-TREATMENT -del I-TREATMENT -cuadro I-TREATMENT -consistió I-TREATMENT -en I-TREATMENT -la I-TREATMENT -hospitalización I-TREATMENT -y I-TREATMENT -el I-TREATMENT -tratamiento I-TREATMENT -antibiótico I-TREATMENT -con I-TREATMENT -un I-TREATMENT -esquema I-TREATMENT -empírico I-TREATMENT -enfocado I-TREATMENT -en I-TREATMENT -el I-TREATMENT -proceso I-TREATMENT -ótico I-TREATMENT -con I-TREATMENT -ceftazidima I-TREATMENT -más I-TREATMENT -clindamicina I-TREATMENT -endovenosa I-TREATMENT -y I-TREATMENT -ciprofloxacino I-TREATMENT -tópico. I-TREATMENT - I-TREATMENT -El B-EXPLORATION -grado I-EXPLORATION -de I-EXPLORATION -compromiso I-EXPLORATION -es I-EXPLORATION -objetivado I-EXPLORATION -en I-EXPLORATION -las I-EXPLORATION -imágenes I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -tomografía I-EXPLORATION -axial I-EXPLORATION -computarizada I-EXPLORATION -(TAC) I-EXPLORATION -que I-EXPLORATION -muestra I-EXPLORATION -una I-EXPLORATION -franca I-EXPLORATION -zona I-EXPLORATION -de I-EXPLORATION -erosión I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -superficie I-EXPLORATION -ósea I-EXPLORATION -condilar I-EXPLORATION -mandibular I-EXPLORATION -derecha, I-EXPLORATION -con I-EXPLORATION -pérdida I-EXPLORATION -de I-EXPLORATION -capa I-EXPLORATION -cortical I-EXPLORATION -y I-EXPLORATION -destrucción I-EXPLORATION -hasta I-EXPLORATION -la I-EXPLORATION -medular I-EXPLORATION -ósea. I-EXPLORATION -Por I-EXPLORATION -lo I-EXPLORATION -anterior I-EXPLORATION -se I-EXPLORATION -interconsulta I-EXPLORATION -a I-EXPLORATION -cirugía I-EXPLORATION -maxilofacial. I-EXPLORATION -Al I-EXPLORATION -examen I-EXPLORATION -se I-EXPLORATION -aprecia I-EXPLORATION -el I-EXPLORATION -aumento I-EXPLORATION -de I-EXPLORATION -volumen I-EXPLORATION -preauricular I-EXPLORATION -derecho I-EXPLORATION -de I-EXPLORATION -límites I-EXPLORATION -difusos, I-EXPLORATION -consistencia I-EXPLORATION -firme, I-EXPLORATION -con I-EXPLORATION -aumento I-EXPLORATION -de I-EXPLORATION -temperatura I-EXPLORATION -local I-EXPLORATION -y I-EXPLORATION -eritema I-EXPLORATION -asociados. I-EXPLORATION -El I-EXPLORATION -examen I-EXPLORATION -funcional I-EXPLORATION -revela I-EXPLORATION -disminución I-EXPLORATION -considerable I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -apertura I-EXPLORATION -bucal I-EXPLORATION -de I-EXPLORATION -20 I-EXPLORATION -mm I-EXPLORATION -aproximadamente I-EXPLORATION -con I-EXPLORATION -movimientos I-EXPLORATION -de I-EXPLORATION -lateralidad I-EXPLORATION -conservados, I-EXPLORATION -asociándose I-EXPLORATION -a I-EXPLORATION -artralgia I-EXPLORATION -exacerbada I-EXPLORATION -por I-EXPLORATION -la I-EXPLORATION -función. I-EXPLORATION -Al I-EXPLORATION -examen I-EXPLORATION -hay I-EXPLORATION -ausencia I-EXPLORATION -de I-EXPLORATION -múltiples I-EXPLORATION -piezas I-EXPLORATION -dentarias I-EXPLORATION -posteriores I-EXPLORATION -tanto I-EXPLORATION -superiores I-EXPLORATION -como I-EXPLORATION -inferiores. I-EXPLORATION -La I-EXPLORATION -resonancia I-EXPLORATION -nuclear I-EXPLORATION -magnética I-EXPLORATION -(RNM) I-EXPLORATION -muestra I-EXPLORATION -cambios I-EXPLORATION -degenerativos I-EXPLORATION -y I-EXPLORATION -erosión I-EXPLORATION -a I-EXPLORATION -nivel I-EXPLORATION -cortical I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -vertiente I-EXPLORATION -anterior I-EXPLORATION -del I-EXPLORATION -cóndilo I-EXPLORATION -mandibular I-EXPLORATION -además I-EXPLORATION -de I-EXPLORATION -un I-EXPLORATION -proceso I-EXPLORATION -inflamatorio I-EXPLORATION -intracapsular I-EXPLORATION -diseminado I-EXPLORATION -a I-EXPLORATION -los I-EXPLORATION -músculos I-EXPLORATION -masticadores I-EXPLORATION -y I-EXPLORATION -al I-EXPLORATION -espacio I-EXPLORATION -temporal I-EXPLORATION -del I-EXPLORATION -mismo I-EXPLORATION -lado. I-EXPLORATION -Con I-EXPLORATION -los I-EXPLORATION -hallazgos I-EXPLORATION -clínicos I-EXPLORATION -e I-EXPLORATION -imagenológicos I-EXPLORATION -se I-EXPLORATION -plantea I-EXPLORATION -la I-EXPLORATION -hipótesis I-EXPLORATION -diagnóstica I-EXPLORATION -de I-EXPLORATION -artritis I-EXPLORATION -infecciosa I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -ATM I-EXPLORATION -por I-EXPLORATION -continuidad. I-EXPLORATION - I-EXPLORATION -Luego B-TREATMENT -de I-TREATMENT -establecido I-TREATMENT -el I-TREATMENT -diagnóstico I-TREATMENT -de I-TREATMENT -otitis I-TREATMENT -necrotizante I-TREATMENT -y I-TREATMENT -mastoiditis, I-TREATMENT -es I-TREATMENT -ingresada I-TREATMENT -a I-TREATMENT -pabellón I-TREATMENT -por I-TREATMENT -parte I-TREATMENT -del I-TREATMENT -equipo I-TREATMENT -de I-TREATMENT -ORL I-TREATMENT -para I-TREATMENT -realizar I-TREATMENT -una I-TREATMENT -mastoidectomía I-TREATMENT -radical I-TREATMENT -modificada. I-TREATMENT -Posteriormente B-EXPLORATION -se I-EXPLORATION -realiza I-EXPLORATION -una I-EXPLORATION -punción I-EXPLORATION -intraarticular I-EXPLORATION -para I-EXPLORATION -estudio I-EXPLORATION -del I-EXPLORATION -contenido, I-EXPLORATION -donde I-EXPLORATION -se I-EXPLORATION -aprecia I-EXPLORATION -salida I-EXPLORATION -de I-EXPLORATION -contenido I-EXPLORATION -líquido I-EXPLORATION -turbio I-EXPLORATION -y I-EXPLORATION -seropurulento I-EXPLORATION -que I-EXPLORATION -se I-EXPLORATION -envía I-EXPLORATION -a I-EXPLORATION -cultivo I-EXPLORATION -bacteriológico, I-EXPLORATION -el I-EXPLORATION -cual I-EXPLORATION -resulta I-EXPLORATION -negativo I-EXPLORATION -a I-EXPLORATION -las I-EXPLORATION -72 I-EXPLORATION -h I-EXPLORATION -de I-EXPLORATION -incubación. I-EXPLORATION -Se I-EXPLORATION -realiza I-EXPLORATION -además I-EXPLORATION -una I-EXPLORATION -artroscentesis I-EXPLORATION -con I-EXPLORATION -doble I-EXPLORATION -aguja I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -ATM I-EXPLORATION -según I-EXPLORATION -la I-EXPLORATION -técnica I-EXPLORATION -de I-EXPLORATION -Nitzan I-EXPLORATION -et I-EXPLORATION -al13, I-EXPLORATION -realizando I-EXPLORATION -un I-EXPLORATION -lavado I-EXPLORATION -profuso I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -articulación I-EXPLORATION -con I-EXPLORATION -solución I-EXPLORATION -salina. I-EXPLORATION -La B-EVOLUTION -paciente I-EVOLUTION -posterior