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Revista da Sociedade Brasileira de Medicina Tropical

Jorlan Fernandes, Thayssa Alves Coelho da Silva, Renata Carvalho de Oliveira, Alexandro Guterres, Elaine Cristina de Oliveira, Ana Claudia Pereira Terças, Silvana C Levis, Cor Jesus Fernandes Fontes, Marina Atakana, Elba Regina Sampaio de Lemos
No abstract text is available yet for this article.
November 2018: Revista da Sociedade Brasileira de Medicina Tropical
Felipe Tavares Rodrigues, Valéria Magalhães Aguiar, Claudia Soares Lessa
No abstract text is available yet for this article.
November 2018: Revista da Sociedade Brasileira de Medicina Tropical
Aurean D'Eça Júnior, Lívia Dos Santos Rodrigues, Luciana Cavalcante Costa
No abstract text is available yet for this article.
November 2018: Revista da Sociedade Brasileira de Medicina Tropical
Quan-Yao Chen, Jun Wan, Jian-Hui Yang, Min Lin, Yao Chen
Vancomycin is a first-line drug for treating methicillin-resistant Staphylococcus aureus. Thrombocytopenia is a rare adverse reaction to vancomycin treatment, and there are no reports of vancomycin-induced thrombocytopenia (VIT) in infants. We describe the case of a 3-month-old girl who was diagnosed with purulent meningitis. After 13 days of treatment with vancomycin, her platelet count reduced to 8 × 109/L. Vancomycin was discontinued, and intravenous methylprednisolone was administered. The platelet count returned to normal after 4 days...
November 2018: Revista da Sociedade Brasileira de Medicina Tropical
Karla Cristina Petruccelli, Gabriel Castro Tavares, Márcio Pinheiro Lima, Jessica Vanina Ortiz, Alba Regina Brandão, Katia do Nascimento Couceiro, João Marcos Bemfica Barbosa-Ferreira, Mônica Regina Hosannah da Silva E Silva, Maria das Graças Vale Barbosa Guerra, Jorge Augusto de Oliveira Guerra
Cardiorenal syndrome type 1 (CRS 1) occurs when acute heart failure leads to acute kidney injury. There are several etiologies of CRS 1, including Chagas disease. Here, we present the first case report of CRS 1 in a patient with acute Chagas disease. Electrocardiography, transthoracic echocardiography, and cardiac magnetic resonance imaging showed signs of acute myocarditis. Laboratory examination revealed severe loss of kidney function, with a creatinine clearance of 30 mL/min, which fully normalized after treatment...
November 2018: Revista da Sociedade Brasileira de Medicina Tropical
Monique Freire Santana, Guilherme Augusto Pivoto João, Marcus Vinicius Guimarães de Lacerda, Luiz Carlos de Lima Ferreira
The involvement of Mycobacterium tuberculosis in the central nervous system (CNS) is an uncommon and devastating manifestation of tuberculosis. We report a case of disseminated tuberculosis presenting as meningoencephalitis, hypothalamic involvement with extension to the hypophysis, and secondary insipidus diabetes diagnosed at autopsy.
November 2018: Revista da Sociedade Brasileira de Medicina Tropical
Elisah Agaba, Deepak Modi, Ozge Gunduz, Zateen Modi
Cysticercosis is caused by the hematogenous dissemination of the larval form (cysticercus) of Taenia solium. It can affect any organ or tissue in the body but commonly affects the subcutaneous tissue, central nervous system, eyes, and skeletal muscle. Skin lesions can assist as a marker in the diagnosis of asymptomatic neurocysticercosis in endemic areas. A 49-year-old HIV positive man presented with multiple cutaneous nodules confirmed as cysticercomas which led to the diagnosis of asymptomatic neurocysticercosis...
November 2018: Revista da Sociedade Brasileira de Medicina Tropical
Juliana Barbosa Nunes, Thamy Cristina de Oliveira Emídio, Marcos José Marques, Ivo Santana Caldas, Raquel Lopes Martins Souza, Herminia Yohko Kanamura, Julia Maria Costa-Cruz
INTRODUCTION: In most Strongyloides stercoralis infected individuals, nematoidosis occurs asymptomatically, but in immunocompromised patients, it can cause hyperinfection. Serological techniques seem to be a good alternative for detecting this parasite. METHODS: The frequency of seropositivity for strongyloidiasis in Alfenas, MG, was estimated using the enzyme linked immunosorbent assay on blood samples, between May and August of 2015. RESULTS: Out of 258 samples tested, 53...
November 2018: Revista da Sociedade Brasileira de Medicina Tropical
Ana Paula de Azevedo Dos Santos, Saara Nery Fialho, Daniel Sol Sol de Medeiros, Ana Fidelina Gómez Garay, Jorge Alfonso Ruiz Diaz, Maria Celeste Vega Gómez, Carolina Bioni Garcia Teles, Leonardo de Azevedo Calderon
INTRODUCTION: Leishmaniasis, Chagas disease, and malaria cause morbidity globally. The drugs currently used for treatment have limitations. Activity of cinnamic acid analogs against Leishmania spp., Trypanosoma cruzi, and Plasmodium falciparum was evaluated in the interest of identifying new antiprotozoal compounds. METHODS: In vitro effects of analogs against L. braziliensis, L. infantum chagasi, T. cruzi, and P. falciparum, and hemolytic and cytotoxic activities on NCTC 929 were determined...
