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Diagnosis of Rheumatic Fever in a Particular Clinic of Izabal department of Guatemala 2000-2005
(Thermometer of the quality of health service)
Author: Dr. Wilfredo Ramon Stokes B.
SUMMARY
Objectives: In Izabal, department of Guatemala is observed an interesting amount of cases or Rheumatic Fever (RF), in spite of having a “suitable sanitary infrastructure”
Methods: 3422 patients were examined and all their clinical stories were reviewed being all taken care of in a particular clinic of Izabal, evaluating the total of patient’s and tickets with diverse pathologies, selecting diagnosed of RF between their diagnoses finding 246 patients 7.1% fulfilled the criteria diagnosis of Jones.
Results: It was observed grater incidence in woman. Most of diagnosed patient were of legal age. Predominant the grater criteria of Migratory arthritis and carditis. Most of diagnosed patient of RF came from the urban helmet of the department head. (Puerto Barrios, Izabal)
Discussion: they have identified a high incidence of patients with FR, in its majority adults, diagnosed for first time. Most they suffer of carditis and therefore they present risk of undergoing serious complications when they not receive treatment and the appropriate `prophylaxis. The RF in difficult to diagnose disease; especially when doctors don’t think about it and a deficient medical evaluation is the main factor in the genesis of the situation. The problem has never been border in Guatemala and there is no single case reported in the ministry of health of this disease at national level, which insinuates a problem of considerable magnitude especially if this occurs in a country with multiple deficiencies in the general scope. This is a descriptive analytical study that tries only it call the attention of sanitary authorities to investigate and to take the pertinent measure.
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Key word Guatemala, Rheumatic Fever, criteria of Jones, high incidence, risk of complication, deficient medical evaluation no reported case.
Aqui encontrara informacion sobre Fiebre Reumatica y el estudio realizado en Guatemala por el Dr. Wilfredo R. Stokes, este es el "Unico" estudio realizado en toda la historia de Guatemala sobre esta enfermedad siendo tan alto el impacto que este tuvo a nivel internacional que fue merecedor del Primer Lugar en el V CONGRESO LATINOAMERICANO DE MEDICINA INTERNA y tambien en el IV CONGRESO COSTARRICENSE DE EDICINA INTERNA realizados ambos en el 2007, llamado la atencion a tal punto que puede considerarse que esta situacion puede estarse dando en otros paises de la subregion.
La Salud y Educacion son el reflejo de la situacion real que se vive en un pais.....
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