Survival analysis of patients with sepsis in Brazil

Abstract INTRODUCTION: This study aimed to analyze the survival of septic patients and to assess prognostic factors. METHODS: Patients with sepsis, severe sepsis, and septic shock were followed up and clinical and laboratory data were collected. The sepsis-related organ failure assessment (SOFA) score was calculated. RESULTS: The overall 30-day survival rates of patients with sepsis, severe sepsis, and septic shock were 86.3%, 72.5%, and 20%, respectively. Mortality was related to old age, septic shock, coagulopathy, lactate level, and high SOFA score among other factors. CONCLUSIONS: Identification of prognostic variables may reduce sepsis-related mortality.

Vulvar hemangioma: case report / Hemangioma vulvar: relato de caso

Abstract Hemangioma is a benign neoplasm that may affect the vulva, and it can cause functional or emotional disability. This article reports the case of a 52-year-old female patient with a history of a genital ulcer for the past 3 years and who had undergone various treatments with creams and ointments. The patient was biopsied and diagnosed with vulvar hemangioma and was subsequently submitted to surgical excision of the lesion. We emphasize the importance of following the steps of the differential diagnosis and proceeding with a surgical approach only if necessary.

Resumo O hemangioma é uma neoplasia benigna que pode afetar a vulva e pode causar incapacidade funcional ou emocional. Este artigo relata o caso de uma paciente de 52 anos com história de úlcera genital nos últimos 3 anos, submetida a diversos tratamentos com cremes e pomadas. A paciente foi biopsiada e diagnosticada com hemangioma vulvar e subsequentemente submetida a excisão cirúrgica da lesão. Ressaltamos a importância de seguir as etapas do diagnóstico diferencial e proceder a uma abordagem cirúrgica somente se necessário.