I-EVOLUTION -a I-EVOLUTION -estas I-EVOLUTION -intervenciones I-EVOLUTION -mejora I-EVOLUTION -su I-EVOLUTION -condición I-EVOLUTION -general, I-EVOLUTION -siendo I-EVOLUTION -dada I-EVOLUTION -de I-EVOLUTION -alta I-EVOLUTION -con I-EVOLUTION -disminución I-EVOLUTION -franca I-EVOLUTION -de I-EVOLUTION -la I-EVOLUTION -sintomatología, I-EVOLUTION -del I-EVOLUTION -aumento I-EVOLUTION -de I-EVOLUTION -volumen I-EVOLUTION -y I-EVOLUTION -una I-EVOLUTION -mejoría I-EVOLUTION -de I-EVOLUTION -la I-EVOLUTION -apertura I-EVOLUTION -bucal I-EVOLUTION -llegando I-EVOLUTION -hasta I-EVOLUTION -los I-EVOLUTION -40 I-EVOLUTION -mm. I-EVOLUTION - I-EVOLUTION -Al I-EVOLUTION -control I-EVOLUTION -al I-EVOLUTION -mes, I-EVOLUTION -se I-EVOLUTION -presenta I-EVOLUTION -asintomática. I-EVOLUTION -Sin I-EVOLUTION -embargo, I-EVOLUTION -se I-EVOLUTION -aprecia I-EVOLUTION -la I-EVOLUTION -presencia I-EVOLUTION -de I-EVOLUTION -un I-EVOLUTION -ruido I-EVOLUTION -articular I-EVOLUTION -en I-EVOLUTION -apertura I-EVOLUTION -y I-EVOLUTION -cierre I-EVOLUTION -el I-EVOLUTION -cual I-EVOLUTION -evoluciona I-EVOLUTION -a I-EVOLUTION -crépito I-EVOLUTION -en I-EVOLUTION -los I-EVOLUTION -siguientes I-EVOLUTION -controles. I-EVOLUTION -Es B-DERIVED_FROM/TO -derivada I-DERIVED_FROM/TO -a I-DERIVED_FROM/TO -tratamiento I-DERIVED_FROM/TO -protésico I-DERIVED_FROM/TO -para I-DERIVED_FROM/TO -mejorar I-DERIVED_FROM/TO -la I-DERIVED_FROM/TO -estabilidad I-DERIVED_FROM/TO -oclusal I-DERIVED_FROM/TO -y I-DERIVED_FROM/TO -por I-DERIVED_FROM/TO -ende I-DERIVED_FROM/TO -disminuir I-DERIVED_FROM/TO -la I-DERIVED_FROM/TO -sobrecarga I-DERIVED_FROM/TO -articular. I-DERIVED_FROM/TO -Se B-EXPLORATION -pide I-EXPLORATION -TAC I-EXPLORATION -de I-EXPLORATION -control I-EXPLORATION -a I-EXPLORATION -los I-EXPLORATION -2 I-EXPLORATION -meses I-EXPLORATION -el I-EXPLORATION -cual I-EXPLORATION -confirma I-EXPLORATION -una I-EXPLORATION -regeneración I-EXPLORATION -parcial I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -cortical I-EXPLORATION -ósea I-EXPLORATION -condilar. I-EXPLORATION -Actualmente, B-EVOLUTION -cuatro I-EVOLUTION -años I-EVOLUTION -después, I-EVOLUTION -se I-EVOLUTION -encuentra I-EVOLUTION -asintomática, I-EVOLUTION -con I-EVOLUTION -dinámica I-EVOLUTION -mandibular I-EVOLUTION -conservada. I-EVOLUTION -Sin I-EVOLUTION -embargo, I-EVOLUTION -como I-EVOLUTION -secuela I-EVOLUTION -de I-EVOLUTION -la I-EVOLUTION -otitis I-EVOLUTION -media I-EVOLUTION -y I-EVOLUTION -posterior I-EVOLUTION -mastoiditis I-EVOLUTION -queda I-EVOLUTION -con I-EVOLUTION -alteraciones I-EVOLUTION -auditivas I-EVOLUTION -a I-EVOLUTION -la I-EVOLUTION -percepción I-EVOLUTION -de I-EVOLUTION -ruidos I-EVOLUTION -graves I-EVOLUTION -además I-EVOLUTION -de I-EVOLUTION -la I-EVOLUTION -persistencia I-EVOLUTION -de I-EVOLUTION -crépito I-EVOLUTION -de I-EVOLUTION -la I-EVOLUTION -ATM I-EVOLUTION -derecha I-EVOLUTION -debido I-EVOLUTION -al I-EVOLUTION -daño I-EVOLUTION -irreversible I-EVOLUTION -de I-EVOLUTION -los I-EVOLUTION -tejidos I-EVOLUTION -intraarticulares. I-EVOLUTION - I-EVOLUTION - -Hombre B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -45 I-PRESENT_ILLNESS -años, I-PRESENT_ILLNESS -80 I-PRESENT_ILLNESS -kg, I-PRESENT_ILLNESS -talla I-PRESENT_ILLNESS -1, I-PRESENT_ILLNESS -72 I-PRESENT_ILLNESS -m, I-PRESENT_ILLNESS -IMC I-PRESENT_ILLNESS -27, I-PRESENT_ILLNESS -11 I-PRESENT_ILLNESS -kg/m2, I-PRESENT_ILLNESS -portador B-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -dislipidemia, I-PAST_MEDICAL_HISTORY -sin I-PAST_MEDICAL_HISTORY -antecedentes I-PAST_MEDICAL_HISTORY -familiares I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -DM. I-PAST_MEDICAL_HISTORY -Inicia B-PRESENT_ILLNESS -un I-PRESENT_ILLNESS -cuadro I-PRESENT_ILLNESS -caracterizado I-PRESENT_ILLNESS -por I-PRESENT_ILLNESS -polidipsia, I-PRESENT_ILLNESS -poliuria, I-PRESENT_ILLNESS -cansancio I-PRESENT_ILLNESS -y I-PRESENT_ILLNESS -calambres. I-PRESENT_ILLNESS -Al I-PRESENT_ILLNESS -mes I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -evolución I-PRESENT_ILLNESS -consulta I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -un I-PRESENT_ILLNESS -servicio I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -urgencia. I-PRESENT_ILLNESS -En B-EXPLORATION -el I-EXPLORATION -examen I-EXPLORATION -físico I-EXPLORATION -destacan I-EXPLORATION -piel I-EXPLORATION -y I-EXPLORATION -mucosas I-EXPLORATION -secas, I-EXPLORATION -acantosis I-EXPLORATION -nigricans I-EXPLORATION -en I-EXPLORATION -cuello, I-EXPLORATION -normotenso I-EXPLORATION -y I-EXPLORATION -pérdida I-EXPLORATION -de I-EXPLORATION -8 I-EXPLORATION -kilos I-EXPLORATION -de I-EXPLORATION -peso. I-EXPLORATION - I-EXPLORATION -Se I-EXPLORATION -realizan I-EXPLORATION -exámenes I-EXPLORATION -y I-EXPLORATION -se I-EXPLORATION -hospitaliza I-EXPLORATION -con I-EXPLORATION -el I-EXPLORATION -diagnóstico I-EXPLORATION -de I-EXPLORATION -cetoacidosis I-EXPLORATION -diabética I-EXPLORATION -(CAD). I-EXPLORATION -Se B-TREATMENT -inicia I-TREATMENT -solución I-TREATMENT -solución I-TREATMENT -salina I-TREATMENT -0, I-TREATMENT -9% I-TREATMENT -1.000 I-TREATMENT -cc I-TREATMENT -con I-TREATMENT -cloruro I-TREATMENT -de I-TREATMENT -potasio I-TREATMENT -e I-TREATMENT -insulina I-TREATMENT -rápida I-TREATMENT -(IR) I-TREATMENT -8 I-TREATMENT -U I-TREATMENT -endovenosa. I-TREATMENT -A I-TREATMENT -la I-TREATMENT -hora, I-TREATMENT -se I-TREATMENT -continúa I-TREATMENT -con I-TREATMENT -el I-TREATMENT -aporte I-TREATMENT -de I-TREATMENT -volumen I-TREATMENT -(3.000 I-TREATMENT -cc) I-TREATMENT -e I-TREATMENT -IR I-TREATMENT -sc I-TREATMENT -(subcutánea) I-TREATMENT -cada I-TREATMENT -6 I-TREATMENT -h, I-TREATMENT -según I-TREATMENT -glicemias I-TREATMENT -capilares. I-TREATMENT -Se B-EXPLORATION -descarta I-EXPLORATION -foco I-EXPLORATION -infeccioso. I-EXPLORATION -A B-TREATMENT -las I-TREATMENT -8 I-TREATMENT -h I-TREATMENT -de I-TREATMENT -tratamiento, I-TREATMENT -al I-TREATMENT -revertir I-TREATMENT -la I-TREATMENT -acidosis I-TREATMENT -y I-TREATMENT -lograr I-TREATMENT -glicemias I-TREATMENT -< I-TREATMENT -250 I-TREATMENT -mg/dl, I-TREATMENT -se I-TREATMENT -inicia I-TREATMENT -terapia I-TREATMENT -basal