Published: 2023-02-23

Article processing charge

Authors:
Roberto Elfidio Orozco-Florián
Pages:
1
Abstract:
When implementing measures against the arbitrary practice of the great editorials of scientific journals, of appropriating the copyright of the publications of scientists, and therefore, of the profits generated by the access of the readers to the articles, The charges have deviated from the reader to the author.

COVID 19 as a cause of viral pancreatitis

Authors:
Carlos Gonzalez, Yessika López, Andrea Moraga, Roberto Margos, Lesny Rodríguez, María Huix, Glendys Castañeda, Jullisa Navichoc
Pages:
2-5
Abstract:
Introduction. COVID-19 is an infectious process of viral origin, caused by SARS-CoV-2. It is characterized by a direct cytopathic effect due viral replication, which induces an inflammatory response in different organs causing multi-organ damage. Objective. To study COVID-19 as a cause of viral pancreatitis in patients with moderate – severe disease at the Hospital Temporal COVID-19, Quetzaltenango, Guatemala . Material and methods . Exploratory, non-experimental study, with a mixed approach study, in 145 patient records who met the inclusion criteria, from January to May 2022. Results. Of the cases studied, 22 % (n=32) of patients with COVID-19 developed pancreatitis; of these cases, 78% (n=25) were associated with severe COVID-19 and 22 % (n=7) with moderate COVID-19. 66 % (n=21) of pancreatitis cases occurred in men. The age group that presented the highest percentage was 61-70 with 8 %. 72 % (n=104) of the patients had comorbidities at admission. Only 3 % (n=1) of all cases developed pancreatic complications. Discussion . The results of the study showed that in moderate and severe cases of COVID-19, a high percentage of patients developed pancreatitis, predominant in males.

Hesitancy in Guatemala to vaccination against COVID-19

Authors:
Flor Estefanía García-López, Andrés Eduardo Mejía-Ramírez
Pages:
6-12
Abstract:
Objective: to determine the reasons why people have delayed the application of the first dose of the vaccine against COVID-19. Introduction: vaccination is a therapeutic measure for the prevention of diseases, despite being part of the offer of services of the health system, this intervention ends up being a personal action and/or decision. Material and methods: a descriptive cross- sectional study was carried out, with a non-probabilistic sample, 424 participants were registered, and authorization was obtained from the directors. Results: the reasons for delaying the application of the first dose of the vaccine against COVID- 19, in the group of men, 44.6% was due to lack of time, 15.5% due to fear; in the group of women, 34.6% indicated that due to lack of time and 18.6% due to fear. The main reason for going to get vaccinated, for both men and women, was not wanting to get seriously ill in 36.3% and 38.1%, respectively. Discussion: it is imperative to address the factors of reluctance to vaccination due to its impact on the health of the population, the preventable deaths it represents and the costs associated with hospital care due to incomplete and non- existent vaccination schedules in the general population. These types of actions must be segmented by the type of target population and with the use of mass media, without forgetting interventions in education at the community level.

Clinical and epidemiological characteristics of oral neoplasms in a third level hospital

Authors:
Juan Antonio Lugo-Machado, J Luna–Valenzuela, E Canché-Martín, N Sainz-Fuentes
Pages:
13-18
Abstract:
Introduction. Due to its magnitude, cancer is a priority public health problem, for which sufficient epidemiological information is required to optimize national health programs. Goal. Describe the clinical and epidemiological characteristics of neoplasms of the oral cavity and oropharynx. Material and methods. Observational, retrospective, analytical and cross-sectional study. Age, sex, clinical data, smoking, alcoholism, occupation, evolution time, clinical stage, histopathological diagnosis, cell differentiation and location were included. A descriptive and inferential analysis was performed with odds ratio (OR) for risk factors of cell differentiation. Results. 48 cases were identified with a mean age of 63 years, female sex 26, (54.2%). In tongue it was presented in 37.50%, tonsil 20.83% and lip with 18.75%. 56.25% were detected in stage IV. Alcohol presented an OR 1.837 (95% CI 0.563 to 5.995), comorbidities OR 1.400 (95% CI 0.448 to 4.376), age ≥50 years OR 0.618 (95% CI 0.144 to 2.660), tobacco OR 0.635 (95% CI 0.198 to 2037) were associated with a risk of lower cell differentiation. Conclusions. The main age of the cases of mouth cancer was the seventh decade of life, with no great difference between sexes, the tongue was the most common site, and the advanced stages were the stages that most frequently occurred.

