Browsing by Autor "Yamila Cruz Cruz"

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Asymptomatic multiorgan cysticercosis. A case report from Bolivia
(2025) Mildred Ericka Kubatz La Madrid; Jennifer Collazo Cruz; Yamila Cruz Cruz; Jhossmar Cristians Auza-Santiváñez; Freddy Ednildon Bautista-Vanegas; Benito Aguirre-Cruz; Ingrid Neysa Cabezas-Soliz; Carmen Julia Salvatierra-Rocha
Introduction: Cysticercosis is an infectious disease caused by Taenia solium, endemic to Latin America, Asia, and Africa. It is acquired by consuming Taenia eggs in contaminated water and food, or undercooked pork. It generally causes mild or asymptomatic disease, except for neurocysticercosis, which can be severe and potentially fatal. Symptoms depend on the number of parasites, their location, and the host's immune response. Diagnosis is based on epidemiological data, clinical presentation, and imaging studies, primarily computed tomography. Objective: To use computed tomographic images to identify the degree of tissue damage caused by Taenia solium in an asymptomatic Bolivian adult. Clinical case: A 52-year-old Bolivian female patient from a rural area, with a wooden house, dirt floor, no sewage or drinking water, a housewife, who practices open defecation and raises pigs to support her household. She had a personal health history, but an inadequate diet. She was taken to the Roberto Galindo Hospital due to a traffic accident, where an emergency CT scan of the head and abdomen was performed due to direct trauma to those areas. The studies revealed calcifications in multiple organs, findings suggestive of massive cysticercosis. Conclusions: Cysticercosis is a parasitic disease transmitted fecal-orally, preventable but highly contagious from country to country due to social migration. It constitutes a serious health problem due to the biological, economic, and social damage it entails, making increased epidemiological surveillance essential.
Endobronchial tumor, diagnosis and clinical and imaging evolution. A case report
(2025) Yamila Cruz Cruz; Mildred Ericka Kubatz La Madrid; Orlian Moreno Perera; Jennifer Collazo Cruz; Jhossmar Cristians Auza-Santiváñez; Benito Aguirre-Cruz; Yenifer Zelaya-Espinoza; Grobert Condori-Galindo
Introduction: Lung cancer has been known since the 19th century, and to date has experienced multiple advances in diagnosis and treatment, which imply a favorable prognosis for the patient. However, worldwide it exhibits high morbidity and mortality rates, it occurs mainly in males, with an average age of 65 years, is closely related to smoking and is notable for its low survival rates, particularly when diagnosed in advanced stages, as often occurs in endobronchial presentation. Objective: To describe the diagnosis and clinical imaging evolution of a patient with an endobronchial tumor. Case presentation: A 56-year-old male patient, a smoker and a carpenter by profession, who began to present chest pain and a dry, irritating cough and went to the family doctor. A series of complementary tests were prescribed, which yielded pathological results, including a chest X-ray, which supported the initial diagnosis, and a computed axial tomography (CT) scan, which confirmed the presence of an endobronchial tumor. Oncological staging and follow-up were performed, and despite complications that arose due to the patient's withdrawal from the consultation, the patient progressed well. Conclusions: Early diagnosis of lung cancer based on clinical methods and imaging studies is essential. This can improve survival and reduce the physical, emotional, and social impact on the patient and their family, as demonstrated in our clinical case. A multidisciplinary approach is essential, combining technology, clinical knowledge, and human sensitivity to provide comprehensive care and improve the patient's quality of life.
