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dc.contributor.authorAzañero Reyna, Rubén*
dc.contributor.authorRamírez Erazo, Julio*
dc.contributor.authorGonzales Albarracín, Juan*
dc.contributor.authorGonzáles Vásquez, Deysi*
dc.date.accessioned2016-07-19T14:08:46Z
dc.date.available2016-07-19T14:08:46Z
dc.date.issued2016-06
dc.identifier.issn2413-2608
dc.identifier.urihttp://hdl.handle.net/10757/617219es_PE
dc.description.abstract15 years old, male, with 2 months clinical record characterized by profuse sweating and lower limbs pain that produced trouble on walking. Increased pain intensity was associated to tachypnea nausea,vomiting and dyspnea after walking 50 m.Beside it he had dyspnea at rest and lower limb edema. He entered to Dos de Mayo National Hospital (HNDM) on 04.27.2016, presenting palpitations and dyspnea at small efforts. HNDM, Department of Cardiology, diagnosed : severe mitral and aortic insufficiency, mild tricuspid regurgitation and pulmonary hypertension. Arterial pulse: 104 beats/min, FR: 32 breaths/min, PA: 110/50 mm Hg, T °: 36.5 ° C, tip heart beat at 7th left intercostal space, diastolic murmur III/IV at aortic focus, systolic murmur III/IV at mitral focus, water hammer radial pulse, glucose 74 mg/dl, creatinine 0.47 mg/dL, antiesptreptolisina (ASO) : 355 IU/ml, AAN: negative, Hb: 11.6 g / dl, total proteins: 6.09gr/dl, albumin: 3.19gr/dL globulin : 2.90gr/dl, Echocardiogram : severe dilated atrium and left ventricle hypertrophy, dilated right atrium, pulmonary artery and branches dilatation. Severe aortic and mitral insufficiency, mild tricuspid regurgitation. After valve replacement, the patient showed remarkable improvement.
dc.formatapplication/pdfes_PE
dc.language.isospaes_PE
dc.publisherCuerpo Médico del Hospital Nacional Dos de Mayoes_PE
dc.relation.urlhttp://cuerpomedico.hdosdemayo.gob.pe/index.php/revistamedicacarrionica/article/view/114es_PE
dc.rightsinfo:eu-repo/semantics/openAccesses_PE
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/es_PE
dc.sourceUniversidad Peruana de Ciencias Aplicadas (UPC)es_PE
dc.sourceRepositorio Académico - UPCes_PE
dc.subjectInsuficiencia aorticaes_PE
dc.subjectInsuficiencia mitrales_PE
dc.subjectFiebre reumáticaes_PE
dc.subjectAortic regurgitationes_PE
dc.subjectMitral insufficiencyes_PE
dc.subjectRheumatic fever.es_PE
dc.titleFiebre reumática, asociada a insuficiencia aórtica y mitral severaes_PE
dc.title.alternativeRheumatic fever associated to severe aortic and mitral failurees_PE
dc.typeinfo:eu-repo/semantics/articlees_PE
dc.identifier.journalRevista Médica Carrionica (Rev. med. carriónica)es_PE
refterms.dateFOA2018-06-15T21:36:03Z
html.description.abstractVarón de 15 años, con 2 meses de enfermedad caracterizada por sudoración profusa y dolor en miembros inferiores que le dificultaba caminar. El dolor aumento de intensidad asociándose después a taquipnea y disnea al caminar 50 m más náuseas y vómitos, disnea en reposo y edema de miembros inferiores. Ingreso por Emergencia al Hospital Nacional Dos de Mayo (HNDM) el 27/04/2016, presentando a su ingreso palpitaciones y disnea a pequeños esfuerzos. El Servicio de Cardiología del HNDM, diagnostico : Insuficiencia aórtica y mitral severa, insuficiencia tricúspidea leve e hipertensión pulmonar. Pulso arterial: 104 lat/min, FR: 32 resp/min, PA: 110/50 mm Hg, T°: 36,5°C, choque de la punta en 7mo espacio intercostal izquierdo, Soplo diastólico III/IV en foco aórtico, S sistólico III/IV en foco mitral, pulso radial en martillo de agua. Glucosa 74 mg/dl., creatinina 0.47 mg/dl, antiesptreptolisina (ASO) : 355 IU/ml, AAN: negativo, Hb : 11.6 g/dl, Proteínas Totales: 6.09gr/dl, albumina: 3.19gr/dl, globulina : 2.90gr/dl, Ecocardiograma: dilatación severa de aurícula y ventrículo izquierdo, hipertrofia de VI, dilatación de aurícula derecha, dilatación de arteria pulmonar y ramas. Insuficiencia severa aórtica y mitral, insuficiencia tricuspídea leve. Sometido a reemplazo valvular, hubo notable mejoria.
html.description.abstract15 years old, male, with 2 months clinical record characterized by profuse sweating and lower limbs pain that produced trouble on walking. Increased pain intensity was associated to tachypnea nausea,vomiting and dyspnea after walking 50 m.Beside it he had dyspnea at rest and lower limb edema. He entered to Dos de Mayo National Hospital (HNDM) on 04.27.2016, presenting palpitations and dyspnea at small efforts. HNDM, Department of Cardiology, diagnosed : severe mitral and aortic insufficiency, mild tricuspid regurgitation and pulmonary hypertension. Arterial pulse: 104 beats/min, FR: 32 breaths/min, PA: 110/50 mm Hg, T °: 36.5 ° C, tip heart beat at 7th left intercostal space, diastolic murmur III/IV at aortic focus, systolic murmur III/IV at mitral focus, water hammer radial pulse, glucose 74 mg/dl, creatinine 0.47 mg/dL, antiesptreptolisina (ASO) : 355 IU/ml, AAN: negative, Hb: 11.6 g / dl, total proteins: 6.09gr/dl, albumin: 3.19gr/dL globulin : 2.90gr/dl, Echocardiogram : severe dilated atrium and left ventricle hypertrophy, dilated right atrium, pulmonary artery and branches dilatation. Severe aortic and mitral insufficiency, mild tricuspid regurgitation. After valve replacement, the patient showed remarkable improvement.


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