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Weil's Disease in a Young Homeless Man Living in Lisbon

Moreira Marques, T; Nascimento, P; Almeida, A; Tosatto, V

Leptospirosis is a zoonotic disease of worldwide distribution caused by infection with Leptospira genus bacteria, a pathogenic spirochaete. We present the case of a 29-year-old man admitted to our hospital with fever and multiorgan failure. He provided poor information about his symptoms. No recent travel or occupational history was reported and his clinical presentation did not suggest any infectious foci. His...


Hepatic Hydrothorax: Indwelling Catheter-Related Acinetobacter Radioresistens I...

Cruz, C; Tosatto, V; Nascimento, P; Barata Moura, R

Hepatic hydrothorax, a rare and debilitating complication of cirrhosis, carries high morbidity and mortality. First-line treatment consists of dietary sodium restriction and diuretic therapy. Some patients, mainly those who are refractory to medical management, will require invasive pleural drainage. The authors report the case of a 76-year-old man in a late cirrhotic stage of alcoholic chronic liver disease, p...


First Case of Tularemia Reported in Portugal: Probably of Imported Origin

Lopes de Carvalho, I; Nascimento, P; Núncio, MS; Toscano Rico, M

The authors report the case of a 47-year-old man who walked in the countryside on the island of Bornholm, during the summer period. Three days later, fever, myalgias and adynamia began. The serological tests, Real-time PCR and isolation of the bacteria from the culture of lymph biopsy confirmed the presence of Francisella tularensis subsp. holarctica.


Propylthiouracil Induced Pulmonary-Renal Syndrome: a Case Report.

Boattini, M; Rodrigues, A; Nascimento, P; Luz, KC; Castelo Branco, S; Rodrigues, N; Cachado, P; Garcia, T

Propylthiouracil (PTU) is known to induce antineutrophil cytoplasmatic antibody (ANCA) seropositivity; however, small vessel vasculitis (SVV) with pulmonary and renal involvement is rare. We present the case of an 81-year-old woman on PTU treatment due to toxic nodular goitre who developed alveolar hemorrhage and rapidly progressive glomerulonephritis. The authors highlight the importance of early recognising d...


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