November 2018: Revista da Sociedade Brasileira de Medicina Tropical
Ana Paula Stefanello da Silveira, Victor Bruno Duarte Vieira, Leticia Surian Batalini, Silvia Barbosa do Carmo, Elisabete Friozi, Eduardo José de Arruda, Manoel Sebastião da Costa Lima Junior, Herintha Coeto Neitzke-Abreu
INTRODUCTION: Peripheral blood of 400 dogs infected with Leishmania and Ehrlichia were analyzed using polymerase chain reaction (PCR), and clinical signs were characterized. METHODS: PCR and parasitological tests were conducted. RESULTS: PCR was positive for Leishmania in 84.75%, and parasitological tests showed that 63.25% and 31.75% were positive for Leishmania and Ehrlichia, respectively. All animals showed more than three clinical signs...
November 2018: Revista da Sociedade Brasileira de Medicina Tropical
Cícero Roberto Pinheiro Grangeiro Júnior, João Vitor Cândido Pimentel, Antonio Gilvan Teixeira Júnior, Aline Felipe de Jesus, Thaila Cristhina Fernandes Galvão, Lorenza Andrés Almeida de Souza, Maria do Socorro Vieira Gadelha, Kécia Silva Damasceno, Modesto Leite Rolim Neto, Marcos Antonio Pereira de Lima, Vânia Barbosa do Nascimento, Cláudio Gleidiston Lima da Silva
INTRODUCTION: This study characterized the clinico-epidemiological profile of American cutaneous leishmaniasis (ACL) cases in Barbalha, Ceará State, Brazil. METHODS: Medical records of 363 patients visiting Federal University of Cariri between 2009 and 2014 were analyzed. RESULTS: ACL was more prevalent in men with low education level from rural zones. The main presentation was a single ulcer, mainly in the lower limbs, and 49.8% also presented lymphadenomegaly...
November 2018: Revista da Sociedade Brasileira de Medicina Tropical
Andressa Bruscato, Mariane Barroso Pereira, Mariana Degaki Archilia, Thassia Mariane Teodoro, Eros Antônio de Almeida, Luiz Cláudio Martins, Eduardo de Figueiredo Peloso, Fernanda Ramos Gadelha
INTRODUCTION: Chagas disease (CD) prevention and control rely on studies of its distribution, characteristics of individuals affected and mode of transmission. CD data in Brazil are scarce; a retrospective analysis of the clinical characteristics of 80 patients treated at the Clinical Hospital of UNICAMP, Campinas, Brazil, was performed. METHODS: Patient data records were analyzed. RESULTS: Thirty percent of the patients probably got infected through vector-borne transmission, 65% came from endemic areas, a predominance of cardiac and cardiodigestive forms was found among males, and the cardiac form prevailed (51%)...
November 2018: Revista da Sociedade Brasileira de Medicina Tropical
Glauco Andre Machado, Dalton Alexandre Dos Anjos, Flávia de Freitas Rodrigues, Renata Fockink Dos Anjos, Marcelo Barbosa Melo Luckemeyer, Daniel França Vasconcelos, Cleudson Nery de Castro
INTRODUCTION: We investigated the occurrence of coronary sinus abnormalities in the indeterminate form of Chagas disease (CD). METHODS: Differences between the maximum and minimum diameters of the coronary sinus (∆%) on echocardiography were evaluated in individuals with the indeterminate form of CD (n=14) and those without (n=16) CD. The association of the difference with abnormalities detected by echocardiography and myocardial scintigraphy was assessed. RESULTS: The mean Δ% values did not differ significantly between the groups...
November 2018: Revista da Sociedade Brasileira de Medicina Tropical
Sérgio Eleutério da Silva Neto, Stael Silvana Bagno Eleutério da Silva, Ana Marli Christovam Sartori
INTRODUCTION: This study describes cases of syphilis in pregnancy (SiP) and congenital syphilis (CS) and identifies factors associated with mother-to-child transmission in patients in Itapeva from January 1, 2010 to December 31, 2014. METHODS: Using SiP and CS notification forms and medical records, a cross-sectional study involving 149 pregnant women was conducted. RESULTS: Annual SiP detection rates ranged from 16.3-31.4/1000 live births...
November 2018: Revista da Sociedade Brasileira de Medicina Tropical
Alex Maurício Garcia Santos, Valter Romão de Souza Júnior, Fábio Lopes de Melo, Ana Emília Costa de Araújo Aquino, Maria Olivia Aureliano Ramos, Lucas Marinho Araújo, Celso Rodrigues de Lira, Patrícia Maria Sobral, François Figueiroa, Heloisa Ramos Lacerda de Melo, Paulo Sérgio Ramos de Araújo
INTRODUCTION: The incidence of syphilis has increased since the 1970s. METHODS: This was a descriptive and analytical cross-sectional study with a non-probabilistic sample. RESULTS: Of 973 patients with human immunodeficiency virus, 179 (18.4%) tested positive for both human immunodeficiency virus and syphilis, 84.8% were men, 50.9% were aged between 36 and 50 years, 47.8% with syphilis were diagnosed with human immunodeficiency virus for 10-20 years, and 40...
