Mielitis transversa longitudinalmente extensa post - dengue: un reporte de caso y revisión bibliográfica
Bibliographic record
Abstract
We present the case of an adult diagnosed with Longitudinally Extensive Transverse Myelitis after having presented a viral infection by Dengue, an arbovirus of the Flaviviridae family that is transmitted between humans through a vector agent, the Aedes aegyptil mosquito, characterized by fever, moderate pulsatile headache associated with retroocular pain, asthenia, osteoarticular pain, nausea, vomiting and abdominal pain, testing positive for Dengue disease (NS1), About 10.8% of patients may present various neurological manifestations of the central and peripheral nervous system such as: encephalopathy, encephalitis, meningitis, cerebrovascular disease, myositis, hypokalemic periodic paralysis, polyneuropathy and Guillain-Barré or Miller Fisher syndrome (3 - 5). The most common neurological complications of dengue, encephalopathy and encephalitis have an estimated incidence of 0.5 and 6.2% (1), which occurred 10 days later with sphincter disorder that required the use of a foley catheter in addition to flaccid paraplegia and sensory alteration (manifested as sensory level). For this reason, he was admitted to the Guillermo Almenara Irigoyen National Hospital, Lima-Peru; with the diagnosis of transverse myelitis, and after imaging it was considered a long-extensive transverse myelitis, The inflammatory spinal cord condition (myelitis) is a rare complication of Dengue and can present as transverse myelitis (TM) or longitudinally extensive transverse myelitis (MTLE). (6) TM is characterized by sensory-motor alteration from the affected medullary level to caudal and sphincter involvement; on the other hand, MTLE involves involvement of 3 or more continuous spinal cord levels. (6, 7), during the hospital stay, since his admission to the emergency room, he received 05 pulses of Methylprednisolone, after 72 hours, as he had no clinical response, 05 cycles of intravenous immunoglobulin were initiated, which was well accepted by the patient, in addition to physical therapy. With this medical management, the patient had a favorable evolution of motor and sensory function, being referred to the San Isidro Labrador Hospital to continue physical therapy and bladder re-education.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.005 | 0.003 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.004 | 0.002 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".