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Rhizobium radiobacter, a Rare Cause of Peritonitis

Leitão e Sousa, Sofia; Vidal, Helena; Ormonde, Carolina; Cabral, Raquel

Rhizobium radiobacter is a Gram­‑negative bacteria known to cause peritonitis in peritoneal dialysis (PD) patients since 1985. Although it has low virulence, it is known to adhere to medical devices, raising concern for PD catheter removal.Currently, there are no guidelines as to the best practice when dealing with this agent, despite the growing number of published cases. We present a challenging and unexpecte...


Individualizing Treatment for CMV with UL97 del597-599 Mutation: Beyond Unusual...

Piedade, Ana; Vidal, Helena; Simões, Pilar; Bigotte Vieira, Miguel; Chasqueira, Maria Jesus; Caeiro, Fernando; Aires, Inês; Paixão, Paulo

Human cytomegalovirus (CMV) infection is the most prevalent infection affecting organ transplant recipients, and it is a cause of morbidity and mortality in patients undergoing kidney transplantation. The introduction of ganciclovir (GCV) for both prophylaxis and treatment has vastly improved patient outcomes. GCV resistance can be caused by mutations in the UL97 phosphotransferase gene or the UL54 polymerase g...


Calcium Polystyrene Sulfonate-Induced Colitis: Advanced Characterization of Cry...

Vidal, Helena; Salgado, Vilma; Alves, Patrícia; Fonseca, Nuno Moreira; Frochot, Vincent; Ferreira, Aníbal

Classical potassium binders are used in the treatment of hyperkalemia and are widely associated with gastrointestinal side effects, with crystal colonic injury being rare but potentially fatal. In this report, we describe the case of an 82-year-old male with hyperkalemia and calcium polystyrene sulfonate crystal-associated colonic necrosis. Traditionally, this diagnosis has relied on the examination of crystal ...


Tail gut cyst: A case report and literature revue

Carvalho, Nuno; Vidal, Helena; Lebre, Rui; Fernandes, Victoe; Brito, Maria José; Gíria, João

The authors describe the case of a 42-year-old-woman with sacral pain for several years. Clinical evaluation, endoanal ultrasound, Computer Tomography and Magnetic Resonance Imaging demonstrated a retro rectal cystic lesion. A Kraske approach was used for excision. Pathology showed a tail gut cyst. A review of the literature is presented. Keywords: tailgut cyst; retrorectal cystic hamartoma; presacral cyst; rec...

Date: 2009   |   Origin: Revista Portuguesa de Cirurgia

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