Mountain sickness: physiological challenges, diagnosis and treatment
(2025) Jhossmar Cristians Auza-Santiváñez; P. Ussetti Gil; Mildred Ericka Kubatz La Madrid; Ingrid Neysa Cabezas-Soliz; Jorge Márquez-Molina; Yamila Cruz Cruz; Dilma Villca-Villca; R. Sarmiento
INTRODUCTION. The first descriptions of altitude sickness were made in (1540-1600). Nowadays, different cities in the world are at high altitude, for example Qinghai-Tibetan Plateau in China occupies an area of almost 2.5 million inhabitants km2, with an average elevation of over 4,500 m. Altitude sickness should be a major concern for anyone who normally resides at sea level. METHOD. A search for information was carried out in the period August-December 2024 in the SciELO, LILACS, Scopus, PubMed-MedLine databases, the Google Scholar search engine, as well as in the ClinicalKeys services. RESULTS AND DISCUSSION. The partial pressure of arterial oxygen (PaO2 ) decreases with altitude, which produces progressive tissue hypoxia. The normal compensatory response to hypobaric hypoxia is called acclimatization. Its main characteristic is increased ventilation. The ability to acclimatize varies widely among individuals and depends on many factors, including the degree of hypoxic stress (rate of ascent, altitude reached), the intrinsic ability of the individual to compensate for the decrease in PaO2, and extrinsic factors. Progressive ascent produces greater hypoxic stress, requiring greater degrees of physiological and behavioral adaptations to preserve function. The more rapid the ascent and the higher the altitude, the greater the stress. Below 1500 m, symptoms of high altitude illness are generally not manifest. From approximately 1500 to 2500 m, symptoms are generally mild, if experienced at all. From approximately 2500 m, mild to moderate symptoms become quite common among unacclimatized visitors after a rapid ascent. As a general rule, people who normally reside below 1500 m should avoid an abrupt ascent to altitudes above 2800 m for sleeping. Sedative-hypnotics should be avoided during acclimatization. Abstinence from alcohol is safest
Multiple and bilateral renoureteral malformations. Case report and literature review
(2025) Mildred Ericka Kubatz La Madrid; Yamila Cruz Cruz; Jennifer Collazo Cruz; Yamily Cruz Pino; Jhossmar Cristians Auza-Santiváñez; L. Castedo; Giovanni Callizaya Macedo; Roger Mamani Plata
Congenital malformations constitute anomalies of structure and/or function of prenatal origin, which are often asymptomatic or cause few symptoms, but currently have a high incidence. With the aim of showing the findings detected in the imaging studies carried out, the case of a young adult with repeated mild urinary sepsis is presented, who was diagnosed with multiple and bilateral renoureteral malformations in the infertility consultation. The majority of congenital renoureteral malformations imply serious biopsychosocial problems for the patient, with the consequent impact on the psychological sphere and the social life of family members when diagnosed in the prenatal stage, so they inevitably constitute a health problem, since they contribute to fetal and infant mortality or increased morbidity in any age group. For this reason, early diagnosis is essential to guarantee appropriate behavior and quality of life. Keywords: congenital malformations; renoureteral malformations; early diagnostic; ultrasound; descending urogram; double excretory system; ureterocele; reflux vesicoureteral
Neurological complications in patients with Human Immunodeficiency Virus infection at the Japanese Hospital in Santa Cruz, Bolivia
(2025) Carmen Julia Salvatierra-Rocha; Jhossmar Cristians Auza-Santiváñez; Alejandro Peralta Landívar; Carlos Lá Fuente Zerain; Mildred Ericka Kubatz La Madrid; Yamila Cruz Cruz; P. Ussetti Gil; Marco Antonio Gumucio Villarroel; Dulce María Hernández Vázquez
Introduction: Neurological involvement is common among patients with Human Immunodeficiency Virus (HIV) infection. Between 40 and 60% will develop symptomatic neurological complications with high morbidity and mortality at some point. Objective: To analyze the clinical-epidemiological characteristics of patients with HIV infection who develop neurological complications at the Japanese Hospital of Santa Cruz de la Sierra in the period between March 2019 and February 2022.Methods: Observational, descriptive, prospective, cross-sectional study. Universe and Sample: Patients admitted through the Emergency Service of the Japanese Hospital with a confirmed diagnosis of Human Immunodeficiency Virus Disease during the period between March 2019 and February 2022Results and discussion: A total of 42 patients were evaluated, the majority of whom were men and had a younger average age. For both sexes, the majority of patients reported having a source of employment. Regarding sexual orientation, almost all women reported being heterosexual, while men were more variable, with the majority being bisexual. Three clinical syndromes were identified at admission. The frequency of focal syndrome was dominant in women, but was not significantly different from the others. In men, meningeal syndrome and focal syndrome were the dominant ones, significantly exceeding non-focal syndrome. Ten neurological complications were identified, cerebral toxoplasmosis was the most frequent, followed by cerebral cryptococcosis and meningeal tuberculosis. Considering all patients in general, their typical hospital stay was 11 days with a range between 2 and 56 days. Of the 42 patients evaluated, it was only possible to measure the CD4 status for 27.Conclusions: The young male population with employment in the city of Santa Cruz with aberrant sexual behavior was the most affected. Focal syndrome was the most frequent form of presentation, in the form of cerebral toxoplasmosis. Severely low levels of immunosuppression were found in the study population. Hospital stay is variable and is longer in cases of focal syndrome and meningeal syndrome. We consider it important to continue the present study, which will allow us to increase the sample size.