Acute dacryocystitis: another clinical manifestation of sporotrichosis

Sporotrichosis associated with exposure to domestic cats is hyperendemic in Rio de Janeiro, Brazil. A review of the clinical records at our institute revealed four patients with clinical signs of dacryocystitis and a positive conjunctival culture for Sporothrix who were diagnosed with Sporothrix dacryocystitis. Three patients were children (< 13 years of age) and one patient was an adult. Two patients reported contact with a cat that had sporotrichosis. Dacryocystitis was associated with nodular, ulcerated lesions on the face of one patient and with granulomatous conjunctivitis in two patients; however, this condition manifested as an isolated disease in another patient. All of the patients were cured of the fungal infections, but three patients had chronic dacryocystitis and one patient developed a cutaneous fistula. Sporotrichosis is usually a benign disease, but may cause severe complications when the eye and the adnexa are affected. Physicians, especially ophthalmologists in endemic areas, should be aware of the ophthalmological manifestations and complications of sporotrichosis.

Acute dacryocystitis: another clinical manifestation of sporotrichosis

Sporotrichosis associated with exposure to domestic cats is hyperendemic in Rio de Janeiro, Brazil. A review of the clinical records at our institute revealed four patients with clinical signs of dacryocystitis and a positive conjunctival culture for Sporothrix who were diagnosed with Sporothrix dacryocystitis. Three patients were children (< 13 years of age) and one patient was an adult. Two patients reported contact with a cat that had sporotrichosis. Dacryocystitis was associated with nodular, ulcerated lesions on the face of one patient and with granulomatous conjunctivitis in two patients; however, this condition manifested as an isolated disease in another patient. All of the patients were cured of the fungal infections, but three patients had chronic dacryocystitis and one patient developed a cutaneous fistula. Sporotrichosis is usually a benign disease, but may cause severe complications when the eye and the adnexa are affected. Physicians, especially ophthalmologists in endemic areas, should be aware of the ophthalmological manifestations and complications of sporotrichosis.

A Case of Acute Pulmonary Embolism Associated with Dysplasminogenemia

The incidence of pulmonary embolism (PE) rises markedly with age, and only a few cases have been reported in younger adults. Thrombophilia has been reported as one of the predisposing factors for PE in younger adults. Here we report an extraordinary case of PE complicated with dysplasminogenemia, a rare genetic disorder resulting in hypercoagulability, in a young male. An 18-yr-old male visited an emergency room in the United States complaining chest discomfort. He was diagnosed as PE with deep vein thrombosis without apparent risk factors. Anticoagulation therapy with warfarin had been initiated and discontinued after 6 months of treatment. After returning to Korea he was tested for thrombophilia which revealed decreased activity of plasminogen and subsequent analysis of PLG gene showed heterozygous Ala620Thr mutation. He was diagnosed with PE complicated with dysplasminogenemia. Life-long anticoagulation therapy was initiated. He is currently under follow-up without clinical events for 2 yr.

Ectrópio palpebral em portador da síndrome de Down e conjuntivite alérgica: relato de caso / Eyelid ectropion in Down's syndrome related to allergic conjunctivitis: case report

Relata-se o caso de paciente com síndrome de Down, portador de importante ectrópio mecânico da pálpebra inferior, relacionado com conjuntivite alérgica, catarata e ceratocone. Foi feito tratamento cirúrgico, empregando a técnica de "tarsal strip" e ressecção da lamela posterior que estava redundante e espessa, com bom resultado estético e funcional.

This is a case report of a patient with Down's syndrome with an important mechanical ectropion and elongation of the lower lid related to chronic allergic conjunctivitis, besides cataract and keratoconus. The tarsal strip technique and ressection of redundant and thick conjunctiva was the surgical approach chosen for this case. Functional and cosmetic outcomes were considered satisfactory.

