Publications by authors named "Veronica Angeles Morales"

The COVID-19 pandemic has had a major global impact on the treatment of hospitalized surgical patients. Our study retrospectively evaluates the impact of the COVID-19 pandemic at a neurosurgical reference center in Mexico City. We compared the number of neurosurgeries, the rate and type of postoperative infections, the causative microorganisms and in-hospital mortality rates in a 4-year period, from the pre-pandemic year 2019 until 2022.

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Article Synopsis
  • Coccidioidal meningitis is a severe and often deadly condition that can complicate the diagnosis of chronic meningitis, leading to serious complications like hydrocephalus and vasculitis.
  • A study at a Mexican neurological center reviewed 11 cases over 20 years, finding high incidences of weight loss, neurological issues, and confirmed diagnoses through antigen testing in the majority of patients.
  • The results showed a troubling mortality rate of 46%, with many survivors left with lasting effects such as chronic headaches, cognitive impairments, and depression.
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Background: Central nervous system involvement due to aspergillosis is an extremely serious entity, particularly in patients with severe neutropenia, hematological diseases, or post-transplant cases. Immunocompetent patients can be infected by intense exposure, particularly iatrogenic after invasive procedures.

Case Description: We present the case of a 26-year-old male with a 1 year appendectomy background, which required epidural anesthesia.

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A 38-year-old male presented to the hospital with headache, fever, and meningeal signs. He had undergone a surgical review of a ventriculoperitoneal shunt system one month earlier. A head computed tomography scan showed hydrocephalus.

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Background: In previous studies of pneumococcal meningitis in adults within general hospitals or national cohorts, the most common predisposing conditions were otitis media, sinusitis, pneumonia, immunosuppression, alcoholism, and diabetes. The epidemiology of pneumococcal meningitis is changing because of the use of vaccines in childhood, and antibiotic resistance has increased.

Methods: We retrospectively reviewed the cases of patients with diagnoses of pneumococcal meningitis proved by an inflammatory cerebrospinal fluid (CSF) with a positive culture, treated during a period of 14 years at an adult neurosurgical neurologic referral center.

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Objective: To describe the results of 10 years of nosocomial infection (NI) surveillance at a neurological center and evaluate the impact of control measures.

Patients And Methods: A descriptive and retrospective study was performed at a reference center for adult neurologic and neurosurgical patients located in Mexico City. Between 1990 and 2000, the number, site and type of NI were registered.

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