11 documents found, page 1 of 2
Spondylodiscitis and epidural abscess - two clinical cases
Grebe, Hans Peter; Ferreira, Paulo; do Carmo, Carmen; Rodrigues, Adriano; Almiro, EuricoSpondylodiscitis and spinal epidural abscesses are rare pathologic entities, but increasing in incidence. They often present clinically in a non-specific fashion, a fact which can Jead to diagnostic delay, with serious consequences for the patient. A high levei of suspicion is therefore necessary in order correctly diagnose such entities as quickly as possible. A patient with otherwise unexplained spinal pain s...
Febre escaro-nodular: uma zoonose benigna?
Louro, Emília; Campos, Ana; Leitão, Jorge; Carvalho, Armando; Santos, Rui; Reis, Conceição; Almiro, Eurico; Porto, ArmandoA febre escaro-nodular é uma zoonose com predomínio estival, endémica nos países da orla mediterrânica. O microrganismo responsável pela doença, a Rickettsia conorii é um parasita intracelular obrigatório com características dos bacilos gram- negativos, transmitido acidentalmente ao homem pelo artrópode Riphicephalus sanguineus. A tríade clássica diagnóstica é caracterizada por febre, exan- tema (com atingiment...
Mediterranean spotted fever: a benign zoonosis?
Louro, Emília; Campos, Ana; Leitão, Jorge; Carvalho, Armando; Santos, Rui; Reis, Conceição; Almiro, Eurico; Porto, ArmandoMediterranean spotted fever is a rickettsiosis with a predominance during the summer months, endemic in the Mediterranean region. Rickettsia conorii, microorganism responsable for the disease, is a small intracellular gram-negative bacillus, transmitted accidentally to man by the Riphicephalus sanguineus arthropod. The classical triad is characterized by fever, rash (with palm and sole distribution) and black e...
Longstanding polyarthritis and Whipple´s Disease – a clinical case
Oliveira, Júlia; Araújo, Eliana; Crespo, Jorge; Almiro, Eurico; Porto, ArmandoWhipple’s Disease is a rare systemic disease caused by a Gram-positive bacillus: Tropheryma whippelii. Diagnosis is based on the clinical picture of arthralgia, weight loss, diarrhea and abdominal pain, symptoms which can often be attributed to other diseases.Longstanding rheumatic manifestations usually precede the digestive ones, as happened in this case, in which they began seven years prior to diagnosis.A s...
Seis casos de fasciolíase hepática
Calretas, Susana; Laïz, Marta; Simão, Adélia; Carvalho, Armando; Rodrigues, Adriano; Sá, Anabela; Santos, Arsénio; Santos, Rui; Silva, J. A. P. daA fasciolíase hepática (FH) é uma doença infecciosa causada pelo tremátodo Fascíola hepática, que parasita fundamentalmente os animais herbívoros. O ser humano é infectado apenas ocasional e acidentalmente pela ingestão de plantas aquáticas com metacercárias enquistadas. Revêem-se seis casos clínicos de FH, internados no Serviço de Medicina III dos HUC, nos últimos 15 anos: quatro doentes do sexo masculino, doi...
Six cases of hepatic fascioliasis
Galretas, Susana; Laïz, Marta; Simão, Adélia; Carvalho, Armando; Rodrigues, Adriano; Sá, Anabela; Santos, Arsénio; Santos, Rui; da Silva, J. A. P.Fascioliasis is an infectious disease, caused by the fluke Fasciola hepatica, that mainly parasitises herbivorous animals. Man is an accidental host. Infection results from eating raw aquatic vegetables with encysted metacercariae.The authors report 6 cases of human hepatic fascioliasis, admitted in the University of Coimbra hospital, Medicine III Service, in the last 15 years. Of the six cases, 4 were males an...
Paraquat poisoning: Experience of an Internal Medicine department
Branco, Vítor; Calretas, Suzana; Simão, Adélia; Santos, José M.; Santos, Arsénio; Santos, Rui M.; Carvalho, Armando; Reis, Conceição; Almiro, EuricoAims: To study the presentation, treatment andevolution of Paraquat poisoning, looking forprognostic indicators.Material and Methods: A retrospective analysis ofParaquat poisoning cases admitted to an InternalMedicine department between January 1987 andJanuary 2000, using a data collection protocol, wasmade. The following parameters were assessed:demographic; quantity ingested and time fromingestion to hospital...
Pyogenic liver abscess Four clinical cases
Ferreira, Paulo; Oliveira, Júlia; Leitão, Sara; Rodrigues, Adriano; Alves, Fernando; Simão, Adélia; Almiro, Eurico; Porto, ArmandoPyogenic liver abscess is an infrequent clinica! entity, often with an atypical way of presentation, which contributes to a delay in diagnosis. Presently, aspiration and/or catheter drainage associated to antibiotic therapy, is the method of first choice in pyogenic liver abscess treatment. Surgery is indicated when medical treatment has failed, or in those patients requiring abdominal exploration. We report fo...
Hodgkin's disease presenting with pyrexia of unknown origin
Branco, Vitor; Salvador, Maria João; Silva, Mário Rui; Martins, Paulo; Carvalho, Armando; Almiro, Eurico; Porto, Armandoln Hodgkin's disease, the anatomical extension of the disease and the histological sub type are the major determinants of the forms of disease presentation. Frequently, clinical manifestations have low specificity and it is difficult to suspect tbe diagnosis. A clinical case is reported of abdominal Hodgkin's disease of tbe lympbocyte depleted type, that presented initially with pyrexia of unknown origin, ...
Paraquat poisoning in a medical ward
Santos, José Manuel; Santos, Arsénio; Simão, Adélia; Almiro, Eurico; Severo, Franscisco; Porto, ArmandoThe authors present a retrospective study of paraquat poisoning cases admitted at an Internal Medicine department of a central hospital. This analysis includes a 7.5 years period, involving 26 cases, with male sex predominance (16 patients) and ages between 16 and 74 years old. The mean time elapsed between the toxic ingestion andflrst health care was 1,8 hours if they were admitted in the first 24 hours; th...