Risk screening of type 2 diabetes in adult patients diagnosed with tuberculosis

Authors:
Gaby Roxana Batz-Menchu, Nathalie Paola Rosal-Villagrán, Erick Cotom, Allan Coyoy, Melbin Hernandez, Carlos Eduardo Cruz Alegria, Keila Lopez, Jennifer Lizeth Velásquez Chávez, Sara Marleny Gómez Monzón
Pages:
19-23
Abstract:
Goal. Perform a risk screening for Type 2 Diabetes Mellitus (DM-T2) in adult patients diagnosed with tuberculosis, at the Hospital San Vicente, Guatemala, Guatemala. Material and methods. Descriptive, qualitative and prospective study on 45 patients older than 18 years, diagnosed with tuberculosis, without DM-T2 and admitted to the San Vicente Hospital. The FINDRISC test instrument was used. Results. The patients with the highest risk of developing T2DM were those between the ages of 55 and 64 (moderate or high risk); 67% (n=30) had very low risk, 27% (n=12) had low risk. Discussion. When determining the risk of developing DM-T2 in hospitalized patients, it was possible to establish that the age of 55 to 64 years is the one that shows a moderate and high risk of developing DM-T2, therefore, the implementation of prevention activities is suggested, in the short, medium and long term, establishment of healthy lifestyles in patients with tuberculosis at the San Vicente Hospital, Guatemala, Guatemala.

The Oral medium chain triglycerides in preterm infants and its relationship with brachial circumference

Authors:
Oscar Ulises Galindo-Aguilar, Isaías Rodríguez, Erika Ochoa, Adriana Nieto, Yesenia Medina, Idelma Morales
Pages:
24-31
Abstract:
Objective : to investigate the role of medium chain triglyceride (MCT-oil) as an enteral supplement by assessing brachial circumference and the brachial circumference/head circumference index (BC/HC). Introduction : poor weight gain in the preterm infant is a cause of prolonged hospital stay. Enteral MCT-oil is a strategy for gaining body fat stores and muscle mass. Materials and methods: observational, comparative, case-control study. The first group is with preterm infants supplemented with MCT-oil. The control group, preterm infants without MCT-oil supplementation. Dose of 2 ml/kg/day in 8 intakes administered directly into the mouth coinciding with milk intake. Results: at discharge, the MCT group presented higher arm circumference than the control group (7.2±0.77 vs. 6.4±0.46) p<0.05. At 4 weeks of outpatient follow-up the MCT group had greater brachial circumference than the control group (10.4±1.4 vs 8.6±1.7) p<0.05.  Comparing the BC/HC index at discharge the MCT group had higher BC/HC index than the control group (0.2314 ±0.26 vs 0.2108 ±0.14) p<0.001, but at 4 weeks there was no significant difference (p=0.080). Discussion: the use of MCT-oil as a preterm supplement is good strategy for gaining body fat stores and muscle mass.

Prognostic grade of prostate carcinoma in transrectal biopsies from patients older than 70 years

Authors:
Eugene Velásquez, Alejandro Fuentes-Bravo
Pages:
32-34
Abstract:
Introduction. The International Society of Urological Pathology (ISUP), in an attempt to improve the classification of prostate carcinoma, created the ISUP/WHO prognostic grading system, which is easier to interpret by the clinician and the patient. Objective . To determine the ISUP prognostic grade of prostate carcinoma in transrectal biopsies of patients older than 70 years. Material and methods. Retrospective study carried out at the Hospital General San Juan de Dios. We reviewed the anatomopathological reports of prostate biopsies performed from 2007 to 2022, Results. Of 226 cases of positive transrectal biopsies, 72 (31.8%) belonged to patients older than 70 years. The average age of the 72 patients studied was 77 years, 11% belonged to prognostic grade 1 and 48% to prognostic grade 5. Conclusion . A good percentage of patients older than 70 years with carcinoma of the prostate are possibly candidates for curative treatment, depending on the criteria used and clinical stage.

