52 results match your criteria: "La Raza National Medical Center[Affiliation]"

Direct-acting antivirals (DAA) are effective in patients with hepatitis C virus (HCV) infection, but there is little information about real-world effectiveness in people living with human immunodeficiency virus (PLH). The aim of this study was to determinate the effectiveness of DAA to achieve sustained virologic response at week 12 post-treatment (SVR12) in PLH with HCV coinfection and in people with HCV-monoinfection. We conducted a prospective cohort.

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Cervical lymph nodes can indicate various inflammatory or cancerous conditions. Ectopic thyroid carcinoma, particularly papillary carcinoma, can be found in resected lymph nodes even without clinical thyroid abnormalities, known as hidden (incidental) metastasis. We present the case of a 42-year-old woman with a 5 cm thyroid nodule and associated symptoms.

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Article Synopsis
  • Linear IgA bullous dermatosis (LABD) is a rare autoimmune condition typically treated with dapsone, though other immunomodulators are used if needed.
  • A recent case involved a 12-year-old boy with a severe skin condition diagnosed as LABD, confirmed through biopsy, and treated effectively with prednisone and cyclosporine.
  • The patient's condition improved significantly within 2 weeks, leading to further maintenance therapy with cyclosporine after initial treatments were paused due to side effects.
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  • Pilomatricoma is a benign skin tumor commonly found in children, but limited research exists on its epidemiology, often relying on basic statistics.
  • A study conducted in Mexico City over six years involved 52 children with confirmed cases of pilomatricoma, revealing patterns such as pain linked to larger lesions and various risk factors, including age and lesion characteristics.
  • The findings indicate that pilomatricomas vary in clinical presentation based on size, number, and location, with the head and neck being the most affected areas.
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  • Subdural hematoma is a common surgical issue in neurosurgery, but prefabricated drains are often inconsistently available due to various factors.
  • A research study analyzed the costs of different subdural drain options, revealing that available prefabricated drains can be quite expensive ($25 to $150), prompting the need for a low-cost alternative.
  • A guide for creating handmade subdural drains was developed, which emphasizes affordability and accessibility, especially for surgeons in developing countries, as these alternatives can be made for around $5.
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Purpose: To determine the incidence of non-alcoholic fatty liver disease (NAFLD) by non-invasive methods in people living with HIV (PLWH).

Methods: Prospective cohort, in PLWH naïve to antiretroviral therapy, starting bictegravir (BIC) or dolutegravir (DTG) at the Hospital de Infectología "La Raza", in Mexico City, from February 2021 to August 2023. We measured at baseline and 48 weeks triglycerides and glucose index (TyG), fatty liver index (FLI), hepatic steatosis index (HSI) and liver ultrasonography; relative risk (RR) for developing NAFLD was determined.

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Integrase strand transfer inhibitors (INSTI) are associated with neuropsychiatric adverse events (NPAEs). The aim of this study was to evaluate improvements in NPAEs after switching an INSTI-based regimen to darunavir/cobicistat (DRV/c) or doravirine (DOR). : A prospective cohort study was conducted to evaluate the reversibility of NPAEs via the Patient Health Questionnaire (PHQ-9), the Insomnia Severity Index (ISI), and the Hospital Anxiety and Depression Scale (HADS-A and D) in patients who started antiretroviral therapy with dolutegravir (DTG) or bictegravir (BIC).

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Perry syndrome (PS) is a rare autosomal dominant disease characterized by parkinsonism, central hypoventilation, weight loss and depression and is caused by pathogenic mutations in the dynactin subunit 1 () gene (encoding p150 protein). To date, only two cases have been reported in Latin America, specifically in Colombia and Argentina. The present study, to the best of our knowledge, reports the first recorded Mexican family with PS.

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Article Synopsis
  • The study examines cranial foramina, particularly the foramen ovale, as they are important for diagnosing and treating skull base pathologies, including trigeminal neuralgia and tumors.
  • Conducted at a neurosurgery department in Mexico City, the study involved 70 patients over 18 years old who underwent CT scans to analyze the foramen ovale's measurements.
  • Results showed specific measurements for the foramen ovale, including anteroposterior diameter, transverse diameter, and surface area, with data split by gender, revealing a slightly higher number of females in the sample.
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Inflammatory and antimicrobial diseases constitute a major burden for society, and fighting them is a WHO strategic priority. Most of the treatments available to fight inflammatory diseases are anti-inflammatory drugs, such as corticosteroids or immunomodulators that lack cellular specificity and lead to numerous side effects. In addition to suppressing undesired inflammation and reducing disease progression, these drugs lessen the immune system protective functions.

