RESUMEN
Abstract A 26-year-old postpartum female presented with symptoms characteristic of dengue fever on the 16th day of puerperium. On the third day of the illness, the patient presented a clinical picture consistent with shock. Tests determined primary infection with dengue virus serotype 2. Cardiac tamponade was confirmed by echocardiography. This rare manifestation is described in a patient without any associated comorbidity.
Asunto(s)
Humanos , Femenino , Adulto , Taponamiento Cardíaco/virología , Taponamiento Cardíaco/diagnóstico por imagen , Dengue Grave/complicaciones , Ecocardiografía , Radiografía Torácica , Reacción en Cadena de la Polimerasa de Transcriptasa InversaRESUMEN
Abstract Here, we present four patients with confirmed Chikungunya virus infection showing atypical neurologic manifestations and death. This case series includes patients ranging in age from five to 92 years, with or without comorbidities. This report is important, as very few cases in the literature reporting death due to atypical Chikungunya virus infection are available.
Asunto(s)
Humanos , Masculino , Femenino , Preescolar , Anciano , Anciano de 80 o más Años , Enfermedades Virales del Sistema Nervioso Central/virología , Fiebre Chikungunya/diagnóstico , Índice de Severidad de la Enfermedad , Resultado Fatal , Enfermedades Virales del Sistema Nervioso Central/diagnóstico , Persona de Mediana EdadRESUMEN
Relatam-se dois casos de pacientes que desenvolveram intensa reaçao inflamatória no local da picada por Crotalus durissus. Ambos queixavam-se de fortes dores musculares e urina de coloraçao vinhosa, sugerindo diagnóstico clínico de rabdomiólise; apresentavam ainda ptose palpebral bilateral e alteraçoes visuais. Os exames laboratoriais nao evidenciaram alteraçao da funçao renal. A terapêutica instituída foi o soro anti-crotálico e antibiotecoterapia, com boa evoluçao, havendo total remissao da sintomatologia.