COVID-19 ARNm vaccine-induced immune thrombotic thrombocytopenia: case report

Authors:
Jorge Guardado-Irias, Héctor Zavala, Nancy Sandoval, Silvana Torselli
Pages:
35-38
Abstract:
The clinical case of a 22-year-old female patient with mRNA vaccine-induced immune thrombocytopenia (VITT) against COVID-19 is presented. This syndrome is associated with a pathophysiology similar to heparin-induced thrombocytopenia (HIT), affecting the binding of immunoglobulin G-type antibodies to the platelet surface (anti-PF4 antibodies), making the definitive diagnosis the determination of these antibodies at the serum level, associated with other criteria.

Lingual hamartoma in an infant: case report

Authors:
Jeshua Dos-santos, Fernando González-Arrechea
Pages:
39-41
Abstract:
Hamartoma is a noncancerous tumor made of an abnormal mixture of normal tissues and cells normally present in the affected site. The infantile lingual hamartoma is a benign and rare tumor frequently discovered in infancy. The pathogenesis is not known, but it seems to be related to the persistence of mesenchymal embryonic remnants. The case of a patient with pathology in the lingual region is presented.

Calciphylaxis of the penis: report of two cases

Authors:
Osman Fuentes, Emerson De-la-Rosa, Marjori Mejía
Pages:
42-44
Abstract:
Penile calciphylaxis is a rare vascular disorder, seen primarily in patients with end-stage renal disease. This entity represents a challenge due to the poor general conditions that patients havet, especially in our environment, and because it requires multidisciplinary management. Due to the underlying pathophysiology in these cases, partial or total penectomy is necessary, in order to decrease the high rate of complications of the pathologies. We present 2 cases of patients with penile calciphylaxis, with a history of type 2 diabetes mellitus and chronic kidney disease.

Schizencephaly and Galassi Type III Arachnoid Cyst: case report

Authors:
Allan Cano-Gutiérrez, Kenny Anleu, Yusmara Pérez
Pages:
45-47
Abstract:
The case of a 3-year-old patient with Schizencephaly (SCH) and Galassi type III Arachnoid Cyst (AC) is presented. These entities are very rare anomalies with a prevalence of 0.5 to 1%. The first is a neuronal growth anomaly and the second is a benign mass composed of collagen, arachnoid cells and cerebrospinal fluid. The signs and symptoms presented by the patient were generalized tonic-clonic seizures with gaze deviation and relaxation of the sphincters. Seizures that began to present from 6 months of age and at the time of consultation had no pharmacological treatment. The diagnosis was made with Brain Magnetic Resonance Imaging (MRI).

Synchronous primary double tumor at autopsy: small cell carcinoma of the lung and hepatocellular carcinoma: case report

Authors:
Linda Ortiz, Victor Argueta, Roberto Orozco
Pages:
48-50
Abstract:
Multiple primary malignancies (MPMs) are described as two or more independent primary malignancies, in the same or different organs in one patient. The second most common cancers in lung cancer patients are another primary lung cancer, followed by colorectal and bladder; however, the coexistence of small cell carcinoma of the lung and hepatocellular carcinoma is rarely reported in the English and Spanish literature. We present the case of a small cell carcinoma of the lung and hepatocellular carcinoma in an 80-year-old male patient at autopsy study.

Cerebrospinal fluid peritoneal pseudocyst

Authors:
Jeshua Dos-Santos, Carla Ramírez-Cabrera
Pages:
51-53
Abstract:
Cerebrospinal fluid peritoneal pseudocyst is an uncommon complication of cerebrospinal fluid ventriculo-peritoneal shunts. It consists of a thick, fibrous capsule containing chronic inflammatory cells or inflamed intestinal serosa and granulation tissue. Its incidence varies between 0.33 and 6.8%. The pathogenesis is multifactorial, including previous surgeries causing peritoneal adhesions and clinical infections. Manifestations can be local, abdominal, neurological and infectious. The diagnosis is suspected due to a history of shunt. Treatment can be laparoscopic or open, but infection of the catheter must be ruled out and it must be mobilized to a place with less chance of recurrence.

