Methimazole-Induced Pancytopenia in a Patient with Graves' Disease: A Case Report and Literature Review.

Introduction: Methimazole is an antithyroid drug known to cause hematological toxicity, including agranulocytosis and, very rarely, pancytopenia. We herein present a case of a patient with Graves' Disease (GD) who developed methimazole-induced pancytopenia.

Case Report: A 53-year-old Peruvian woman with GD, initially treated with methimazole 20 mg BID, experienced odynophagia, fever, and malaise after 37 days of treatment.

[Hepatic tumor or giant liver fascciola?: case report].

Hepatic Fasciola is a frequent disease in the Peruvian highlands. We present a case of hepatic Fasciola from the Andean zone of La Libertad, with symptoms of several months of evolution with pain in the right hypochondrium, jaundice and coluria. An abdominal CT scan was performed, demonstrating a liver mass probable neoplasm, and was referred to the Institute of Neoplastic Diseases.

[Utility of the PANC 3 score as a predictor of severity in patients with acute pancreatitis].

Objective: To demonstrate that the PANC 3 score is useful as a predictor of severity in patients with acute pancreatitis.

Materials And Methods: Retrospective, observational study of diagnostic test type carried out in the Gastroenterology service in the Hospital Regional Docente de Trujillo which included a total of 160 patients with acute pancreatitis. Sensitivity, specificity, PPV and NPV of the PANC 3 score were calculated.

[Associated factors to the inadequate response to hepatitis B vaccine in HIV patients].

Objective: To establish the relationship among age, sex, body mass index, consumption of alcoholic beverages and cigarettes with the inadequate response to the vaccine against Hepatitis B in patients with HIV infection who were treated in the Clinical Unit of Infectious and Tropical Diseases of the Regional Hospital of Trujillo - Peru, from 2014 to 2015.

Materials And Methods: The study was observational, retrospective, cross-sectional, type cases and controls.

Results: In the vaccinated patients, it was found that the age ≥ 50 years old; with OR = 3.