JAIRo RAMIREZ

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An otherwise healthy 37-year-old man came to the emergency room with left-sided dull chest pain of 4 weeks' duration. Physical examination, laboratory studies, and electrocardiogram were all unremarkable. A chest x-ray film revealed calcified pulmonary nodules. Computed tomography of the chest confirmed bilateral parenchymal cavitary lesions. Via limited(More)
We present a case of a cirrhotic patient suffering an intradiverticular squamous carcinoma with perforation to the peritoneal cavity, diagnosed after performance of an emergency laparotomy due to acute abdomen with infaust evolution. The rarity of the entity and the differential diagnosis imposed are the reasons for our presenting it. A series of(More)
The small number of patients suffering from pulmonary involvement with Sporothrix schenckii has prevented prospective controlled studies that could determine the optimal therapy for this chronic infection. The clinician's ability to determine the best medical treatment for chronic cavitary pulmonary sporotrichosis is also tempered by the limited use of(More)
surgery or autopsy. Unusual echocardiographic findings early in the course of the disease in a patient we studied recently led us to suspect the diagnosis of a ruptured left coronary cusp. When these were noted to correlate with clinical deterioration, immediate cardiac catheterization and aortic valve replacement was undertaken. The echocardiographic(More)
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