Aspectos clínicos e epidemiológicos e aceitabilidade da terapia larval em pacientes com feridas crônicas / Clinical and epidemiological aspects and acceptability of larval therapy in patients with chronic wounds / Aspectos clínicos y epidemiológicos y aceptabilidad de la terapia larval en pacientes con heridas crónicas

Objetivo: avaliar o perfil epidemiológico e clínico de pacientes com feridas e a aceitabilidade à Terapia Larval (TL). Método: acompanhados 15 pacientes com feridas crônicas e registrados em fichas clínicas. Resultados: pacientes não conheciam a TL. Idades variaram (45 a 73), pretos (46,66%), brancos (26,66%) e pardos (20,00%), predominantemente mulheres (73,33%). Tinham ensino fundamental (53,33%), médio (20,00%) e superior (26,6%) completos. 60% residiam no RJ; Lesões, (idade média de 6 anos e área média de 9,4 cm²) no terço distal das pernas (53,00%) e nos pés (47,00%), com origem vascular (40,88%), úlceras por pressão (31,69%), diabéticas (16,66%) e infecciosa (10,77%). Pacientes apresentavam três (20,00%), duas (20,00%) ou uma lesão (60,00%), com necrose (80,00%), infecção (37,60%), granulação (50,30%), epitelização (15,00%), dor (54,0%) e dificuldade de locomoção (47,00%). Insuficiência venosa como antecedente patológico mais observado. A aceitabilidade para TL foi 93,33%. Conclusão: TL é alternativa para melhor qualidade de vida

Objectives: to evaluate the epidemiological and clinical profile of patients with wounds and acceptability to Larval Therapy (LT). Method: followed 15 patients with chronic wounds and recorded in clinical records. Results: patients didn't know LT. Ages varied (45 to 73 y.o.), were black (46.66%), white (26.66%) and yellow (20.00%), predominantly women (73.33%). They had Elementary (53.33%), High (20.00%) and Higher education (26.60%). 60% lived in Rio de Janeiro; Wounds (mean age of 6 years; mean area of 9.4 cm²) in the distal third of the legs (53.00%) and feet (47.00%), with vascular origin (40.88%), pressure (31.69%), diabetic (16.66%) and infectious ulcers (10.77%). Patients had three (20.00%), two (20.00%) or one wound (60.00%), with necrosis (80.00%), infection (37.60%), granulation (50.30%), epithelialization (15.00%), pain (54.00%) and locomotion difficulty (47.00%). Venous insufficiency as the most observed pathological antecedent. Acceptability for LT was 93.33%. Conclusion: LT is an alternative to better quality of life

Objetivos: evaluar el perfil epidemiológico y clínico de pacientes con heridas y aceptabilidad a Terapia Larvaria (TL). Método: seguimiento de 15 pacientes con heridas crónicas y registrados en historias clínicas. Resultados: pacientes no conocían TL. Edades variaron (45 a 73%), negros (46,66%), blancos (26,66%) y morenos (20,00%), predominantemente mujeres (73,33%). Habían completado la educación primaria (53,33%), media (20,00%) y superior (26,6%). 60% vivían en RJ; Lesiones (edad media de 6 años y superficie media de 9,4 cm²) en el tercio distal de las piernas (53,00%) y pies (47,00%), con origen vascular (40,88%), úlceras por presión (31,69%), diabéticas (16,66%) e infecciosas (10,77%). Pacientes presentaban tres (20,00%), dos (20,00%) o una lesión (60,00%), con necrosis (80,00%), infección (37,60%), granulación (50,30%), epitelización (15,00%), dolor (54,0%) y dificultad locomotiva (47,00%). Insuficiencia venosa como antecedente patológico más observado. Aceptabilidad para TL fue del 93,33%. Conclusión: TL es una alternativa a una mejor calidad de vida

Carcinomas escamosos com miíase, uma nova tendência? / Squamous cell carcinomas with myiasis, a new trend?