I-TREATMENT -bolos I-TREATMENT -con I-TREATMENT -insulina I-TREATMENT -NPH I-TREATMENT -(Neutral I-TREATMENT -Protamine I-TREATMENT -Hagedorn) I-TREATMENT -e I-TREATMENT -IR I-TREATMENT -antes I-TREATMENT -del I-TREATMENT -desayuno I-TREATMENT -(AD) I-TREATMENT -y I-TREATMENT -cena, I-TREATMENT -más I-TREATMENT -refuerzos I-TREATMENT -de I-TREATMENT -IR I-TREATMENT -pre-prandiales, I-TREATMENT -lográndose B-EVOLUTION -una I-EVOLUTION -buena I-EVOLUTION -respuesta I-EVOLUTION -clínica. I-EVOLUTION -Al B-TREATMENT -alta I-TREATMENT -se I-TREATMENT -indica I-TREATMENT -régimen I-TREATMENT -con I-TREATMENT -180 I-TREATMENT -g I-TREATMENT -de I-TREATMENT -hidratos I-TREATMENT -de I-TREATMENT -carbono, I-TREATMENT -insulina I-TREATMENT -NPH I-TREATMENT -18 I-TREATMENT -U I-TREATMENT -AD I-TREATMENT -y I-TREATMENT -6 I-TREATMENT -U I-TREATMENT -a I-TREATMENT -las I-TREATMENT -22 I-TREATMENT -h, I-TREATMENT -con I-TREATMENT -automonitoreo I-TREATMENT -de I-TREATMENT -glicemias I-TREATMENT -capilares. I-TREATMENT - I-TREATMENT -*HCO3 I-TREATMENT -Bicarbonato I-TREATMENT -de I-TREATMENT -sodio. I-TREATMENT -**HbA1c I-TREATMENT -Hemoglobina I-TREATMENT -glicosilada I-TREATMENT -A1c. I-TREATMENT - I-TREATMENT -A B-EVOLUTION -las I-EVOLUTION -2 I-EVOLUTION -semanas I-EVOLUTION -el I-EVOLUTION -paciente I-EVOLUTION -se I-EVOLUTION -encuentra I-EVOLUTION -asintomático I-EVOLUTION -con I-EVOLUTION -glicemias I-EVOLUTION -capilares I-EVOLUTION -de I-EVOLUTION -ayunas I-EVOLUTION -70-110 I-EVOLUTION -mg/dl, I-EVOLUTION -pre-prandiales I-EVOLUTION -100-130 I-EVOLUTION -mg/dl I-EVOLUTION -y I-EVOLUTION -post-prandiales I-EVOLUTION -160-180 I-EVOLUTION -mg/dl. I-EVOLUTION -Dada B-TREATMENT -su I-TREATMENT -buena I-TREATMENT -evolución I-TREATMENT -se I-TREATMENT -disminuye I-TREATMENT -la I-TREATMENT -insulina I-TREATMENT -NPH I-TREATMENT -a I-TREATMENT -6 I-TREATMENT -U I-TREATMENT -a I-TREATMENT -las I-TREATMENT -22 I-TREATMENT -h I-TREATMENT -y I-TREATMENT -se I-TREATMENT -agrega I-TREATMENT -metformina I-TREATMENT -850 I-TREATMENT -mg I-TREATMENT -2 I-TREATMENT -veces I-TREATMENT -al I-TREATMENT -día. I-TREATMENT -Controlado B-EVOLUTION -al I-EVOLUTION -mes, I-EVOLUTION -relata I-EVOLUTION -episodios I-EVOLUTION -de I-EVOLUTION -hipoglicemias I-EVOLUTION -de I-EVOLUTION -60 I-EVOLUTION -mg/dl I-EVOLUTION -durante I-EVOLUTION -el I-EVOLUTION -día I-EVOLUTION -y I-EVOLUTION -los I-EVOLUTION -exámenes I-EVOLUTION -revelan I-EVOLUTION -buen I-EVOLUTION -control I-EVOLUTION -metabólico. I-EVOLUTION - I-EVOLUTION -*HbA1c I-EVOLUTION -Hemoglobina I-EVOLUTION -glicosilada I-EVOLUTION -A1c. I-EVOLUTION - I-EVOLUTION -Dado B-EXPLORATION -el I-EXPLORATION -inicio I-EXPLORATION -de I-EXPLORATION -una I-EXPLORATION -DM I-EXPLORATION -en I-EXPLORATION -CAD I-EXPLORATION -(sospecha I-EXPLORATION -de I-EXPLORATION -DM1), I-EXPLORATION -en I-EXPLORATION -un I-EXPLORATION -paciente I-EXPLORATION -con I-EXPLORATION -características I-EXPLORATION -fenotípicas I-EXPLORATION -de I-EXPLORATION -DM2, I-EXPLORATION -se I-EXPLORATION -solicitaron I-EXPLORATION -marcadores I-EXPLORATION -inmunológicos I-EXPLORATION -para I-EXPLORATION -diabetes: I-EXPLORATION -anticuerpos I-EXPLORATION -anti I-EXPLORATION -células I-EXPLORATION -beta I-EXPLORATION -(ICA), I-EXPLORATION -anticuerpos I-EXPLORATION -anti I-EXPLORATION -insulina I-EXPLORATION -(IAA), I-EXPLORATION -anticuerpos I-EXPLORATION -anti I-EXPLORATION -ácido I-EXPLORATION -glutámico I-EXPLORATION -descarboxilasa I-EXPLORATION -(anti-GAD), I-EXPLORATION -anticuerpos I-EXPLORATION -anti I-EXPLORATION -tirosina I-EXPLORATION -fosfatasa I-EXPLORATION -(IA2), I-EXPLORATION -los I-EXPLORATION -que I-EXPLORATION -resultaron I-EXPLORATION -negativos. I-EXPLORATION -El I-EXPLORATION -péptido I-EXPLORATION -C I-EXPLORATION -en I-EXPLORATION -ayunas I-EXPLORATION -fue I-EXPLORATION -normal I-EXPLORATION -(3, I-EXPLORATION -2 I-EXPLORATION -ng/ml). I-EXPLORATION -En B-TREATMENT -estas I-TREATMENT -condiciones I-TREATMENT -se I-TREATMENT -suspendió I-TREATMENT -la I-TREATMENT -insulina, I-TREATMENT -manteniéndose I-TREATMENT -las I-TREATMENT -medidas I-TREATMENT -no I-TREATMENT -farmacológicas I-TREATMENT -y I-TREATMENT -la I-TREATMENT -metformina. I-TREATMENT - I-TREATMENT -El B-EVOLUTION -paciente I-EVOLUTION -continúa I-EVOLUTION -en I-EVOLUTION -controles I-EVOLUTION -periódicos I-EVOLUTION -durante I-EVOLUTION -24 I-EVOLUTION -meses I-EVOLUTION -post I-EVOLUTION -alta, I-EVOLUTION -lográndose I-EVOLUTION -una I-EVOLUTION -reducción I-EVOLUTION -de I-EVOLUTION -10 I-EVOLUTION -kg I-EVOLUTION -de I-EVOLUTION -peso, I-EVOLUTION -glicemias I-EVOLUTION -de I-EVOLUTION -ayunas I-EVOLUTION -inferiores I-EVOLUTION -a100 I-EVOLUTION -mg/dl, I-EVOLUTION -HbA1c I-EVOLUTION -5, I-EVOLUTION -9%, I-EVOLUTION -y I-EVOLUTION -perfil I-EVOLUTION -lipídico I-EVOLUTION -y I-EVOLUTION -presión I-EVOLUTION -arterial I-EVOLUTION -normales. I-EVOLUTION - I-EVOLUTION - -Hombre B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -42 I-PRESENT_ILLNESS -años I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -edad, I-PRESENT_ILLNESS -agricultor, B-PAST_MEDICAL_HISTORY -sin I-PAST_MEDICAL_HISTORY -antecedentes I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -importancia, I-PAST_MEDICAL_HISTORY -consulta B-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -múltiples I-PRESENT_ILLNESS -ocasiones I-PRESENT_ILLNESS -por I-PRESENT_ILLNESS -3 I-PRESENT_ILLNESS -meses I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -evolución I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -cefalea I-PRESENT_ILLNESS -con I-PRESENT_ILLNESS -sensación I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -pesadez I-PRESENT_ILLNESS -y I-PRESENT_ILLNESS -mareos I-PRESENT_ILLNESS -sin I-PRESENT_ILLNESS -respuesta I-PRESENT_ILLNESS -a I-PRESENT_ILLNESS -analgésicos I-PRESENT_ILLNESS -comunes. I-PRESENT_ILLNESS -En B-EVOLUTION -su I-EVOLUTION -evolución I-EVOLUTION -presenta I-EVOLUTION -ataxia I-EVOLUTION -y I-EVOLUTION -lateropulsión I-EVOLUTION -derecha. I-EVOLUTION -Una I-EVOLUTION -semana I-EVOLUTION -previo I-EVOLUTION -a I-EVOLUTION -su I-EVOLUTION -ingreso I-EVOLUTION -presenta I-EVOLUTION -endoforia I-EVOLUTION -derecha, I-EVOLUTION -diplopia I-EVOLUTION -y I-EVOLUTION -postración I-EVOLUTION -en I-EVOLUTION -cama I-EVOLUTION -por I-EVOLUTION -vértigo I-EVOLUTION -intenso. I-EVOLUTION -Se B-EXPLORATION -realiza I-EXPLORATION -TC I-EXPLORATION -simple I-EXPLORATION -de I-EXPLORATION -cráneo I-EXPLORATION -que I-EXPLORATION -demostró I-EXPLORATION -masa I-EXPLORATION -en I-EXPLORATION -fosa I-EXPLORATION -posterior I-EXPLORATION -y I-EXPLORATION -hemorragia I-EXPLORATION -subaracnoidea I-EXPLORATION -por I-EXPLORATION -lo I-EXPLORATION -que I-EXPLORATION -se I-EXPLORATION -traslada I-EXPLORATION -a I-EXPLORATION -hospital I-EXPLORATION -de I-EXPLORATION -nivel I-EXPLORATION -terciario. I-EXPLORATION -Ingresa B-EVOLUTION -al I-EVOLUTION -servicio I-EVOLUTION -de I-EVOLUTION -urgencias, I-EVOLUTION -consciente I-EVOLUTION -y I-EVOLUTION -orientado, I-EVOLUTION -con I-EVOLUTION -cefalea, I-EVOLUTION -diplopia I-EVOLUTION -e I-EVOLUTION -incapacidad I-EVOLUTION -para I-EVOLUTION -la I-EVOLUTION -marcha I-EVOLUTION -por I-EVOLUTION -vértigo. I-EVOLUTION -Su B-EXPLORATION -examen I-EXPLORATION -físico I-EXPLORATION -sólo I-EXPLORATION -demostró I-EXPLORATION -endoforia I-EXPLORATION -derecha, I-EXPLORATION -marcha I-EXPLORATION -inestable I-EXPLORATION -y I-EXPLORATION -lateropulsión I-EXPLORATION -derecha. I-EXPLORATION -Se I-EXPLORATION -realizó I-EXPLORATION -una I-EXPLORATION -RM I-EXPLORATION -simple I-EXPLORATION -y I-EXPLORATION -contrastada I-EXPLORATION -que I-EXPLORATION -reportó I-EXPLORATION -imagen I-EXPLORATION -compatible I-EXPLORATION -con I-EXPLORATION -hemangioblastoma. I-EXPLORATION -En I-EXPLORATION -exámenes I-EXPLORATION -de I-EXPLORATION -ingreso I-EXPLORATION -se I-EXPLORATION -evidenció I-EXPLORATION -recuento I-EXPLORATION -plaquetario I-EXPLORATION -de I-EXPLORATION -10.000/mL, I-EXPLORATION -sin I-EXPLORATION -otras I-EXPLORATION -alteraciones I-EXPLORATION -en I-EXPLORATION -serie I-EXPLORATION -roja I-EXPLORATION -ni I-EXPLORATION -blanca I-EXPLORATION -por I-EXPLORATION -lo I-EXPLORATION -que I-EXPLORATION -se I-EXPLORATION -difirió I-EXPLORATION -manejo I-EXPLORATION -quirúrgico I-EXPLORATION -y I-EXPLORATION -se I-EXPLORATION -iniciaron I-EXPLORATION -estudios I-EXPLORATION -complementarios. I-EXPLORATION -El I-EXPLORATION -perfil I-EXPLORATION -de I-EXPLORATION -autoinmunidad I-EXPLORATION -(ANAS, I-EXPLORATION -ENAS, I-EXPLORATION -Coombs, I-EXPLORATION -inmunoglobulinas, I-EXPLORATION -anticoagulante I-EXPLORATION -lúpico I-EXPLORATION -y I-EXPLORATION -anticardiolipinas) I-EXPLORATION -infeccioso I-EXPLORATION -(VIH, I-EXPLORATION -Hepatitis I-EXPLORATION -B I-EXPLORATION -y I-EXPLORATION -C), I-EXPLORATION -pruebas I-EXPLORATION -de I-EXPLORATION -coagulación I-EXPLORATION -(PT, I-EXPLORATION -PTT) I-EXPLORATION -así I-EXPLORATION -como I-EXPLORATION -los I-EXPLORATION -niveles I-EXPLORATION -de I-EXPLORATION -micronutrientes I-EXPLORATION -fueron I-EXPLORATION -normales. I-EXPLORATION -No I-EXPLORATION -se I-EXPLORATION -consideró I-EXPLORATION -medición I-EXPLORATION -de I-EXPLORATION -dímero I-EXPLORATION -D I-EXPLORATION -y I-EXPLORATION -fibrinógeno I-EXPLORATION -ante I-EXPLORATION -ausencia I-EXPLORATION -de I-EXPLORATION -síntomas I-EXPLORATION -sugerentes I-EXPLORATION -de I-EXPLORATION -coagulopatía. I-EXPLORATION - I-EXPLORATION -El B-EVOLUTION -paciente I-EVOLUTION -presentó I-EVOLUTION -deterioro I-EVOLUTION -neurológico I-EVOLUTION -por B-TREATMENT -lo I-TREATMENT -que I-TREATMENT -se I-TREATMENT -decidió I-TREATMENT -llevar I-TREATMENT -a I-TREATMENT -cirugía I-TREATMENT -urgente I-TREATMENT -previo I-TREATMENT -soporte I-TREATMENT -transfusional I-TREATMENT -de I-TREATMENT -plaquetas I-TREATMENT -para I-TREATMENT -resección I-TREATMENT -de I-TREATMENT -la I-TREATMENT -masa I-TREATMENT -en I-TREATMENT -SNC. I-TREATMENT -Por I-TREATMENT -trepanación I-TREATMENT -occipital I-TREATMENT -derecha I-TREATMENT -se I-TREATMENT -pasa I-TREATMENT -catéter I-TREATMENT -de I-TREATMENT -derivación I-TREATMENT -ventricular I-TREATMENT -externa I-TREATMENT -al I-TREATMENT -ventrículo I-TREATMENT -lateral I-TREATMENT -ipsilateral, I-TREATMENT -con I-TREATMENT -obtención I-TREATMENT -de I-TREATMENT -LCR I-TREATMENT -a I-TREATMENT -presión. I-TREATMENT -Se I-TREATMENT -identificó I-TREATMENT -tumor I-TREATMENT -en I-TREATMENT -fosa I-TREATMENT -posterior, I-TREATMENT -realizándose I-TREATMENT -drenaje I-TREATMENT -de I-TREATMENT -quiste I-TREATMENT -tumoral I-TREATMENT -aspecto I-TREATMENT -de I-TREATMENT -hemangioblastoma, I-TREATMENT -muy I-TREATMENT -vascularizado, I-TREATMENT -con I-TREATMENT -resección I-TREATMENT -macroscópica I-TREATMENT -total. I-TREATMENT -El B-EXPLORATION -informe I-EXPLORATION -de I-EXPLORATION -patología I-EXPLORATION -fue I-EXPLORATION -compatible I-EXPLORATION -con I-EXPLORATION -hemangioblastoma. I-EXPLORATION -Dada I-EXPLORATION -la I-EXPLORATION -asociación I-EXPLORATION -con I-EXPLORATION -el I-EXPLORATION -síndrome I-EXPLORATION -de I-EXPLORATION -Von I-EXPLORATION -Hippel I-EXPLORATION -Lindau, I-EXPLORATION -se I-EXPLORATION -consideró I-EXPLORATION -adicionalmente I-EXPLORATION -búsqueda I-EXPLORATION -de I-EXPLORATION -otros I-EXPLORATION -tumores I-EXPLORATION -a I-EXPLORATION -nivel I-EXPLORATION -abdominal I-EXPLORATION -con I-EXPLORATION -ecografía I-EXPLORATION -la I-EXPLORATION -cual I-EXPLORATION -fue I-EXPLORATION -negativa. I-EXPLORATION - I-EXPLORATION -Es B-EVOLUTION -trasladado I-EVOLUTION -a I-EVOLUTION -unidad I-EVOLUTION -de I-EVOLUTION -cuidado I-EVOLUTION -crítico I-EVOLUTION -con I-EVOLUTION -excelente I-EVOLUTION -respuesta I-EVOLUTION -neurológica I-EVOLUTION -sin I-EVOLUTION -resolución I-EVOLUTION -de I-EVOLUTION -trombocitopenia I-EVOLUTION -–entre I-EVOLUTION -5.000 I-EVOLUTION -y I-EVOLUTION -169.000/mL– I-EVOLUTION -requiriendo I-EVOLUTION -en I-EVOLUTION -varias I-EVOLUTION -ocasiones I-EVOLUTION -soporte I-EVOLUTION -transfusional I-EVOLUTION -buscando I-EVOLUTION -recuentos I-EVOLUTION -> I-EVOLUTION -100.000/mL. I-EVOLUTION -El B-EXPLORATION -seguimiento I-EXPLORATION -tomográfico I-EXPLORATION -(Día I-EXPLORATION -2 I-EXPLORATION -y I-EXPLORATION -7 I-EXPLORATION -postoperatorio) I-EXPLORATION -demostraban