[Hypoxic hepatitis in a patient with endomyocardial fibrosis].
Autor: | Durlach M; área de Clínica Médica, Instituto de Investigaciones Médicas Alfredo Lanari, Universidad de Buenos Aires, Argentina. E-mail: mdurlach07@gmail.com., Echavarría G; área de Clínica Médica, Instituto de Investigaciones Médicas Alfredo Lanari, Universidad de Buenos Aires, Argentina., Antonucci R; Servicio de Cardiología, Instituto de Investigaciones Médicas Alfredo Lanari, Universidad de Buenos Aires, Argentina., Arias T; área de Clínica Médica, Instituto de Investigaciones Médicas Alfredo Lanari, Universidad de Buenos Aires, Argentina., Pensa L; área de Clínica Médica, Instituto de Investigaciones Médicas Alfredo Lanari, Universidad de Buenos Aires, Argentina., Fadel D; Servicio de Salud Mental, Instituto de Investigaciones Médicas Alfredo Lanari, Universidad de Buenos Aires, Argentina. |
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Jazyk: | Spanish; Castilian |
Zdroj: | Medicina [Medicina (B Aires)] 2019; Vol. 79 (4), pp. 284-286. |
Abstrakt: | Endomyocardial fibrosis is a restrictive cardiomyopathy with high morbidity and mortality rates, prevalent in the sub-Saharan Africa region but infrequent in our population. It has a close relation with blood hypereosinophilia. Hypoxic hepatitis is frequently observed in intensive care units and its diagnosis is clinical. It shows a typical enzyme pattern with high mortality too. There are multiple mechanisms responsible for this condition, such as ischemia, passive congestion and dysoxia. We described the case of a 35 year-old cocaine addict woman diagnosed with endomyocardial fibrosis and hypereosinophilic syndrome who developed cardiogenic shock with hypoxic hepatitis. The patient evolved favorably with the appropriate treatment. |
Databáze: | MEDLINE |
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