RESUMEN
We have followed up 111 transfusion receptors in the ambulatory, for at least 180 days, in order to evaluate the occurrence of post-transfusional hepatitis and the etiological agents involved in the disease in the city of Campinas, state of São Paulo, Brazil. At the end of the study we have diagnosed this hepatitis in 18 (16.2) subjects. Out of these 18 subjects, 16 (89) were caused by hepatitis C virus, 1 (5.5) caused by hepatitis B virus and 1 (5.5) with undetermined etiology, 15 months after transfusion. The average incubation period of HCV was 71 days and 23 of the HCV positive receptors remained with increased AST/ALT for more than 6 months. Late serum conversion was observed for anti-HCV in 71.4 of the subjects, averaging 135 days after the transfusion. An ALT dosage and anti-HCV determination, 3 and 6 months after transfusion would diagnose, respectively, 71 and 93 of the cases which developed post-transfusional HCV.
Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Adulto , Persona de Mediana Edad , Hepatitis C , Transfusión Sanguínea , Brasil , Anticuerpos Antihepatitis , Estudios de Seguimiento , Hepacivirus , Anticuerpos contra la Hepatitis C , Alanina TransaminasaRESUMEN
Apresenta-se um caso de angina de Ludwig em indivíduo do sexo masculino, complicada com pneumonia aspirativa, mediastinite e empiema pleural. O tratamento constou de antibioticoterapia e drenagem das coleçöes purulentas. Näo houve necessidade de traqueotomia. O paciente recuperou-se totalmente. Destaca-se a importância do diagnóstico precoce, no sentido, de se evitar complicaçöes desta doença
Asunto(s)
Adulto , Humanos , Masculino , Empiema/complicaciones , Angina de Ludwig/complicaciones , Mediastinitis/complicaciones , Neumonía por Aspiración/complicacionesRESUMEN
Registro de caso de paciente que três semanas após malária por Plasmodium falciparum desenvolveu forma severa de polirradiculoneurite, com tetraplegia e comprometimento de vários nervos cranianos (VI, VII, IX, X), evoluindo para a morte. A síndrome de Guillain-Barré tem sido considerada desordem imune relacionada a diversos estímulos antigênicos desencadeantes. O caso registrado sugere que protozoários podem ser um desses ffatores antigênicos