Inflammatory myofibroblastic tumor of the common bile duct: case report

Authors:
Gabriela Aqueche, Astrid Carolina Rodríguez-Monzón, Ricardo Salvado, Marisol Gramajo
Pages:
54-56
Abstract:
Inflammatory myofibroblastic tumor is a rare, idiopathic, distinctive, intermediate neoplasm with the potential for recurrence, but rarely metastasizes. Most cases occur in children and young adults. It can affect multiple organs. The common bile duct is a rare location for this tumor.

Cutaneous loxoscelism: case report

Authors:
Ever Estuardo Morataya-López, Harold Jasson Galindo-Berqueffer
Pages:
57-59
Abstract:
Loxoscelism is the clinical manifestation from a spider bite of the genus Loxosceles. There are two clinical varieties: local or cutaneous (80% of cases) and systemic or cutaneous-visceral. Both present serious potential complications, from erythema, skin necrosis, hemolysis and even death. There is currently no standard treatment for this type of patient.

Mixed neuroendocrine and non-neuroendocrine neoplasm of the cervix: case report

Authors:
Linda Ortiz, Eugene Velásquez, Víctor Argueta, Hesler Morales
Pages:
60-62
Abstract:
Mixed neuroendocrine and non-neuroendocrine neoplasm of the cervix is a rare tumor with a poor prognosis. Knowing this type of neoplasm is important due to its aggressive behavior and the treatment it required. The review of the literature reports as infrequent the coexistence of these lesions. We present the case of a mixed carcinoma (adenocarcinoma and neuroendocrine carcinoma) of the cervix in a 52-year-old patient.

Hepatojejunum anastomosis with choledochal: case report

Authors:
Jeshua Dos-Santos, Pedro Mario-Salazar
Pages:
63-65
Abstract:
Choledochal cyst is defined as congenital or combined dilatation of the extrahepatic (most frequent type) or intrahepatic biliary tree. The etiology is not yet determined, it is seen predominantly in children and in the female sex. Abnormalities may manifest throughout the biliary system, either intrahepatic or extrahepatic. The case of a 4-yeard-old girl is presented.

Umbilical hernioplasty with double arrow incision: case report

Authors:
Jeshua Dos-Santos, Ana López-Castillo, José Domingo-del-Valle-Domínguez, Arturo Alfredo Parada-Ortiz
Pages:
66-68
Abstract:
Umbilical hernia in adults is a frequent pathology and is the second most common behind inguinal hernias. They must be surgically repaired as they can become complicated. There are many reparative techniques. This article presents the repair using a double date incision technique and neo-navel creation.

Petit hernia repair: case report

Authors:
Jeshua Dos-Santos, Eliu Carlos Rafael Hernández-Cordón
Pages:
69-70
Abstract:
Petit hernias are classified as lumbar hernias, included in the Petit triangle, they are uncommon. The case of a female patient with this pathology and its repair, as well as treatment options, are presented.

Mucosal prolapse polyp in a young patient: case report

Authors:
Rodrigo Bautista-Rodas, Aldo Calderón-Contreras
Pages:
71-73
Abstract:
The rectal mucosa prolapse polyp is an infrequent entity that affects 0.7% of the population, its diagnosis is made incidentally most of the time. A young patient with this unusual occurrence is presented.

Video-assisted diaphragmatic plication in left diaphragmatic eventration: case report

Authors:
Danny José Malin-Mansilla, Miguel Arriola-Navas
Pages:
74-76
Abstract:
Diaphragmatic eventration is defined as the abnormal and permanent elevation of part or all of the diaphragm without presenting continuity defects, depending on its origin, it can be congenital or acquired, in this case, post-traumatic. Although this pathology is uncommon, many times the onset of symptoms may be related to respiratory failure, dyspnea, tachycardia or dyspepsia, therefore, it is necessary to properly study the patient and assess the appropriate surgical treatment.