Daniel Felipe Reyes Vega | Universidad Surcolombiana (original) (raw)
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Papers by Daniel Felipe Reyes Vega
Hepatology, 2023
Cystic echinococcosis/hydatidosis is a zoonotic infection, endemic in many South American countri... more Cystic echinococcosis/hydatidosis is a zoonotic infection, endemic in many South American countries, characterized by liver lesions that radiologically can simulate malignant neoplasms with a cystic appearance, and depending on the time of progression and degree of obstruction of the bile duct, can present with liver failure, so a prompt diagnosis is important. We present the case of a 35-yearold male patient, with no significant pathological history, from an indigenous community and resident of a rural area in Colombia, who presented clinical symptoms and laboratory tests suggestive of bile duct obstruction, which was confirmed with the finding of an infiltrating cystic liver mass in imaging
studies, initially suspecting a malignant neoplastic etiology. The patient developed a fulminant course after surgery, and the histopathological study revealed cystic hydatidosis as the definitive diagnosis.
Iatreia, 2021
Epidemiological, clinical and paraclinical aspects of the scorpion accident at the University Hos... more Epidemiological, clinical and paraclinical aspects of the scorpion accident at the University Hospital of Neiva, Colombia
Objective: To describe the sociodemographic, clinical and paraclinical characteristics of the patients treated at the Neiva University Hospital between 2014 and 2018, and identify risk factors that are associated with mortality.
Materials and Methods: Observational, analytic retrospective, study. Absolute and relative frequencies were calculated. Normality analysis was performed with the Shapiro-Wilk Test. The relationship of different sociodemographic and clinical variables and the risk of mortality were evaluated using logistic regression.
Results: 305 events were registered, predominantly mild (117 cases), being 2018 the year with the highest number of reports (35.45%). Most were young people, with a mean age of 17 years, mainly between 0-11 years (61%). More than 90% resided in the Huila department and more than half (67%) belonged to the subsidized regime. Most bites occurred during the day, with the extremities being the most frequently reported location (82%). A statistically significant association was found between a severe condition and an increased need for an ICU.
Conclusions: Scorpionism is an undervalued public health problem in Colombia. The pediatric population is at increased risk of developing severe complications and symptoms in scorpiotoxicosis. A severe condition at any age increases the probability of ICU admission, more frequent requirement for inotropic and liquids supply, and the use of antihypertensive drugs and high doses of anti-venom.
Duazary, 2021
La pericarditis tuberculosa es una rara manifestación extrapulmonar que afecta a menos del 4% de ... more La pericarditis tuberculosa es una rara manifestación extrapulmonar que afecta a menos del 4% de los pacientes con tuberculosis (TB), con alta morbimortalidad ante diagnósticos tardíos, especialmente en aquellos pacientes inmunocomprometidos. Su presentación es inespecífica y la sintomatología deriva de la velocidad de instauración del derrame pericárdico, registrándose casos mortales debido a taponamiento cardiaco. La confirmación diagnóstica se obtiene con la identificación de la micobacteria en muestra de pericardio o líquido pericárdico, con una alta tasa de sospecha fundamentada en pruebas adicionales como la cuantificación del interferón gamma no estimulado, lisozima pericárdica y adenosina desaminasa (ADA) en liquido pericárdico. El tratamiento consiste en una combinación de terapia antituberculosa, drenaje pericárdico, y corticoesteroides como adyuvantes. Se presenta el caso de un varón de 64 años inmunocompetente, fumador frecuente en el pasado, con una alta sospecha diagno...
Revista Mexicana de Pediatría, 2020
The first consensus definition for neonatal acute respiratory distress syndrome (ARDS) was establ... more The first consensus definition for neonatal acute respiratory distress syndrome (ARDS) was established in 2015 from analysis of the literature conducted by a committee of 12 experts. This group established a set of clinical and paraclinical criteria for the definition of this specific condition and also made clear some common exclusion situations in neonates. We present a 27-day-old newborn with ARDS at the University Hospital of the City of Neiva, Colombia.