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Vitiligo is a chronic, acquired autoimmune pigmentary skin disease, most times it can be diagnosed clinically. Dermoscopy can confirm vitiligo in a non-invasive way. It is a diagnostic technique that visualizes sub-macroscopic morphological structures which correspond with specific histological structures.

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Background: People living with HIV (PLWH) starting or switching to an integrase strand transfer inhibitor-based regimen are more likely to experience weight gain than other classes of antiretroviral regimens. The aim of this study was to evaluate the weight gain and metabolic disturbances in PLWH who start antiretroviral therapy (ART) with bictegravir/emtricitabine/tenofovir alafenamide and in individuals who switch from another ART to BIC/FTC/TAF after 48 weeks.

Methods: A prospective longitudinal study was conducted in an HIV clinic in Mexico.

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Objectives: To describe risk factors for mortality and clinical characteristics in patients with mpox infection at a reference hospital in Mexico.

Design: A prospective cohort study was conducted from September to December 2022 at Hospital de Infectología La Raza National Medical Center.

Methods: Study participants were patients that met operational definition of confirmed case of mpox according to WHO criteria.

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: A rare cause of an epidural spinal abscess.

Surg Neurol Int

March 2023

Department of Neurosurgery, Specialties Hospital, La Raza National Medical Center, Mexican Social Security Institute, Mexico City, Mexico.

Background: , a Gram-negative organism, rarely causes an epidural spinal abscess.

Case Description: A 50-year-old male presented with mild paraparesis attributed to an magnetic resonance (MR)-documented spinal epidural abscess (SEA) at the T10-level. Following surgical debridement, cultures grew , a rare Gram-negative organism.

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Monkeypox is the latest reemerging zoonosis worldwide. Anyone is susceptible to contracting this infection; however, the clinical presentation may be atypical in a particularly vulnerable group that identifies as men who have sex with men. Herein, we present two cases of patients diagnosed with monkeypox infection, both of whom were also co-infected with human immunodeficiency virus (HIV) and exhibited different degrees of immunosuppression.

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Background: This study correlated the extent of spinal canal compression from retropulsed traumatic burst cervical, thoracic, and lumbar spine fractures with the severity of neurological dysfunction.

Methods: One hundred and sixty-nine patients with cervical, thoracic, or lumbar sub-axial traumatic burst fractures were seen in an emergency department from 2019 to 2021; 79.3% were men, averaging 37 years of age.

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Background: Maternal, obstetric and neonatal factors that increase the possibility of mother-to-child HIV transmission (MTCT) are known as mechanisms of transmission. Our aim was to determine the risk factors associated with MTCT in Mexico.

Methods: We conducted a case-control study from March to December 2015.

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Background: Influenza cause a clinical and economic burden for health systems and society. It is necessary to know the cost of the disease in order to perform cost-effectiveness assessments of preventive or treatment interventions.

Objective: Assess the costs of the care of children with influenza in a third level hospital in Mexico.

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Background: Hemangioblastomas are benign tumors that develop in the central nervous system. They represent 1.5-2.

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Purpose: In the last two decades transmission of hepatitis C virus (HCV) in HIV positive men who have sex with men (MSM) has been reported globally. Chemsex and specific sexual practices have been identified as risk factors. Our study aimed to identify risk factors for HCV transmission in MSM living with HIV attending in Mexico.

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Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease. In 10% the disease is familial and rarely occurs in childbearing age women. A 28-year-old female pregnancy patient presented a two-month history of dropped head syndrome, dysphagia, muscle weakness, atrophy, and lingual wasting.

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Kikuchi-Fujimoto Disease: Report of a Case with Progression to Lupus Nephritis.

Am J Case Rep

March 2021

Department of Internal Medicine, High Specialty Medical Unit, Specialty Hospital, Dr. Antonio Fraga Mouret, La Raza National Medical Center, México City, Mexico.

BACKGROUND Kikuchi-Fujimoto disease (KFD) is an enigmatic disease, with a distinctive histopathology and a benign and self-limited course. It is more frequent in young Asian women. Autoimmune diseases are identified as one of its triggers; primarily SLE, which may precede, be concomitant with, or develop after the diagnosis of KFD.

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Survival of Vascular Accesses in Chronic Hemodialysis Patients.

Blood Purif

January 2022

Medical Research Unit on Nephrological Diseases, Specialties Hospital, 21st Century National Medical Center, Mexican Institute of Social Security (IMSS) (Unidad de Investigación Médica en Enfermedades Nefrológicas, Hospital de Especialidades Centro Médico Nacional Siglo XXI, IMSS), Mexico City, Mexico,

Background/aims: Vascular access (VA) is the highest risk factor for blood infections, hospitalization, and mortality of patients undergoing hemodialysis (HD). The risk of mortality while using a catheter is greater than that while using grafts. The objective of this article is to know the survival rate in relation to the type of VA.

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