Immunotherapy is now consolidated as a basic treatment of cancer. Tumors such as melanoma, kidney, and lung, have been the first to receive the benefits of this new treatment. Patients with bad clinical conditions can have an impressive tumor response, usually after a “latency” period of 4-6 weeks. Continue reading The New Diagnostic Challenge with Cancer Immunotherapy
A 70-year-old patient was admitted with neutropenia, moderate thrombocytopenia, and fever, following chemotherapy. starting with antibiotics until normalization of neutrophils. As platelets persisted in values of 56,000 x109/L, a transfusion was decided. Three days later there was no improvement in the level of platelets. Continue reading More is not always better
A 70-year-old male had a diagnosis of bladder cancer. One month before, he presented with fever and chills after chemotherapy, coincident with neutropenia and thrombocytopenia. A chest x-ray showed a basal right image with doubt about a condensation. He started with antibiotics and all the symptoms resolved.
I attended her in the last minutes of her life, and this allowed me to know her story. Fifteen years earlier, when she was on her sixtees, she began to fall on the street with some frequency. Several visits to the general practitioner, orthopaedic and rehabilitation were not very useful.
A 71-year-old woman went to the hospital with pain in her right abdomen, fever and chills, and a yellowish watery diarrhea. He had no vomiting or other symptoms. The patient had had an upper digestive haemorrhage 25 years ago. The patient was diabetic type II. The initial diagnosis was gastroenteritis with radiological signs of transverse and left colitis
A 78-year-old Portuguese woman came to the emergency room for pain and difficulty to move her right leg. One month before, a retrocolangiogram had been performed to assess the possible persistence of bile duct stones after cholecystectomy. He did not report fever and was not receiving anticoagulants.