Revista colombiana de obstetricia y ginecologia, 2020
OBJECTIVE To present the case of a patient diagnosed with aggressive angiomyxoma of the vagina an... more OBJECTIVE To present the case of a patient diagnosed with aggressive angiomyxoma of the vagina and to conduct a review of the diagnosis, treatment and prognosis of this disease condition. METHODS A 46-year old female patient complaining of dysuria and vaginal mass sensation. Physical exploration and imaging studies revealed a tumor extending into the pelvic cavity. The mass was resected through a vaginal approach and pathology of the surgical specimen showed an aggressive angiomyxoma of the vagina. New retrorectar surgery was performed three months after the initial resection because of recurrence. A search was conducted in the Medline via PubMed, Lilacs, Scielo and Google Scholar databases using the terms "Angiomyxoma," "Aggressive" and "Vagina." The search included review articles, case reports and case series published in English and Spanish since 1995. The information extracted included diagnosis, symptoms, signs, immunohistochemistry and imaging st...
Vol. 18, No. 1, 2021
La pericarditis tuberculosa es una rara manifestación extrapulmonar que afecta a menos del 4% de ... more La pericarditis tuberculosa es una rara manifestación extrapulmonar que afecta a menos del 4% de los
pacientes con tuberculosis (TB), con alta morbimortalidad ante diagnósticos tardíos, especialmente en
aquellos pacientes inmunocomprometidos. Su presentación es inespecífica y la sintomatología deriva de
la velocidad de instauración del derrame pericárdico, registrándose casos mortales debido a
taponamiento cardiaco. La confirmación diagnóstica se obtiene con la identificación de la micobacteria
en muestra de pericardio o líquido pericárdico, con una alta tasa de sospecha fundamentada en pruebas
adicionales como la cuantificación del interferón gamma no estimulado, lisozima pericárdica y adenosina
desaminasa (ADA) en líquido pericárdico. El tratamiento consiste en una combinación de terapia
antituberculosa, drenaje pericárdico y corticoesteroides como adyuvantes. Se presenta el caso de un
varón de 64 años inmunocompetente, fumador frecuente en el pasado, con una alta sospecha
diagnóstica para TB, confirmada con resultado positivo para ADA (55,8 UI/L) en fluido pericárdico. Esto
permitió iniciar un tratamiento adecuado con mejoría clínica posterior durante el seguimiento.
Hepatology, 2023
Cystic echinococcosis/hydatidosis is a zoonotic infection, endemic in many South American countri... more Cystic echinococcosis/hydatidosis is a zoonotic infection, endemic in many South American countries, characterized by liver lesions that radiologically can simulate malignant neoplasms with a cystic appearance, and depending on the time of progression and degree of obstruction of the bile duct, can present with liver failure, so a prompt diagnosis is important. We present the case of a 35-yearold male patient, with no significant pathological history, from an indigenous community and resident of a rural area in Colombia, who presented clinical symptoms and laboratory tests suggestive of bile duct obstruction, which was confirmed with the finding of an infiltrating cystic liver mass in imaging
studies, initially suspecting a malignant neoplastic etiology. The patient developed a fulminant course after surgery, and the histopathological study revealed cystic hydatidosis as the definitive diagnosis.
Iatreia, 2021
Epidemiological, clinical and paraclinical aspects of the scorpion accident at the University Hos... more Epidemiological, clinical and paraclinical aspects of the scorpion accident at the University Hospital of Neiva, Colombia
Objective: To describe the sociodemographic, clinical and paraclinical characteristics of the patients treated at the Neiva University Hospital between 2014 and 2018, and identify risk factors that are associated with mortality.
Materials and Methods: Observational, analytic retrospective, study. Absolute and relative frequencies were calculated. Normality analysis was performed with the Shapiro-Wilk Test. The relationship of different sociodemographic and clinical variables and the risk of mortality were evaluated using logistic regression.
Results: 305 events were registered, predominantly mild (117 cases), being 2018 the year with the highest number of reports (35.45%). Most were young people, with a mean age of 17 years, mainly between 0-11 years (61%). More than 90% resided in the Huila department and more than half (67%) belonged to the subsidized regime. Most bites occurred during the day, with the extremities being the most frequently reported location (82%). A statistically significant association was found between a severe condition and an increased need for an ICU.
