Publications by authors named "Fabio Solis-Jimenez"

4 Publications

  • Page 1 of 1

Systemic thrombolysis in a patient with massive acute valvular thrombosis.

Am J Emerg Med 2021 Apr 26. Epub 2021 Apr 26.

Coronary Intensive Care Unit, Instituto Nacional de Cardiología Ignacio Chávez, México City, Mexico.

Prosthetic valve thrombosis (PVT) is considered an exceptionally rare condition, often associated with pro-thrombotic factors or suboptimal anticoagulant therapy. Guidelines recommend emergent surgery for patients with left heart valve prosthetic thrombosis who present in cardiogenic shock, and systemic thrombolysis is reserved in scenarios where surgery is not immediately available. However, several factors may affect surgical prognosis and are overlooked by current recommendations. We describe the case of a 34-year-old female who presented in the emergency department with cardiogenic shock and acute pulmonary edema due to acute valve thrombosis.
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http://dx.doi.org/10.1016/j.ajem.2021.04.061DOI Listing
April 2021

[Taquicardia supraventricular como manifestación inicial de polimiositis. Reporte de caso].

Arch Cardiol Mex 2020 Aug 5;90(4). Epub 2020 Aug 5.

Servicio de Medicina Interna, Hospital General de México Dr. Eduardo Liceaga, Facultad de Medicina, Universidad Nacional Autónoma de México; Centro Médico Nacional "20 de Noviembre", Universidad Nacional Autónoma de México, Ciudad de México, México.

Las miopatías inflamatorias son un grupo de enfermedades autoinmunes del músculo esquelético que pueden afectar otros órganos y sistemas, como el aparato cardiovascular1, siendo el más afectado el miocardio, por ateroesclerosis coronaria. Las anormalidades del ritmo como la taquicardia supraventricular son raras y se presentan en el 0.9% de los casos, las más frecuentes son los trastornos del sistema de conducción como los bloqueos de rama y anormalidades de la repolarización2.
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http://dx.doi.org/10.24875/ACM.20000054DOI Listing
August 2020

Adult Nesidioblastosis in Chronic Kidney Disease.

Case Rep Endocrinol 2019 14;2019:7640384. Epub 2019 Feb 14.

Department of Internal, General Hospital of Mexico 'Dr. Eduardo Liceaga', Mexico City, Mexico.

Context: Nesidioblastosis is a rare cause of hyperinsulinemic hypoglycemia in adults. The diagnosis is further complicated in patients with kidney failure, since impaired renal function can cause hypoglycemia by itself and diagnostic criteria for this clinical scenario have not been developed yet.

Case Description: We present the case report of a 36-year-old patient with end stage chronic kidney disease who presented to the emergency department because of hypoglycemia. However, the patient's hypoglycemia did not respond well to medical treatment; the diagnosis of hyperinsulinemic hypoglycemia was made due to the presence of inappropriately high levels of insulin, proinsulin, and C-peptide during an episode of hypoglycemia. Imaging studies were performed without any conclusive findings; so selective intra-arterial pancreatic stimulation with hepatic venous sampling (SACTS) was done. Based on the results of this study the patient was referred for subtotal pancreatectomy. Classic criteria for the diagnosis of insulinoma with SACTS required a 2-fold increase in insulin levels but newer criteria suggest thresholds that are useful in the differential diagnosis of insulinoma and nesidioblastosis. In our patient, the former criteria were positive; however, the new criteria were not compatible with insulinoma but with nesidioblastosis, which was the final histopathological diagnosis.

Conclusion: This seems to be the first case report of a patient with end stage chronic kidney disease and nesidioblastosis, as well as the first case of hyperinsulinemic hypoglycemia in the context of kidney failure diagnosed by SACTS. We consider this method to be very useful in patients with renal impairment because peripancreatic insulin levels do not depend on the renal function.
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http://dx.doi.org/10.1155/2019/7640384DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393863PMC
February 2019

Sticky Platelet Syndrome: An Unrecognized Cause of Acute Thrombosis and Graft Loss.

Case Rep Nephrol 2018 22;2018:3174897. Epub 2018 Apr 22.

Nephrology Service, General Hospital of Mexico "Dr. Eduardo Liceaga", Mexico City, Mexico.

Introduction: Sticky platelet syndrome (SPS) is a prothrombotic disease that is not well recognized and difficult to diagnose.

Case Report: We present a case of a 49-year-old diabetic woman on ambulatory peritoneal dialysis therapy who underwent a kidney transplant from living-related donor. The donor was her sister with whom she shared one haplotype and absence of donor specific antibodies. The posttransplant evolution was torpid, developing progressive deterioration, which made us suspect a failure in the graft. Doppler ultrasound reported renal vein thrombosis and hypoperfusion of the renal artery. Without clinical improvement, she required a reintervention that ended in graftectomy, in which the histopathological report showed negative C4d with medullary and cortical infarction. Hematological studies were negative for antibodies against phospholipids, with correct levels of proteins C and S and antithrombin. Platelet aggregometry studies were carried out, which were compatible with SPS.

Conclusions: Recognition of SPS in pretransplant studies is difficult if there is no history of previous thrombotic events. However, we must consider this entity in cases of acute thrombosis and loss of the graft of uncertain origin.
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http://dx.doi.org/10.1155/2018/3174897DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5937576PMC
April 2018