Reseña biográfica y escalas de actuación del Académico Cecilio Romaña / Biographical sketch and perfomance steps of the Academic Cecilio Romaña

El objetivo del trabajo es dar a conocer los principales datos biográficos y el desempeño del Dr. Cecilio Romaña en la Argentina y España. En la confección del mismo se ha empleado el método histórico. Su actuación científica se puede dividir en tres períodos de acuerdo a los lugares donde le tocó actuar: 1) Norte argentino 1931-1960 (Florencia, Resistencia, San Miguel de Tucumán); 2) 1960-1966 (Buenos Aires) y 3) 1966-1988 (Barcelona, España). Se describen sus principales logros científicos ocupando un lugar especial el signo que lleva su nombre.

Uveíte e papilite associada à doença de Crohn / Uveitis and papilitis in Crohn's disease

Descreve-se um caso de uveíte e papilite em uma paciente portadora de Doença de Crohn assintomática, tratada com midriático e corticosteróide tópico com boa recuperaçäo visual. A avaliaçäo gastroenterológica descobriu atividade intestinal da doença, iniciando-se tratamento sistêmico com sulfasalazina e corticosteróide. O acometimento ocular em Doença de Crohn encontrado em 4 a 10 por cento dos casos, sendo pouco citado em nossa literatura. Salientamos as características do acometimento ocular em portadores de Doença de Crohn e a importância do acompanhamento oftalmológico como auxiliar na determinaçäo da atividade da doença

Comparison of efficacy of topical fortified gentamicin, tobramycin and combination of penicillin G and gentamicin in treatment of bacterial keratitis

Fifty patients complaining of bilateral keratitis secondary to acute conjunctivities "one hundred eyes" were treated by either gentamicin 13.6 mg/ml., "25 eyes", or tobramycin 13.6 mg/ml. "25 eyes" or combination of gentamicin 5 mg/ml, penicillin G 31000 units/ml. "50 eyes". The latter treatment was significantly more effective "P< 0.005" and of much less complications

Allergic and nonallergic: their characterization in a tropical environment / Rinitis alérgica y no alérgica: caracterización en un medio tropical

The differences between allergic rhinitis were evaluated in 127 individuals from tropical urban region of Venezuela. The study design had historic data obtained regarding exacerbation of initial symptoms on exposure to common precipitants, physical examination, nasal cytology, immunodiagnostic test, routine laboratory test (fresh stool test, white cell count and urine test) and sinus x-rays. Forty nine patients were diagnosed as having allergic rhinitis (AR), 10 as probably having AR, 13 had infectious rhinitis, 4 had mixed components, 1 as non-allergic non-eosinophilic rhinitis, and 50 had no evidence of immunological nasal repiratory allergy and were taken as controls. The associated findings with allergic rhinitis were: conjunctivitis 62%, sinusitis 23%, and bronchial asthma 24%. Our results support a significative prevalence of allergic rhinitis in this particular group, with similar symptom patterns to that of industrialized countries

AIDS: Manifestaçäo primária ocular; relato de um caso / AIDS: primary ocular manifestation; report of a case

Paciente com episódios de conjuntivite que respondia bem ao tratamento local, recidivando em espaço de tempo bastante pequeno. Associado ao quadro ocular, uma gripe persistente

Incidencia de Chlamydia trachomatis en el embarazo / Incidence of Chlamydia trachomatis in pregnacy

Motivados por las cifras de frecuencia de Chlamydia trachomatis publicadas en la literatura, efectuamos un estudio de este micro organismo en 100 embarazadas, a través de un cultivo en células de Mc Coy complementado con un estudio citológico. Las cifras de prevalencia fueron de 5,4% en la muestra estudiada con un 40% de citologías que predijeron la infección, existiendo 66,6% de citologías positivas falsas. Se efectuó seguimiento de los RN del grupo chlamydia positiva, comprobándose que un 60% desarrolló una conjuntivitis clínica y ninguno de ellos presentó neumonía. Se analizan estos dos cuadros del RN se efectúa una breve reseña de los métodos de diagnóstico