Serratia marcescens is a rarely implicated agent in endocarditis. We describe a case of a patient that underwent aortic and mitral valve replacement for Streptococcus agalactiae endocarditis. Four months later, he was readmitted with an ischemic stroke and fever. Physical examination and repetitive transthoracic echocardiogram were unremarkable. The initial blood cultures were negative. Due to sustained fever, ...
Background and Aims: Endoscopic retrograde cholangiopancreatography is the preferred strategy for the management of biliary and pancreatic duct stones. However, difficult stones occur, and electrohydraulic (EHL) and laser lithotripsy (LL) have emerged as treatment modalities for ductal clearance. Recently, single-operator cholangioscopy was introduced, permitting the routine use of these techniques. We aimed to...
O propósito destas recomendações é fornecer uma ferramenta fundamentada na evidência científica atual, centrada no doente, que possa ser útil na prática clínica e que contribua para a implementação adequada, sistemática e transversal da profilaxia do tromboembolismo venoso no doente adulto. Foram aprovadas, com o apoio da Sociedade Portuguesa de Anestesiologia, por Consenso Nacional Multidisciplinar entre as es...
Portugal enfrentou, de 1961 a 1974, uma campanha de contra-insurreição (COIN) nos seus territórios africanos de então, muito diferente das anteriores campanhas de polícia imperial. Portugal foi a primeira potência europeia em África e a última a sair, depois de conduzir de forma isolada uma campanha de contra-insurreição em três distantes e diferentes Teatros de Operações. Foi um extraordinário feito de armas, ...
Fractures of the facial skeleton are relatively uncommon in children and adolescents, and there are only few reports that review a significative number of patients. We performed a retrospective study to analyse the different characteristics of such fractures in the pediatric population in the north of Portugal.We reviewed the clinical and the surgical records of a series of 247 patients younger than 19 years, t...