ABSTRACT
Abstract Seven months after undergoing kidney transplantation, a 56-year-old woman presented with papules and ulcers in her right forearm. The patient received antibiotics for 8 months with limited improvement. Eleven months after symptom onset, she presented with acute arthritis in her left knee. Asynovial fluid culture yielded Mycobacterium tuberculosis, and a forearm ulcer biopsy showed granulomatous inflammation. After surgical fistulectomy and 12 months of tuberculosis treatment, she was cured. Chronic cutaneous ulcers and articular manifestations in TB are rare, but they should always be considered in the differential diagnosis for immunosuppressed patients. Surgical intervention and prolonged treatment might be necessary.
Subject(s)
Humans , Female , Tuberculosis, Cutaneous/diagnosis , Tuberculosis, Osteoarticular/diagnosis , Kidney Transplantation/adverse effects , Tuberculosis, Cutaneous/surgery , Tuberculosis, Cutaneous/immunology , Tuberculosis, Osteoarticular/surgery , Tuberculosis, Osteoarticular/immunology , Immunocompromised Host , Middle AgedABSTRACT
A qualidade de vida tornou-se uma importante medida de impacto em saúde. Sua avaliação relacionada às doenças e seus fatores de risco tem acrescido na população em geral. Objetivo: Verificar a qualidade de vida e a presença de associação com fatores de risco para as doenças crônicas não transmissíveis na população urbana do município de Montes Claros, Minas Gerais. Métodos: Estudo transversal de base populacional. A amostra foi calculada considerando-se a prevalência do fator de risco sobrepeso de 30% e corrigida para um efeito de delineamento de 30%. Amostragem por conglomerados de setores censitários urbanos. Sorteou-se 17 setores censitários e entrevistou-se 648 moradores de idade maior ou igual a 18 anos. Os fatores de risco para as doenças crônicas não transmissíveis foram verificadas e a qualidade de vida também através do SF-36. Resultados: Alguns dos fatores de risco foram associados a piores escores no questionário SF-36. Conclusão: a presença de alguns fatores de risco para as doenças crônicas tem impacto na qualidade de vida.
Quality of life has become an important yardstick of the impact on health. Its evaluation related to diseases and associated risk factors has increased in the population in general. This article seeks to assess the quality of life and the presence of the association with risk factors for non-communicable chronic diseases in the urban population of the city of Montes Claros in the State of Minas Gerais. It is a population-based cross-sectional study. The sample was calculated considering the prevalence of risk factors of overweight of 30% and corrected for a variation of 30%. Cluster sampling was conducted on urban census sectors. Seventeen census sectors were selected and 648 residents aged e" 18 years were interviewed. The risk factors for non-communicable chronic diseases as well as the quality of life were verified using the SF-36 questionnaire. Some risk factors were associated with the lowest scores on the SF-36 questionnaire. The presence of some risk factors for chronic diseases has an impact on quality of life.