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Bibliographic Details
Main Author:	Nicolás Coronel
Format:	Artículo científico
Language:	es
Published:	Asociación Colombiana de Medicina Interna 2013
Subjects:	Medicina Diarrea rifaximine diagnóstico tratamiento vancomicina
Online Access:	https://www.redalyc.org/articulo.oa?id=163128381012
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Infección por Clostridium difficile tratada satisfactoriamente con rifaximine Nicolás Coronel Juan Guillermo Tamayo Medicina Diarrea rifaximine diagnóstico tratamiento vancomicina La infección por Clostridium difficile (CD) es una de la causas más comunes de diarrea adquirida en el ámbito hospitalario, y su espectro clínico puede ir desde casos leves, autolimitados, hasta situaciones como colitis de muy difícil manejo que pueden poner en riesgo la vida del paciente (1). Generalmente se ha asociado al uso crónico de antibióticos de amplio espectro (2). La incidencia de la enfermedad ha aumentado en los últimos años, haciendo que aparezcan nuevas opciones terapéuticas y diagnósticas a las ya conocidas. El objetivo de este artículo es hacer la revisión de un caso de un paciente con infección por CD documentada de difícil manejo, que respondió satisfactoriamente al manejo con rifaximine. (Acta Med Colomb 2013; 38: 177-181). 2013 artículo científico 0120-2448 https://www.redalyc.org/articulo.oa?id=163128381012 es http://www.redalyc.org/revista.oa?id=1631 Acta Médica Colombiana application/pdf Asociación Colombiana de Medicina Interna Acta Médica Colombiana (Colombia) Num.3 Vol.38

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// Anecdotal testing Today and Yesterday seems to indicate destroy() // is called by the garbage collector and everything is good. // Something to keep in mind though. return 0; } /** * Write function that is called when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ public function write($sessId, $data): bool { if ($this->writesDisabled) { return true; } return $this->saveSession($sessId, $data); } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ abstract protected function saveSession($sessId, $data): bool; }

* * @return void */ public function writeClose() { // The assumption is that we're using PHP's ext/session. // session_write_close() will actually overwrite $_SESSION with an // empty array on completion -- which leads to a mismatch between what // is in the storage object and $_SESSION. To get around this, we // temporarily reset $_SESSION to an array, and then re-link it to // the storage object. // // Additionally, while you _can_ write to $_SESSION following a // session_write_close() operation, no changes made to it will be // flushed to the session handler. As such, we now mark the storage // object isImmutable. $storage = $this->getStorage(); if (! $storage->isImmutable()) { $_SESSION = $storage->toArray(true); session_write_close(); $storage->fromArray($_SESSION); $storage->markImmutable(); } } /** * Attempt to set the session name * * If the session has already been started, or if the name provided fails * validation, an exception will be raised. * * @param string $name * @return SessionManager * @throws Exception\InvalidArgumentException */ public function setName($name) { if ($this->sessionExists()) { throw new Exception\InvalidArgumentException( 'Cannot set session name after a session has already started'

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