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Bibliographic Details
Main Author:	Óscar Alberto Castejón Cruz
Format:	Artículo científico
Language:	es
Published:	Federación Latinoamericana de Sociedades Científicas de Estudiantes de Medicina 2010
Subjects:	Medicina Disfagia Mucosa oral Paracoccidioidomicosis Blastomicosis Sudamericana
Online Access:	https://www.redalyc.org/articulo.oa?id=71721155009
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Paracoccidioidomicosis en cavidad oral: A propósito de un caso Óscar Alberto Castejón Cruz Mazlova Luxely Toledo Lesly Liseth Cerrato Medicina Disfagia Mucosa oral Paracoccidioidomicosis Blastomicosis Sudamericana Paracoccidiodiomicosis (PCM) es una micosis sistémica granulomatosa causada por el hongo Paracoccidioides brasiliensis. Basado en la sintomatología clínica, radiológica e histológica debe de considerarse como una patología diferencial del carcinoma de células escamosas, tuberculosis, así también como enfermedad oportunista, en pacientes con alteración del sistema inmune. Se reporta un caso de paracoccidioidomicosis en un paciente masculino, 62 años de edad, procedente, Alauca (Honduras), que se dedica a la agricultura que refiere disfagia de 6 meses de evolución acompañándose de otalgia del lado derecha, un mes de pérdida de peso y tos con esputo hemoptoico. Al examen físico mucosas húmedas con abundante sialorrea y lesión ulcerativa en amígdala derecha, adenopatía cervical en región lateral derecha, doloroso, con cambios inflamatorios. El diagnóstico se realizó por la biopsia de amigdala que se reportó como células con múltiples brotes forma de "timón de barco" compatibles con P. brasiliensis. Típicamente esta enfermedad tiene evolución subaguda o crónica y normalmente se reciben tratamiento para otras patologías antes de poder lograrse un diagnostico definitivo. En personas de zonas endémicas que presenten factores de riesgo, se debe de realizar los estudios para descartar dicha micosis permitiendo un diagnóstico precoz. 2010 artículo científico 1680-8398 https://www.redalyc.org/articulo.oa?id=71721155009 es http://www.redalyc.org/revista.oa?id=717 CIMEL Ciencia e Investigación Médica Estudiantil Latinoamericana application/pdf Federación Latinoamericana de Sociedades Científicas de Estudiantes de Medicina CIMEL Ciencia e Investigación Médica Estudiantil Latinoamericana (Perú) Num.2 Vol.15

if (filemtime($filename) + $maxlifetime < time()) { unlink($filename); $count++; } } return $count; } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ protected function saveSession($sessId, $data): bool { $sessFile = $this->path . '/sess_' . $sessId; if ($handle = fopen($sessFile, 'w')) { $return = false; // Lock the file for exclusive access to avoid issues with multiple // processes writing session simultaneously: if (flock($handle, LOCK_EX)) { $return = fwrite($handle, $data); // Make sure that there's no trailing data by truncating the file to // the correct length: ftruncate($handle, strlen($data)); fflush($handle); flock($handle, LOCK_UN); } fclose($handle); if ($return !== false) { return true; } } // If we got this far, something went wrong with the file output... // It is tempting to throw an exception here, but this code is called // outside of the context of exception handling, so all we can do is // echo a message.

// 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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