9 documents found, page 1 of 1
Linfoma T Cutâneo: Um Diagnóstico Diferencial Desafiante”
Costeira, Raquel; Oliveira e Costa, Ana; Carneiro Silva, Rita; Moreira Azevedo, Mariana; Canelas, Cátia; Salvador, FernandoA celulite é uma infeção comum da pele e tecido celular subcutâneo, de diagnóstico clínico/microbiológico. Apresenta-se o caso de uma mulher, 80 anos, com antecedentes de carcinoma basocelular nasal e dacriocistites de repetição. Observada por febre, lesões cutâneas faciais ruborizadas e lesões aftosas na cavidade oral, com 6 meses de evolução, recrudescentes apesar de terapêutica antibiótica e antivírica. Por ...
Degree of Dependence and Risk of Nosocomial Infection
Costa, Andreia; Gonçalves, Helena; Pais, Cármen; Isabel Costa, Ana; Salvador, Fernando; Vaz Marques, PaulaIntroduction: Incidence of nosocomial infections graduallyincrease over the age of 65. The primary objective of thispaper was to assess the impact of the reduction or loss ofautonomy of the elderly patients in the nosocomial infectionacquisition.Material and Methods: Prospective analysis of hospitalizedpatients from March 2017 to February 2018 at the Department of Internal Medicine of Vila Real Hospital, with a...
Epstein-Barr Virus-Associated Hemophagocytic Lymphohistiocytosis: Rarity and Se...
Costa, Andreia Sofia; Paixão, Anusca; Santos, Henrique; Salvador, FernandoHemophagocytic lymphohistiocytosis is a rare, aggressive and life-threatening syndrome, characterized by an excessive immune activation. It is triggered by multiple stimuli, with infections having an important role. The most common infectious trigger is viral infection, particularly by Epstein-Barr virus. Coagulation disorders are common in hemophagocytic lymphohistiocytosis and disseminated intravascular coagu...
Experimental and clinical treatment of Chagas disease : a review.
Sales Júnior, Policarpo Ademar; Molina, Israel; Murta, Silvane Maria Fonseca; Sánchez Montalvá, Adrián; Salvador, Fernando; Oliveira, Rodrigo Corrêa deChagas disease (CD) is caused by the protozoan parasite Trypanosoma cruzi that infects a broad range of triatomines and mammalian species, including man. It afflicts 8 million people in Latin America, and its incidence is increasing in nonendemic countries owing to rising international immigration and nonvectorial transmission routes such as blood donation. Since the 1960s, the only drugs available for the clin...
Visceral Leishmaniasis Associated with Macrophage Activation Syndrome and Diffu...
Costa, Andreia; Pais, Cármen; Cerqueira, Sofia; Salvador, FernandoSystemic lupus erythematosus is a heterogeneous and unpredictable autoimmune disease which can be complicated to approach and treat. Hemophagocytic lymphohistiocytosis and diffuse alveolar hemorrhage are rare disease complications. The authors describe a clinical case of a 32-year-old woman with lupus and fever of unknown origin. From the investigations performed, the myelogram revealed hemophagocytosis and Lei...
Bullous Pemphigoid Successfully Treated with Rituximab
Silva, Nuno; Costa, Andreia; Salvador, Fernando; Serradeiro, ElisaBullous pemphigoid is an autoimmune disease characterized by subepidermal blister formation. Can be self-limiting but when necessary treatment includes the use of corticosteroids, immunosuppressants, and biological agents. We present the case of a 37 year old patient with a severe and refractory presentation of bullous pemphigoid. After about a month of treatment with various first line drugs and with no respon...
Mycotic Aneurysm of the Abdominal Aorta Caused by Campylobacter fetus: A Rare C...
Vaz Cristino, Ana; Militão, Isabel; Salvador, Fernando; Carrola, PauloCampylobacter fetus is a zoonotic agent rarely associated with disease in humans. However, it may cause serious and potentially deadly infections in multiple organs, so it is important to consider this agent when the right epidemiological context is present. We report a case of an abdominal aortic mycotic aneurysm infected with C. fetus in a previously healthy man.; O Campylobacter fetus (C. Fetus) é um agente ...
Antiphospholipid syndrome and adrenal insufficiency: a case-report
Salvador, Fernando; Cunha, Joana; Pinelo, Elisabete; Morais, Anabela; Faria, TrigoAntiphospholipid syndrome (APS) is a thrombophilia disorder that may be diagnosed alone or associated with a systemic disease.A 58 years-old male patient diagnosed with primary APS, presented with asthenia, vomiting and diffuse abdominal pain. He was obtunded with hypotension, tachycardia and fever. The following values were found: Platelets 76000/mm3, gamma-glutamyl transpeptidase 168IU/L, alkaline phosphatase...
Influenza A (H1N1) vaccination in Systemic Lupus Erythematosus patients
Salvador, Fernando; Ribeiro, Sofia; Macedo, Cátia; Neves, João; Teixeira, Sofia; Farinha, Fátima; Almeida, Isabel; Vasconcelos, CarlosObjective: To evaluate retrospectively the use of Influenza A (H1N1) vaccine and its effects on the Systemic Lupus Erythematosus (SLE) adult patients followed in the Clinical Immunology Unit of Hospital Santo Antonio – Porto, Portugal.Material and Methods: A telephone survey was carried out, asking patients whether they had influenza A medical diagnosis. They were also asked whether the vaccine had been propose...