I-EXPLORATION -hematoma I-EXPLORATION -subdural I-EXPLORATION -con I-EXPLORATION -signos I-EXPLORATION -de I-EXPLORATION -herniación I-EXPLORATION -en I-EXPLORATION -resolución. I-EXPLORATION -Es I-EXPLORATION -llevado I-EXPLORATION -a I-EXPLORATION -estudio I-EXPLORATION -de I-EXPLORATION -médula I-EXPLORATION -ósea I-EXPLORATION -(mielograma, I-EXPLORATION -biopsia, I-EXPLORATION -cariotipo) I-EXPLORATION -todos I-EXPLORATION -normales I-EXPLORATION -y B-TREATMENT -con I-TREATMENT -sospecha I-TREATMENT -de I-TREATMENT -púrpura I-TREATMENT -trombócitopenica I-TREATMENT -inmune I-TREATMENT -(PTI) I-TREATMENT -se I-TREATMENT -indicó I-TREATMENT -glucocorticoides I-TREATMENT -(hidrocortisona I-TREATMENT -50 I-TREATMENT -mg I-TREATMENT -c/6 I-TREATMENT -h I-TREATMENT -por I-TREATMENT -2 I-TREATMENT -días, I-TREATMENT -dexametasona I-TREATMENT -4 I-TREATMENT -mg I-TREATMENT -c/6 I-TREATMENT -h I-TREATMENT -por I-TREATMENT -10 I-TREATMENT -días) I-TREATMENT -sin I-TREATMENT -respuesta. I-TREATMENT -En I-TREATMENT -vista I-TREATMENT -de I-TREATMENT -riesgo I-TREATMENT -de I-TREATMENT -sangrado I-TREATMENT -intracerebral I-TREATMENT -se I-TREATMENT -decidió I-TREATMENT -aplicar I-TREATMENT -inmunoglobulina I-TREATMENT -IV I-TREATMENT -1 I-TREATMENT -g/kg I-TREATMENT -por I-TREATMENT -dos I-TREATMENT -dosis I-TREATMENT -espaciadas I-TREATMENT -una I-TREATMENT -semana I-TREATMENT -más I-TREATMENT -prednisona I-TREATMENT -a I-TREATMENT -1 I-TREATMENT -mg/kg/día I-TREATMENT -sin I-TREATMENT -mejoría I-TREATMENT -clínica I-TREATMENT -por I-TREATMENT -lo I-TREATMENT -que I-TREATMENT -se I-TREATMENT -programó I-TREATMENT -para I-TREATMENT -esplenectomía I-TREATMENT -laparoscópica I-TREATMENT -20 I-TREATMENT -días I-TREATMENT -después I-TREATMENT -del I-TREATMENT -procedimiento I-TREATMENT -neuroquirúrgico. I-TREATMENT -El I-TREATMENT -procedimiento I-TREATMENT -se I-TREATMENT -desarrolla I-TREATMENT -sin I-TREATMENT -complicaciones I-TREATMENT -y I-TREATMENT -presenta I-TREATMENT -recuento I-TREATMENT -plaquetario I-TREATMENT -de I-TREATMENT -165.000/mL I-TREATMENT -en I-TREATMENT -el I-TREATMENT -postoperatorio I-TREATMENT -inmediato, I-TREATMENT -con I-TREATMENT -bazo I-TREATMENT -histológicamente I-TREATMENT -normal. I-TREATMENT -Cuarenta B-EVOLUTION -y I-EVOLUTION -ocho I-EVOLUTION -horas I-EVOLUTION -después, I-EVOLUTION -el I-EVOLUTION -paciente I-EVOLUTION -presenta I-EVOLUTION -nuevo I-EVOLUTION -deterioro I-EVOLUTION -neurológico I-EVOLUTION -requiriendo I-EVOLUTION -reingreso I-EVOLUTION -a I-EVOLUTION -UCI. I-EVOLUTION -Recuento B-EXPLORATION -plaquetario I-EXPLORATION -126.000/mL, I-EXPLORATION -tromboelastografía I-EXPLORATION -con I-EXPLORATION -MA I-EXPLORATION -elevado I-EXPLORATION -sugerente I-EXPLORATION -de I-EXPLORATION -hiperagregabilidad I-EXPLORATION -plaquetaria I-EXPLORATION -y I-EXPLORATION -TC I-EXPLORATION -de I-EXPLORATION -cráneo I-EXPLORATION -con I-EXPLORATION -hematoma I-EXPLORATION -subdural I-EXPLORATION -derecho I-EXPLORATION -subagudo I-EXPLORATION -con I-EXPLORATION -efecto I-EXPLORATION -de I-EXPLORATION -masa I-EXPLORATION -y I-EXPLORATION -tendencia I-EXPLORATION -a I-EXPLORATION -herniación I-EXPLORATION -con I-EXPLORATION -hipodensidad I-EXPLORATION -de I-EXPLORATION -todo I-EXPLORATION -el I-EXPLORATION -hemisferio I-EXPLORATION -cerebral I-EXPLORATION -ipsilateral I-EXPLORATION -sugestivo I-EXPLORATION -de I-EXPLORATION -isquemia I-EXPLORATION -por B-TREATMENT -lo I-TREATMENT -que I-TREATMENT -se I-TREATMENT -lleva I-TREATMENT -nuevamente I-TREATMENT -a I-TREATMENT -cirugía I-TREATMENT -de I-TREATMENT -emergencia I-TREATMENT -–drepanotomía–. I-TREATMENT -El B-EXPLORATION -TC I-EXPLORATION -posterior I-EXPLORATION -no I-EXPLORATION -demostró I-EXPLORATION -cambios I-EXPLORATION -significativos. I-EXPLORATION -Con B-EVOLUTION -estos I-EVOLUTION -hallazgos I-EVOLUTION -se I-EVOLUTION -retira I-EVOLUTION -sedación I-EVOLUTION -del I-EVOLUTION -paciente, I-EVOLUTION -2 I-EVOLUTION -días I-EVOLUTION -después I-EVOLUTION -presenta I-EVOLUTION -hipernatremia I-EVOLUTION -y I-EVOLUTION -fiebre, I-EVOLUTION -luego I-EVOLUTION -de I-EVOLUTION -dos I-EVOLUTION -evaluaciones I-EVOLUTION -se I-EVOLUTION -declara I-EVOLUTION -muerte I-EVOLUTION -encefálica. I-EVOLUTION - I-EVOLUTION - -Paciente B-PRESENT_ILLNESS -sexo I-PRESENT_ILLNESS -masculino, I-PRESENT_ILLNESS -81 I-PRESENT_ILLNESS -años, I-PRESENT_ILLNESS -portador B-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -poliartritis I-PAST_MEDICAL_HISTORY -simétrica I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -manos, I-PAST_MEDICAL_HISTORY -que I-PAST_MEDICAL_HISTORY -en I-PAST_MEDICAL_HISTORY -un I-PAST_MEDICAL_HISTORY -inicio I-PAST_MEDICAL_HISTORY -fue I-PAST_MEDICAL_HISTORY -catalogado I-PAST_MEDICAL_HISTORY -como I-PAST_MEDICAL_HISTORY -artritis I-PAST_MEDICAL_HISTORY -seronegativa; I-PAST_MEDICAL_HISTORY -años I-PAST_MEDICAL_HISTORY -más I-PAST_MEDICAL_HISTORY -tarde I-PAST_MEDICAL_HISTORY -se I-PAST_MEDICAL_HISTORY -agregó I-PAST_MEDICAL_HISTORY -cuadro I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -dolor I-PAST_MEDICAL_HISTORY -urente I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -parestesias I-PAST_MEDICAL_HISTORY -en I-PAST_MEDICAL_HISTORY -extremidades I-PAST_MEDICAL_HISTORY -inferiores. I-PAST_MEDICAL_HISTORY -Se I-PAST_MEDICAL_HISTORY -repitió I-PAST_MEDICAL_HISTORY -el I-PAST_MEDICAL_HISTORY -estudio, I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -dado I-PAST_MEDICAL_HISTORY -MPO I-PAST_MEDICAL_HISTORY -(+) I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -biopsia I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -nervio I-PAST_MEDICAL_HISTORY -sural I-PAST_MEDICAL_HISTORY -compatible I-PAST_MEDICAL_HISTORY -con I-PAST_MEDICAL_HISTORY -vasculitis I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -vaso I-PAST_MEDICAL_HISTORY -pequeño, I-PAST_MEDICAL_HISTORY -se I-PAST_MEDICAL_HISTORY -estableció I-PAST_MEDICAL_HISTORY -el I-PAST_MEDICAL_HISTORY -diagnóstico I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -vasculitis I-PAST_MEDICAL_HISTORY -asociada I-PAST_MEDICAL_HISTORY -a I-PAST_MEDICAL_HISTORY -ANCA I-PAST_MEDICAL_HISTORY -(MPO I-PAST_MEDICAL_HISTORY -(+)), I-PAST_MEDICAL_HISTORY -con I-PAST_MEDICAL_HISTORY -compromiso I-PAST_MEDICAL_HISTORY -pulmonar I-PAST_MEDICAL_HISTORY -(Usual I-PAST_MEDICAL_HISTORY -Interstitial I-PAST_MEDICAL_HISTORY -Pneumonia I-PAST_MEDICAL_HISTORY -[UIP], I-PAST_MEDICAL_HISTORY -demostrado I-PAST_MEDICAL_HISTORY -por I-PAST_MEDICAL_HISTORY -tomografía I-PAST_MEDICAL_HISTORY -axial I-PAST_MEDICAL_HISTORY -computada I-PAST_MEDICAL_HISTORY -[TAC]), I-PAST_MEDICAL_HISTORY -articular I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -neurológico. I-PAST_MEDICAL_HISTORY -Además, I-PAST_MEDICAL_HISTORY -con I-PAST_MEDICAL_HISTORY -antecedente I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -cardiopatía I-PAST_MEDICAL_HISTORY -coronaria, I-PAST_MEDICAL_HISTORY -insuficiencia I-PAST_MEDICAL_HISTORY -cardíaca I-PAST_MEDICAL_HISTORY -CF I-PAST_MEDICAL_HISTORY -I-II I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -enfermedad I-PAST_MEDICAL_HISTORY -renal I-PAST_MEDICAL_HISTORY -crónica I-PAST_MEDICAL_HISTORY -(ERC) I-PAST_MEDICAL_HISTORY -etapa I-PAST_MEDICAL_HISTORY -3. I-PAST_MEDICAL_HISTORY -Desde I-PAST_MEDICAL_HISTORY -el I-PAST_MEDICAL_HISTORY -punto I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -vista I-PAST_MEDICAL_HISTORY -cardiológico, I-PAST_MEDICAL_HISTORY -el I-PAST_MEDICAL_HISTORY -paciente I-PAST_MEDICAL_HISTORY -había I-PAST_MEDICAL_HISTORY -presentado I-PAST_MEDICAL_HISTORY -un I-PAST_MEDICAL_HISTORY -síndrome I-PAST_MEDICAL_HISTORY -coronario I-PAST_MEDICAL_HISTORY -agudo I-PAST_MEDICAL_HISTORY -en I-PAST_MEDICAL_HISTORY -el I-PAST_MEDICAL_HISTORY -año I-PAST_MEDICAL_HISTORY -2012, I-PAST_MEDICAL_HISTORY -cuya I-PAST_MEDICAL_HISTORY -coronariografía I-PAST_MEDICAL_HISTORY -mostraba I-PAST_MEDICAL_HISTORY -oclusión I-PAST_MEDICAL_HISTORY -del I-PAST_MEDICAL_HISTORY -ramo I-PAST_MEDICAL_HISTORY -marginal I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -estenosis I-PAST_MEDICAL_HISTORY -no I-PAST_MEDICAL_HISTORY -significativa I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -vasos I-PAST_MEDICAL_HISTORY -principales. I-PAST_MEDICAL_HISTORY -Ecocardiograma I-PAST_MEDICAL_HISTORY -con I-PAST_MEDICAL_HISTORY -hipertrofia I-PAST_MEDICAL_HISTORY -del I-PAST_MEDICAL_HISTORY -ventrículo I-PAST_MEDICAL_HISTORY -izquierdo I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -leve I-PAST_MEDICAL_HISTORY -hipertensión I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -la I-PAST_MEDICAL_HISTORY -arteria I-PAST_MEDICAL_HISTORY -pulmonar. I-PAST_MEDICAL_HISTORY -Al I-PAST_MEDICAL_HISTORY -momento I-PAST_MEDICAL_HISTORY -del I-PAST_MEDICAL_HISTORY -diagnóstico I-PAST_MEDICAL_HISTORY -se I-PAST_MEDICAL_HISTORY -intentó I-PAST_MEDICAL_HISTORY -usar I-PAST_MEDICAL_HISTORY -ciclofosfamida I-PAST_MEDICAL_HISTORY -oral, I-PAST_MEDICAL_HISTORY -sin I-PAST_MEDICAL_HISTORY -embargo, I-PAST_MEDICAL_HISTORY -el I-PAST_MEDICAL_HISTORY -paciente I-PAST_MEDICAL_HISTORY -presentó I-PAST_MEDICAL_HISTORY -pancitopenia I-PAST_MEDICAL_HISTORY -severa, I-PAST_MEDICAL_HISTORY -por I-PAST_MEDICAL_HISTORY -lo I-PAST_MEDICAL_HISTORY -que I-PAST_MEDICAL_HISTORY -se I-PAST_MEDICAL_HISTORY -suspendió. I-PAST_MEDICAL_HISTORY - I-PAST_MEDICAL_HISTORY -En I-PAST_MEDICAL_HISTORY -tratamiento I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -mantención I-PAST_MEDICAL_HISTORY -por I-PAST_MEDICAL_HISTORY -4 I-PAST_MEDICAL_HISTORY -años I-PAST_MEDICAL_HISTORY -con I-PAST_MEDICAL_HISTORY -prednisona I-PAST_MEDICAL_HISTORY -5 I-PAST_MEDICAL_HISTORY -mg/día I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -azatioprina I-PAST_MEDICAL_HISTORY -50 I-PAST_MEDICAL_HISTORY -mg/día. I-PAST_MEDICAL_HISTORY -Estable I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -asintomático. I-PAST_MEDICAL_HISTORY -Las I-PAST_MEDICAL_HISTORY -semanas I-PAST_MEDICAL_HISTORY -previas I-PAST_MEDICAL_HISTORY -a I-PAST_MEDICAL_HISTORY -la I-PAST_MEDICAL_HISTORY -última I-PAST_MEDICAL_HISTORY -consulta I-PAST_MEDICAL_HISTORY -se I-PAST_MEDICAL_HISTORY -diagnosticó I-PAST_MEDICAL_HISTORY -reactivación I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -su I-PAST_MEDICAL_HISTORY -vasculitis, I-PAST_MEDICAL_HISTORY -caracterizada I-PAST_MEDICAL_HISTORY -por I-PAST_MEDICAL_HISTORY -reinicio I-PAST_MEDICAL_HISTORY -del I-PAST_MEDICAL_HISTORY -dolor I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -parestesias I-PAST_MEDICAL_HISTORY -en I-PAST_MEDICAL_HISTORY -extremidades I-PAST_MEDICAL_HISTORY -inferiores, I-PAST_MEDICAL_HISTORY -intenso I-PAST_MEDICAL_HISTORY -livedo I-PAST_MEDICAL_HISTORY -reticularis I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -aumento I-PAST_MEDICAL_HISTORY -progresivo I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -VHS I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -PCR, I-PAST_MEDICAL_HISTORY -decidiéndose I-PAST_MEDICAL_HISTORY -inducción I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -la I-PAST_MEDICAL_HISTORY -remisión I-PAST_MEDICAL_HISTORY -con I-PAST_MEDICAL_HISTORY -rituximab I-PAST_MEDICAL_HISTORY -(no I-PAST_MEDICAL_HISTORY -se I-PAST_MEDICAL_HISTORY -tomó I-PAST_MEDICAL_HISTORY -nueva I-PAST_MEDICAL_HISTORY -biopsia). I-PAST_MEDICAL_HISTORY -Exámenes I-PAST_MEDICAL_HISTORY -previos I-PAST_MEDICAL_HISTORY -al I-PAST_MEDICAL_HISTORY -procedimiento: I-PAST_MEDICAL_HISTORY -Hemoglobina I-PAST_MEDICAL_HISTORY -13, I-PAST_MEDICAL_HISTORY -9 I-PAST_MEDICAL_HISTORY -g/dL, I-PAST_MEDICAL_HISTORY -glóbulos I-PAST_MEDICAL_HISTORY -blancos I-PAST_MEDICAL_HISTORY -12.300/mm³, I-PAST_MEDICAL_HISTORY -VHS I-PAST_MEDICAL_HISTORY -64 I-PAST_MEDICAL_HISTORY -mm/h, I-PAST_MEDICAL_HISTORY -creatinina I-PAST_MEDICAL_HISTORY -1, I-PAST_MEDICAL_HISTORY -39 I-PAST_MEDICAL_HISTORY -mg/dL, I-PAST_MEDICAL_HISTORY -nitrógeno I-PAST_MEDICAL_HISTORY -ureico I-PAST_MEDICAL_HISTORY -23 I-PAST_MEDICAL_HISTORY -mg/dL, I-PAST_MEDICAL_HISTORY -glicemia I-PAST_MEDICAL_HISTORY -101 I-PAST_MEDICAL_HISTORY -mg/dL, I-PAST_MEDICAL_HISTORY -albúmina I-PAST_MEDICAL_HISTORY -4 I-PAST_MEDICAL_HISTORY -g/dL, I-PAST_MEDICAL_HISTORY -colesterol I-PAST_MEDICAL_HISTORY -total I-PAST_MEDICAL_HISTORY -145 I-PAST_MEDICAL_HISTORY -mg/dl, I-PAST_MEDICAL_HISTORY -bilirrubina I-PAST_MEDICAL_HISTORY -total I-PAST_MEDICAL_HISTORY -0, I-PAST_MEDICAL_HISTORY -5 I-PAST_MEDICAL_HISTORY -mg/dL. I-PAST_MEDICAL_HISTORY - I-PAST_MEDICAL_HISTORY -Se I-PAST_MEDICAL_HISTORY -hospitalizó I-PAST_MEDICAL_HISTORY -para I-PAST_MEDICAL_HISTORY -su I-PAST_MEDICAL_HISTORY -administración, I-PAST_MEDICAL_HISTORY -premedicándose I-PAST_MEDICAL_HISTORY -con I-PAST_MEDICAL_HISTORY -metilprednisolona I-PAST_MEDICAL_HISTORY -(125 I-PAST_MEDICAL_HISTORY -mg), I-PAST_MEDICAL_HISTORY -transcurriendo I-PAST_MEDICAL_HISTORY -sin I-PAST_MEDICAL_HISTORY -incidentes I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -enviado I-PAST_MEDICAL_HISTORY -a I-PAST_MEDICAL_HISTORY -su I-PAST_MEDICAL_HISTORY -domicilio. I-PAST_MEDICAL_HISTORY -Sin I-PAST_MEDICAL_HISTORY -embargo, I-PAST_MEDICAL_HISTORY -aproximadamente I-PAST_MEDICAL_HISTORY -a I-PAST_MEDICAL_HISTORY -las I-PAST_MEDICAL_HISTORY -24 I-PAST_MEDICAL_HISTORY -h I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -su I-PAST_MEDICAL_HISTORY -infusión I-PAST_MEDICAL_HISTORY -inició I-PAST_MEDICAL_HISTORY -fiebre I-PAST_MEDICAL_HISTORY -hasta I-PAST_MEDICAL_HISTORY -39, I-PAST_MEDICAL_HISTORY -8 I-PAST_MEDICAL_HISTORY -°C, I-PAST_MEDICAL_HISTORY -dificultad I-PAST_MEDICAL_HISTORY -respiratoria, I-PAST_MEDICAL_HISTORY -tos I-PAST_MEDICAL_HISTORY -con I-PAST_MEDICAL_HISTORY -expectoración I-PAST_MEDICAL_HISTORY -mucopurulenta I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -marcado I-PAST_MEDICAL_HISTORY -compromiso I-PAST_MEDICAL_HISTORY -del I-PAST_MEDICAL_HISTORY -estado I-PAST_MEDICAL_HISTORY -general. I-PAST_MEDICAL_HISTORY - I-PAST_MEDICAL_HISTORY -Consultó B-PRESENT_ILLNESS -al I-PRESENT_ILLNESS -servicio I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -urgencias, I-PRESENT_ILLNESS -donde I-PRESENT_ILLNESS -se I-PRESENT_ILLNESS -evidenció I-PRESENT_ILLNESS -febril I-PRESENT_ILLNESS -(38, I-PRESENT_ILLNESS -3 I-PRESENT_ILLNESS -°C), I-PRESENT_ILLNESS -hipotenso I-PRESENT_ILLNESS -(PAM I-PRESENT_ILLNESS -49 I-PRESENT_ILLNESS -mmHg), I-PRESENT_ILLNESS -desaturando I-PRESENT_ILLNESS -89% I-PRESENT_ILLNESS -ambiental I-PRESENT_ILLNESS -y I-PRESENT_ILLNESS -polipneico I-PRESENT_ILLNESS -(FR I-PRESENT_ILLNESS -29x’). I-PRESENT_ILLNESS -Al B-EXPLORATION -examen I-EXPLORATION -físico I-EXPLORATION -se I-EXPLORATION -constató I-EXPLORATION -mal I-EXPLORATION -perfundido I-EXPLORATION -y I-EXPLORATION -con I-EXPLORATION -uso I-EXPLORATION -de I-EXPLORATION -musculatura I-EXPLORATION -accesoria. I-EXPLORATION -Exámenes I-EXPLORATION -de I-EXPLORATION -laboratorio: I-EXPLORATION -Hemoglobina I-EXPLORATION -14, I-EXPLORATION -4 I-EXPLORATION -g/dL, I-EXPLORATION -leucocitos I-EXPLORATION -5.200/mm³, I-EXPLORATION -proteína I-EXPLORATION -C I-EXPLORATION -reactiva I-EXPLORATION -177 I-EXPLORATION -mg/L, I-EXPLORATION -gases I-EXPLORATION -arteriales: I-EXPLORATION -pH I-EXPLORATION -7, I-EXPLORATION -49; I-EXPLORATION -pO2 I-EXPLORATION -53 I-EXPLORATION -mmHg; I-EXPLORATION -HCO3 I-EXPLORATION -19 I-EXPLORATION -mEq/L; I-EXPLORATION -SatO2 I-EXPLORATION -91%; I-EXPLORATION -PaFi I-EXPLORATION -254, I-EXPLORATION -lactato I-EXPLORATION -arterial I-EXPLORATION -23 I-EXPLORATION -mmol, I-EXPLORATION -troponina I-EXPLORATION -0, I-EXPLORATION -07 I-EXPLORATION -ng/mL, I-EXPLORATION -BNP I-EXPLORATION -254 I-EXPLORATION -ug/l, I-EXPLORATION -creatinina I-EXPLORATION -1, I-EXPLORATION -87 I-EXPLORATION -mg/dL, I-EXPLORATION -nitrógeno I-EXPLORATION -ureico I-EXPLORATION -33 I-EXPLORATION -mg/dL. I-EXPLORATION -Radiografía I-EXPLORATION -de I-EXPLORATION -tórax: I-EXPLORATION -cardiomegalia, I-EXPLORATION -hallazgos I-EXPLORATION -secundarios I-EXPLORATION -a I-EXPLORATION -UIP, I-EXPLORATION -sin I-EXPLORATION -signos I-EXPLORATION -de I-EXPLORATION -condensación, I-EXPLORATION -congestión I-EXPLORATION -ni I-EXPLORATION -derrame I-EXPLORATION -pleural I-EXPLORATION -evidentes. I-EXPLORATION -Electrocardiograma: I-EXPLORATION -ritmo I-EXPLORATION -sinusal, I-EXPLORATION -sin I-EXPLORATION -alteraciones. I-EXPLORATION - I-EXPLORATION -Se I-EXPLORATION -volemizó I-EXPLORATION -vigorosamente, I-EXPLORATION -persistiendo I-EXPLORATION -hipotenso, I-EXPLORATION -por I-EXPLORATION -lo I-EXPLORATION -que I-EXPLORATION -ingresó I-EXPLORATION -a I-EXPLORATION -UTI I-EXPLORATION -para I-EXPLORATION -manejo. I-EXPLORATION -Se B-TREATMENT -tomaron I-TREATMENT -hemocultivos I-TREATMENT -y I-TREATMENT -se I-TREATMENT -inició I-TREATMENT -empíricamente I-TREATMENT -tratamiento I-TREATMENT -antimicrobiano I-TREATMENT -con I-TREATMENT -moxifloxacino I-TREATMENT -(completa I-TREATMENT -10 I-TREATMENT -días) I-TREATMENT -y I-TREATMENT -oseltamivir I-TREATMENT -(completa I-TREATMENT -5 I-TREATMENT -días). I-TREATMENT -Además, I-TREATMENT -se I-TREATMENT -inició I-TREATMENT -uso I-TREATMENT -de I-TREATMENT -vasoactivos I-TREATMENT -y I-TREATMENT -corticoides I-TREATMENT -en I-TREATMENT -dosis I-TREATMENT -de I-TREATMENT -estrés. I-TREATMENT - I-TREATMENT -Evolucionó I-TREATMENT -con I-TREATMENT -requerimientos I-TREATMENT -de I-TREATMENT -noradrenalina I-TREATMENT -hasta I-TREATMENT -0, I-TREATMENT -1 I-TREATMENT -mcg/kg/min, I-TREATMENT -que I-TREATMENT -se I-TREATMENT -lograron I-TREATMENT -suspender I-TREATMENT -a I-TREATMENT -las I-TREATMENT -12 I-TREATMENT -h. I-TREATMENT -Se B-EXPLORATION -obtuvo I-EXPLORATION -muestra I-EXPLORATION -para I-EXPLORATION -panel I-EXPLORATION -viral I-EXPLORATION -y I-EXPLORATION -PCR I-EXPLORATION -viral I-EXPLORATION -(-), I-EXPLORATION -hemocultivos I-EXPLORATION -(-), I-EXPLORATION -urocultivo I-EXPLORATION -(-) I-EXPLORATION -y I-EXPLORATION -ausencia I-EXPLORATION -de I-EXPLORATION -leucocitosis I-EXPLORATION -en I-EXPLORATION -mediciones I-EXPLORATION -seriadas. I-EXPLORATION -TAC I-EXPLORATION -tórax I-EXPLORATION -no I-EXPLORATION -presentaba I-EXPLORATION -focos I-EXPLORATION -de I-EXPLORATION -condensación I-EXPLORATION -ni I-EXPLORATION -derrame I-EXPLORATION -pleural I-EXPLORATION -asociado. I-EXPLORATION - I-EXPLORATION -Evolucionó B-EVOLUTION -con I-EVOLUTION -rápida I-EVOLUTION -remisión I-EVOLUTION -de I-EVOLUTION -todos I-EVOLUTION -los I-EVOLUTION -síntomas I-EVOLUTION -y I-EVOLUTION -en I-EVOLUTION -menos I-EVOLUTION -de I-EVOLUTION -48 I-EVOLUTION -h I-EVOLUTION -se I-EVOLUTION -trasladó I-EVOLUTION -a I-EVOLUTION -unidad I-EVOLUTION -de I-EVOLUTION -menor I-EVOLUTION -complejidad. I-EVOLUTION - I-EVOLUTION - -Mujer B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -62 I-PRESENT_ILLNESS -años, I-PRESENT_ILLNESS -con B-PAST_MEDICAL_HISTORY -los I-PAST_MEDICAL_HISTORY -antecedentes I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -HTA, I-PAST_MEDICAL_HISTORY -diabetes I-PAST_MEDICAL_HISTORY -mellitus I-PAST_MEDICAL_HISTORY -tipo I-PAST_MEDICAL_HISTORY -2 I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -EPOC I-PAST_MEDICAL_HISTORY -secundario I-PAST_MEDICAL_HISTORY -a I-PAST_MEDICAL_HISTORY -tabaquismo, I-PAST_MEDICAL_HISTORY -consultó B-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -su I-PRESENT_ILLNESS -hospital I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -origen I-PRESENT_ILLNESS -por I-PRESENT_ILLNESS -dos I-PRESENT_ILLNESS -días I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -evolución I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -dolor I-PRESENT_ILLNESS -abdominal I-PRESENT_ILLNESS -intenso I-PRESENT_ILLNESS -asociado I-PRESENT_ILLNESS -a I-PRESENT_ILLNESS -vómitos. I-PRESENT_ILLNESS -Se B-EXPLORATION -realizó I-EXPLORATION -un I-EXPLORATION -estudio I-EXPLORATION -ecográfico I-EXPLORATION -y I-EXPLORATION -tomografía I-EXPLORATION -computada I-EXPLORATION -(TC) I-EXPLORATION -que I-EXPLORATION -visualizó I-EXPLORATION -un I-EXPLORATION -aneurisma I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -aorta I-EXPLORATION -abdominal I-EXPLORATION -(diámetro I-EXPLORATION -de I-EXPLORATION -5, I-EXPLORATION -6 I-EXPLORATION -cm) I-EXPLORATION -y I-EXPLORATION -una I-EXPLORATION -UPAA I-EXPLORATION -no I-EXPLORATION -complicada, I-EXPLORATION -por I-EXPLORATION -lo I-EXPLORATION -que I-EXPLORATION -se I-EXPLORATION -derivó I-EXPLORATION -a I-EXPLORATION -nuestro I-EXPLORATION -hospital. I-EXPLORATION - I-EXPLORATION -Ingresó I-EXPLORATION -a I-EXPLORATION -nuestro I-EXPLORATION -centro I-EXPLORATION -y I-EXPLORATION -se I-EXPLORATION -descartó I-EXPLORATION -que I-EXPLORATION -el I-EXPLORATION -dolor I-EXPLORATION -fuera I-EXPLORATION -secundario I-EXPLORATION -a I-EXPLORATION -una I-EXPLORATION -complicación I-EXPLORATION -del I-EXPLORATION -aneurisma I-EXPLORATION -abdominal, I-EXPLORATION -se I-EXPLORATION -realizó I-EXPLORATION -ecografía I-EXPLORATION -abdominal I-EXPLORATION -que I-EXPLORATION -sugirió I-EXPLORATION -proceso I-EXPLORATION -infeccioso I-EXPLORATION -en I-EXPLORATION -fosa I-EXPLORATION -iliaca I-EXPLORATION -derecha. I-EXPLORATION -Con I-EXPLORATION -los I-EXPLORATION -antecedentes I-EXPLORATION -reunidos, I-EXPLORATION -se I-EXPLORATION -catalogó I-EXPLORATION -como I-EXPLORATION -abdomen I-EXPLORATION -agudo I-EXPLORATION -apendicular I-EXPLORATION -y I-EXPLORATION -se I-EXPLORATION -realizó I-EXPLORATION -una I-EXPLORATION -laparotomía I-EXPLORATION -exploradora I-EXPLORATION -encontrándose I-EXPLORATION -tiflitis I-EXPLORATION -y I-EXPLORATION -necrosis I-EXPLORATION -intestinal, I-EXPLORATION -por B-TREATMENT -lo I-TREATMENT -que I-TREATMENT -se I-TREATMENT -decidió I-TREATMENT -efectuar I-TREATMENT -una I-TREATMENT -resección I-TREATMENT -e I-TREATMENT -íleo-ascendo-anastomosis. I-TREATMENT - I-TREATMENT -Posteriormente, B-EXPLORATION -debido I-EXPLORATION -al I-EXPLORATION -tiempo I-EXPLORATION -transcurrido, I-EXPLORATION -se I-EXPLORATION -realizó I-EXPLORATION -nuevo I-EXPLORATION -Angio-TC I-EXPLORATION -que I-EXPLORATION -mostró I-EXPLORATION -UPAA, I-EXPLORATION -con I-EXPLORATION -paso I-EXPLORATION -de I-EXPLORATION -contraste I-EXPLORATION -que I-EXPLORATION -se I-EXPLORATION -extendía I-EXPLORATION -más I-EXPLORATION -allá I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -pared I-EXPLORATION -aórtica, I-EXPLORATION -sin I-EXPLORATION -clínica I-EXPLORATION -de I-EXPLORATION -SAA. I-EXPLORATION -Se I-EXPLORATION -efectuó I-EXPLORATION -estudio I-EXPLORATION -preoperatorio I-EXPLORATION -con I-EXPLORATION -coronariografía I-EXPLORATION -que I-EXPLORATION -no I-EXPLORATION -mostró I-EXPLORATION -lesiones I-EXPLORATION -significativas I-EXPLORATION -y I-EXPLORATION -ecocardiografía I-EXPLORATION -que I-EXPLORATION -demostró I-EXPLORATION -hipertrofia I-EXPLORATION -ventricular I-EXPLORATION -izquierda, I-EXPLORATION -disfunción I-EXPLORATION -diastólica I-EXPLORATION -tipo I-EXPLORATION -II I-EXPLORATION -y I-EXPLORATION -dilatación I-EXPLORATION -de I-EXPLORATION -aurícula I-EXPLORATION -izquierda. I-EXPLORATION - I-EXPLORATION -Debido B-TREATMENT -al I-TREATMENT -alto I-TREATMENT -riesgo I-TREATMENT -que I-TREATMENT -representaba I-TREATMENT -la I-TREATMENT -UPAA, I-TREATMENT -se I-TREATMENT -decidió I-TREATMENT -cirugía, I-TREATMENT -que I-TREATMENT -se I-TREATMENT -realizó I-TREATMENT -5 I-TREATMENT -semanas I-TREATMENT -posterior I-TREATMENT -a I-TREATMENT -la I-TREATMENT -cirugía I-TREATMENT -abdominal. I-TREATMENT -Se I-TREATMENT -abordó I-TREATMENT -por I-TREATMENT -esternotomía I-TREATMENT -y I-TREATMENT -se I-TREATMENT -realizó I-TREATMENT -bajo I-TREATMENT -CEC I-TREATMENT -reemplazo I-TREATMENT -con I-TREATMENT -prótesis I-TREATMENT -de I-TREATMENT -dacron I-TREATMENT -Gelware™#26. I-TREATMENT -Se I-TREATMENT -observó I-TREATMENT -en I-TREATMENT -el I-TREATMENT -intraoperatorio I-TREATMENT -una I-TREATMENT -lesión I-TREATMENT -pulsátil I-TREATMENT -de I-TREATMENT -alrededor I-TREATMENT -de I-TREATMENT -dos I-TREATMENT -centímetros I-TREATMENT -de I-TREATMENT -diámetro I-TREATMENT -en I-TREATMENT -la I-TREATMENT -cara I-TREATMENT -anterior I-TREATMENT -de I-TREATMENT -la I-TREATMENT -AA I-TREATMENT -y, I-TREATMENT -al I-TREATMENT -diseccionar I-TREATMENT -la I-TREATMENT -AA, I-TREATMENT -se I-TREATMENT -encontraron I-TREATMENT -tres I-TREATMENT -úlceras, I-TREATMENT -una I-TREATMENT -de I-TREATMENT -ellas I-TREATMENT -a I-TREATMENT -un I-TREATMENT -centímetro I-TREATMENT -del I-TREATMENT -ostium I-TREATMENT -coronario I-TREATMENT -derecho I-TREATMENT -y I-TREATMENT -no I-TREATMENT -se I-TREATMENT -observó I-TREATMENT -disección I-TREATMENT -aórtica.. 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I-EVOLUTION - I-EVOLUTION \ No newline at end of file