November 2018: Revista da Sociedade Brasileira de Medicina Tropical
Ricardo Roberto de Souza Fonseca, Ana Cláudia Braga Amoras Alves, Thalita de Almeida Amanajás, Brenna Magdalena Lima Nogueira, Tatiany Oliveira de Alencar Menezes, Leonardo Quintão Siravenha, Danilo Leôncio Aguiar Pereira, Luiz Fernando Almeida Machado, Luciana Campêlo da Silva Gilet, Silvio Augusto Fernandes de Menezes
INTRODUCTION: The influence of cytomegalovirus (CMV) on the progression of chronic periodontitis in HIV patients is poorly investigated. METHODS: ELISA was used for anti-CMV antibody IgG titer measurements and real-time polymerase chain reaction for qualitative and quantitative CMV detection. Data on the CD4 + T lymphocyte count and plasma HIV viral load were obtained from patient records. RESULTS: CMV DNA was detected in samples of subgingival biofilm in only three individuals, two of them with chronic periodontitis (4%) and one with gingivitis (3...
November 2018: Revista da Sociedade Brasileira de Medicina Tropical
Alex Junior Souza de Souza, Candida Maria Abrahão de Oliveira, Vânia Pinto Sarmento, André Antonio Corrêa das Chagas, Nayara Silva Nonato, Dickson Ciro Nascimento de Brito, Kemere Marques Vieira Barbosa, Manoel do Carmo Pereira Soares, Heloisa Marceliano Nunes
INTRODUCTION: The prevalence, public health impact, and epidemiological characteristics of hepatitis E virus (HEV) are poorly understood in Brazil. METHODS: Serum samples from 535 individuals from three rural Afro-descendant communities located in eastern Brazilian Amazon were collected in October 2015 and tested for presence of anti-HEV IgM and IgG antibodies. Serologically positive samples were also tested for HEV-RNA. RESULTS: Two cases were confirmed for anti-HEV IgM (0...
November 2018: Revista da Sociedade Brasileira de Medicina Tropical
Fabiana Letícia da Silva, Rodrigo Pimenta Del-Rei, Déborah Bittencourt Mothé Fraga, Leonardo Maia Leony, Alina Maria Gonzaga Carlos de Souza, Fred Luciano Neves Santos
INTRODUCTION: Portal hypertension and periportal fibrosis commonly occur in severe Schistosoma mansoni infection. Changes in lipid profile and elevated levels of circulating liver enzymes have also been described in infected individuals. The present study sought to assess the alterations in laboratory parameters associated with liver disorder in individuals infected by S. mansoni who visited a private routine laboratory service. Levels of circulating liver enzymes (gamma-glutamyl transferase [γ-GT], aspartate transaminase [AST], alanine transaminase [ALT], and alkaline phosphatase [ALP]) and a lipid panel (total cholesterol [COL], high-density lipoprotein [HDL], low-density lipoprotein [LDL], very low-density lipoprotein [VLDL], and triglycerides [TRI]) were evaluated in both infected and non-infected individuals and relative risk was used to measure associations...
November 2018: Revista da Sociedade Brasileira de Medicina Tropical
Antônio Rafael da Silva, Pedro Martins Lima Neto, Leonardo Hunaldo Dos Santos, Raina Jansen Cutrim Propp Lima, Pedro Luiz Tauil, Eloísa da Graça do Rosário Gonçalves
INTRODUCTION: The Integrated Program of Leprosy Control was initiated in the municipality of Buriticupu, Maranhão, Brazil, an area considered hyperendemic for leprosy in 2003. It aims at assessing the clinical and epidemiological characteristics of the disease to reduce the detection rate of new cases until 2015. Here, we present the evolution of the indicators of leprosy within the period from 2003 to 2015. METHODS: We conducted a descriptive analytical study based on the active search for and voluntary referral of cases of leprosy...
November 2018: Revista da Sociedade Brasileira de Medicina Tropical
Afonso Dinis Costa Passos, Valdes Roberto Bollela, João Marcelo Fortes Furtado, Moisés Moura de Lucena, Fernando Bellissimo-Rodrigues, Jayter Silva Paula, Laura Valdiane Luz Melo, Maria de Lourdes Veronese Rodrigues
INTRODUCTION: The prevalence of Toxoplasma gondii infection varies markedly among different populations, especially depending on factors related to socioeconomic development and eating habits. Cássia dos Coqueiros is a small city in Brazil with rural characteristics and increased risk factors traditionally associated with T. gondii infection. METHODS: We carried out a cross-sectional study involving 970 inhabitants aged 18 years or more, selected from patients of the local health unit and home visits in urban and rural areas...
November 2018: Revista da Sociedade Brasileira de Medicina Tropical
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