26 documents found, page 1 of 3

Teníase e/ou Cisticercose: O que nos Espera?

Core, clinical and ethical competences of dietitians/nutritionists in palliativ...

INTRODUCTION: Dietitians/nutritionists professional competences in Palliative Care have been poorly investigated. Thus, to dietitians/nutritionists develop their jobs with scientific and technical rigour based on an ethical point of view it is necessary that they have their professional competences very well defined. OBJECTIVES: To identify a set of professional competences of dietitians/nutritionists in the fi...

Guidelines for the Treatment and Follow-Up of Patients with Q Fever

Q fever (or query fever) is a zoonotic infectious disease with worldwide distribution transmitted by an intracellular Gram-negative bacterium, Coxiella burnetii. The most common identified sources of human infection are farm animals, such as sheep, goats and cattle. The disease is endemic in mainland Portugal, with most cases notified in the central and southern regions. Q fever is a complex and pleomorphic dis...

Spatial Patterns in Hospital-Acquired Infections in Portugal (2014-2017)

Background: Hospital-Acquired Infections (HAIs) represent the most frequent adverse event associated with healthcare delivery and result in prolonged hospital stays and deaths worldwide. Aim: To analyze the spatial patterns of HAI incidence from 2014 to 2017 in Portugal. Methods: Data from the Portuguese Discharge Hospital Register were used. We selected episodes of patients with no infection on admission and w...

Post Vaccine Rubella During a Measles Outbreak: Clinical Case

Rubella is a vaccine preventable infection, and congenital rubella the most feared complication of this disease. Although young adult women are at greatest risk of post-vaccine rubella, this is also the group who potentially benefits the most from vaccine protection. Since post-vaccine disease has a mild and self-limited course, the benefit clearly exceeds the risk. During a measles outbreak in the north of Por...

Schizophyllum commune sphenoidal sinusitis as presentation of a non-Hodgkin Lym...

Schizophyllum commune is a basidiomycetes worldwide distributed that has emerged as cause of invasive infections in immunosuppressed patients. We present a case of a man who was simultaneously diagnosed with a small cell non-Hodgkin lymphoma and a sphenoid sinusitis by S. commune. Intraoperative observation and histology description were crucial to consider an alternative diagnosis to mucormycosis suggested by ...

Frequência de Mutações de Resistência aos ARVs em novos casos de infeção por VI...

Introdução: A avaliação da presença de mutações que confiram resistência aos fármacos usados no tratamento da infeção por VIH-1, faz parte da avaliação laboratorial efetuada no quadro de um diagnóstico de novo, e a monitorização da sua prevalência é preconizada internacionalmente. Objetivos: Avaliar a frequência de mutações de resistência (MR) entre doentes com diagnóstico estabelecido em 2018 e identificar det...

O desafio diagnóstico de uma zoonose

Introdução: A febre Q é uma zoonose, causada pela Coxiella burnetii. Esta bactéria está presente em produtos de animais, sobretudo gado ovino, caprino e bovino e transmite-se ao humano pela inalação de aerossóis. Sendo uma doença de declaração obrigatória em Portugal desde 1999, é epidemiologicamente relevante em todo o mundo, tanto na sua forma aguda, com relato de vários surtos na última década, como na sua f...

Botulism disguised as parotitis

Botulism is an acute toxin-mediated neuroparalytic syndrome caused by some Clostridium species. It typically presents itself as an acute symmetric descending paralysis of cranial and peripheral nerves, which can potentially evolve to respiratory failure and death. We report a case of botulism diagnosed in a patient presenting with a parotitis probably due to xerostomia, even though he had already sought medical...

Nutrition and hydration in the end-of-life-care: ethical issues

The last decades brought huge advances in medical technology and pharmacology. One area that reflects this progress has been the administration of nutrition and hydration. These are controversial therapies at the end of life, especially when administered by artificial means. The objective of this review was to discuss and comprehend the current and global knowledge about ethical issues related to food, nutritio...