Conclusions: Scorpionism is an undervalued public health problem in Colombia. The pediatric population is at increased risk of developing severe complications and symptoms in scorpiotoxicosis. A severe condition at any age increases the probability of ICU admission, more frequent requirement for inotropic and liquids supply, and the use of antihypertensive drugs and high doses of anti-venom.
Duazary, 2021
La pericarditis tuberculosa es una rara manifestación extrapulmonar que afecta a menos del 4% de ... more La pericarditis tuberculosa es una rara manifestación extrapulmonar que afecta a menos del 4% de los pacientes con tuberculosis (TB), con alta morbimortalidad ante diagnósticos tardíos, especialmente en aquellos pacientes inmunocomprometidos. Su presentación es inespecífica y la sintomatología deriva de la velocidad de instauración del derrame pericárdico, registrándose casos mortales debido a taponamiento cardiaco. La confirmación diagnóstica se obtiene con la identificación de la micobacteria en muestra de pericardio o líquido pericárdico, con una alta tasa de sospecha fundamentada en pruebas adicionales como la cuantificación del interferón gamma no estimulado, lisozima pericárdica y adenosina desaminasa (ADA) en liquido pericárdico. El tratamiento consiste en una combinación de terapia antituberculosa, drenaje pericárdico, y corticoesteroides como adyuvantes. Se presenta el caso de un varón de 64 años inmunocompetente, fumador frecuente en el pasado, con una alta sospecha diagno...
Revista Mexicana de Pediatría, 2020
The first consensus definition for neonatal acute respiratory distress syndrome (ARDS) was establ... more The first consensus definition for neonatal acute respiratory distress syndrome (ARDS) was established in 2015 from analysis of the literature conducted by a committee of 12 experts. This group established a set of clinical and paraclinical criteria for the definition of this specific condition and also made clear some common exclusion situations in neonates. We present a 27-day-old newborn with ARDS at the University Hospital of the City of Neiva, Colombia.
Revista colombiana de obstetricia y ginecologia, 2020
OBJECTIVE To present the case of a patient diagnosed with aggressive angiomyxoma of the vagina an... more OBJECTIVE To present the case of a patient diagnosed with aggressive angiomyxoma of the vagina and to conduct a review of the diagnosis, treatment and prognosis of this disease condition. METHODS A 46-year old female patient complaining of dysuria and vaginal mass sensation. Physical exploration and imaging studies revealed a tumor extending into the pelvic cavity. The mass was resected through a vaginal approach and pathology of the surgical specimen showed an aggressive angiomyxoma of the vagina. New retrorectar surgery was performed three months after the initial resection because of recurrence. A search was conducted in the Medline via PubMed, Lilacs, Scielo and Google Scholar databases using the terms "Angiomyxoma," "Aggressive" and "Vagina." The search included review articles, case reports and case series published in English and Spanish since 1995. The information extracted included diagnosis, symptoms, signs, immunohistochemistry and imaging st...
Vol. 18, No. 1, 2021
La pericarditis tuberculosa es una rara manifestación extrapulmonar que afecta a menos del 4% de ... more La pericarditis tuberculosa es una rara manifestación extrapulmonar que afecta a menos del 4% de los
pacientes con tuberculosis (TB), con alta morbimortalidad ante diagnósticos tardíos, especialmente en
aquellos pacientes inmunocomprometidos. Su presentación es inespecífica y la sintomatología deriva de
la velocidad de instauración del derrame pericárdico, registrándose casos mortales debido a
taponamiento cardiaco. La confirmación diagnóstica se obtiene con la identificación de la micobacteria
en muestra de pericardio o líquido pericárdico, con una alta tasa de sospecha fundamentada en pruebas
adicionales como la cuantificación del interferón gamma no estimulado, lisozima pericárdica y adenosina
desaminasa (ADA) en líquido pericárdico. El tratamiento consiste en una combinación de terapia
antituberculosa, drenaje pericárdico y corticoesteroides como adyuvantes. Se presenta el caso de un
varón de 64 años inmunocompetente, fumador frecuente en el pasado, con una alta sospecha
diagnóstica para TB, confirmada con resultado positivo para ADA (55,8 UI/L) en fluido pericárdico. Esto
permitió iniciar un tratamiento adecuado con mejoría clínica posterior durante el seguimiento.