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Acute Fulminant Cerebral Edema in a Child With Suspected Meningoencephalitis

Monteiro, Sara; Teixeira, Beatriz; Fraga, Carolina; Dias, Andreia; Cardoso, Ana Lúcia; Meireles, Daniel; Sarmento, Alzira; Ferreira, Paula Regina

Acute fulminant cerebral edema (AFCE) is a recently identified encephalitis type associated with significant morbimortality. Described as rare, limited data exists on its early detection and treatment. This paper describes a case of AFCE that progressed to unresponsive intracranial hypertension. A previously healthy four-year-old boy presented with fever, myalgias, and neurological symptoms. Diagnostic assessme...


Kawasaki disease in a five-month-old infant

Maciel, Juliana; Meireles, Daniel; Magalhães, Mariana; Gonçalves, Sara; Fernandes, Sofia Ribeiro; Fernandes, Paula Cristina

Introduction:  Kawasaki disease, an acute self-limited vasculitis of small and medium arteries of unknown etiology, is the leading cause of heart disease in children in most developed countries. If untreated, it can lead to coronary artery dilatation and aneurysm, placing patients at risk for coronary thrombosis, myocardial infarction, or sudden death. Case Report: A previously healthy five-month-old boy presen...


Terapêutica com surfactante em recém-nascidos prematuros: tendência para uma ab...

Meireles, Daniel; Araújo, Luísa Neiva; Nascimento, Marta; Pinho, Liliana; Freitas, Ana Cristina; Almeida, Alexandra; Carvalho, Carmen; Proença, Elisa

Introdução: A administração de surfactante por técnica minimamente invasiva (MIST) é um procedimento que visa reduzir o número de intubações e riscos associados. O objetivo deste estudo foi comparar a técnica MIST com a técnica INtubation-SURfactant-Extubation (INSURE). Material e métodos: Análise retrospetiva (de janeiro 2015 a junho 2019) de recém-nascidos (RN) pré-termo sob ventilação não invasiva com pressã...


Mosaic trisomy 22 in a 14-year-old adolescent: A case report

Cunha, Sara Monteiro; Meireles, Daniel; Figueiredo, Catarina; Soares, Ana Rita; Freitas, Joana; Oliveira, Maria João; Borges, Teresa

Introduction: Complete trisomy 22 is the second most common chromosomal aneuploidy found in spontaneous abortions. However, mosaic trisomy 22 has a mild phenotype, being compatible with life. The varied manifestations of trisomy depend on the distribution of the affected cells, making this diagnosis difficult. Case report: A 14-year-old adolescent was observed for primary amenorrhea. On physical examination, mi...


Kawasaki disease in a five-month-old infant

Maciel, Juliana; Meireles, Daniel; Magalhães, Mariana; Gonçalves, Sara; Ribeiro Fernandes, Sofia; Fernandes, Paula Cristina

Introduction: Kawasaki disease, an acute self-limited vasculitis of small and medium arteries of unknown etiology, is the leading cause of heart disease in children in most developed countries. If untreated, it can lead to coronary artery dilatation and aneurysm, placing patients at risk for coronary thrombosis, myocardial infarction, or sudden death. Case Report: A previously healthy five-month-old boy present...


Minimally invasive surfactant therapy in preterm infants: towards less invasive...

Meireles, Daniel; Neiva-Araújo, Luísa; Nascimento, Marta; Pinho, Liliana; Freitas, Ana Cristina; Almeida, Alexandra; Carvalho, Carmen; Proença, Elisa

Introduction: Minimally invasive surfactant therapy (MIST) is a surfactant administration procedure that intends to reduce intubations and associated risks. The aim of this study was to compare MIST with INtubation-SURfactant-Extubation (INSURE) technique. Material and methods: Retrospective analysis (from January 2015 to June 2019) of preterm infants on nasal continuous positive airway pressure (nCPAP) treated...


Extracorporeal Membrane Oxygenation: The First 10 Years Experience of a Portugu...

Meireles, Daniel; Abecasis, Francisco; Boto, Leonor; Camilo, Cristina; Abecasis, Miguel; Neves, José Pedro; Soares, Zélia Cristo; Vieira, Marisa

Introduction: In Portugal, extracorporeal membrane oxygenation (ECMO) is used in pediatric patients since 2010. The aim of this study was to describe the clinical characteristics of patients, indications, complications and mortality associated with the use of ECMO during the first 10-years of experience in the Pediatric Intensive Care Unit located in Centro Hospitalar Universitário Lisboa Norte. Material and me...


Extracorporeal Membrane Oxygenation: The First 10 Years Experience of a Portugu...

Meireles, Daniel; Abecasis, Francisco; Boto, Leonor; Camilo, Cristina; Abecasis, Miguel; Neves, José Pedro; Soares, Zélia Cristo; Vieira, Marisa

Introduction: In Portugal, extracorporeal membrane oxygenation (ECMO) is used in pediatric patients since 2010. The aim of this study was to describe the clinical characteristics of patients, indications, complications and mortality associated with the use of ECMO during the first 10-years of experience in the Pediatric Intensive Care Unit located in Centro Hospitalar Universitário Lisboa Norte.Material and Met...

Date: 2021   |   Origin: Acta Médica Portuguesa

Gitelman syndrome, a rare condition: three clinical cases and pathophysiology r...

Meireles, Daniel; Figueiredo, Rafael; Rocha, Liliana; Cunha, Joaquim; Matos, Paula

Introduction: Gitelman syndrome (GS) is a renal tubular disorder characterized by hypokalemia, metabolic alkalosis, hypomagnesemia, and hypocalciuria. Clinical manifestations are nonspecific. Herein are reported three cases of GS with different age of onset, clinical manifestations, and management. Case Reports: Case 1 was a sixteen-year-old female, while Cases 2 and 3 presented at an atypical age (seven and ei...


Gitelman syndrome, a rare condition: three clinical cases and pathophysiology r...

Meireles, Daniel; Figueiredo, Rafael; Rocha, Liliana; Cunha, Joaquim; Matos, Paula

Introduction: Gitelman syndrome (GS) is a renal tubular disorder characterized by hypokalemia, metabolic alkalosis, hypomagnesemia, and hypocalciuria. Clinical manifestations are nonspecific. Herein are reported three cases of GS with different age of onset, clinical manifestations, and management. Case Reports: Case 1 was a sixteen-year-old female, while Cases 2 and 3 presented at an atypical age (seven and ei...


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