Importância do problema: Este artigo se propõe a descrever dois casos de miíase em feridas neoplásicas de carcinomas escamosos, uma associação rara que vem se tornando comum. Comentários: Esta associação deve-se as altas prevalências de HPV, baixas condições socioeconômicas e de higiene, além do manejo inadequado de feridas e do descaso dos homens para com sua saúde, os principais afetados quando o assunto é câncer orofaríngeo e de pênis.(AU)

Relevance: This article intends to describe two cases of myiasis on squamous cells neoplasic wounds, a rare association that are becoming more easily seen nowadays. Comments: This association due to high HPV serum prevalences, low social and hygiene conditions, in addition to the precarious wounds care and men´s health seek relapse, the mainly affected when the issue is oropharynx and penis cancers. (AU)

Myiasis associated with an invasive ductal carcinoma of the left breast: case study

ABSTRACT Most breast cancers originate in the ductal epithelium and are referred to as invasive ductal carcinoma. In this study we report on the clinical procedures adopted to diagnose myiasis in association with infiltrating metastatic breast carcinoma in a female patient. A 41 years old woman came to the Federal Hospital of Andaraí complaining of intense itching, warmth, redness and hardening of the breast, which had acquired the aspect of an orange peel. A lesion in the left breast was cavitated, dimpled, had fetid odor, and had fibrotic and infected air nodules filled with exudate and Dipteran larvae. The tissue was cleaned and 33 larvae were extracted. The patient was hospitalized and received Ivermectin. Eighteen of the larvae extracted from the patient were placed in 70% alcohol, and twelve were placed in a container with sterile wood shavings under controlled conditions until they metamorphosed into adults. The taxonomic identification of the flies revealed that the culprit was Cochliomyia hominivorax. A histopathological exam conducted three months earlier had revealed infiltrating ductal carcinoma. Two months after the myiasis treatment, the breast tissue had healed. The patient had waited ten days from the onset of the myiasis to seek treatment, and that delay interfered negatively in the prognosis of both the neoplasm and the myiasis. This study is relevant to public health in view of the strong social impact of myiasis.

Pesquisa sobre a contaminação de hortaliças por ovos e larvas de nematódeos e cistos de protozoários como método de estudo / Research on the contamination of vegetables with eggs and larvae of nematodes and protozoa cysts as study method

Objetivou-se descrever uma prática de ensino integrada à pesquisa que poderá ser desenvolvida tanto em escolas de ensino fundamental e médio quanto em universidades. A pesquisa foi realizada de 2002 a 2011 como atividade prática da disciplina de Parasitologia aplicada ao curso de Nutrição. Cada equipe de trabalho recebeu um roteiro prático (projeto) com as instruções para a realização da pesquisa de enteroparasitos em hortaliças. Estas foram processadas pela técnica de sedimentação espontânea utilizando-se um aparato desenvolvido com material reciclável. A observação do sedimento corado com lugol foi realizada entre lâmina e lamínula. Constatou-se contaminação em dez espécies de hortaliças com 36,4 por cento (56/154) de positividade; destas, 48,8 por cento para larvas de helmintos, 23,3 por cento para cistos de protozoários e 13,9 por cento para ovos de helmintos. A aceitação dos alunos em relação à atividade prática foi expressiva (98,4 por cento). Esta prática vem contribuindo para a formação do acadêmico, dinamizando e incentivando o estudo da Parasitologia e alertando aos futuros profissionais da saúde sobre o fato de que a veiculação de parasitos em hortaliças consumidas in natura constitui uma questão de segurança alimentar e, consequentemente, de saúde pública...

The objective of the present study was to describe a teaching practice integrated with research that could be developed in primary and junior high schools and universities. The research was carried out from 2002 to 2011 as a practical activity of Parasitology applied to the Nutrition Course. Each work team received a practical plan (project) with instructions to carry out enteroparasite research in vegetables. The vegetables were processed using the principle of the spontaneous sedimentation technique with a device developed with recycled material. The sediment was observed between a slide and a lugol-stained slide. Contamination was found in ten vegetable species with 36.4 percent (56/154) positivity. Of these, 48.8 percent were helminths, 23.3 percent protozoan cysts and 13.9 percent helminth eggs. Student evaluation of the practical activity was positive with 98.4 percent acceptance. This practice has contributed to the education of academics, enlivening and encouraging the study of parasitology and alerting future health professionals that parasites carried in vegetables eaten raw are a concern for food safety and consequently, public health...