RÉSUMÉ
El síndrome SAPHO es una enfermedad inflamatoria de origen multifactorial que incluye una asociación entre manifestaciones dermatológicas y osteoarticulares. La presencia de osteítis e hiperostosis definen la enfermedad. No existe un tratamiento estándar, pero se usan AINES como primera línea. Se presenta el caso de un varón de 18 años con acné severo en dorso, pecho, barbilla y zona retroauricular, asociado a fiebre alta y placas eritematosas en ambas piernas. La gammagrafía presenta hipercaptación en tibia derecha, con relación a osteítis no infecciosa. Tuvo evolución favorable con antibióticos y corticoide oral.
SAPHO syndrome (synovitis, acne, pustulosis, hyperostosis and osteitis) is a multifactorial inflammatory condition that includes an association between dermatological and bone and joint manifestations. The presence of osteitis and hyperostosis define this disease. There is no standard therapy for SAPHO syndrome, but NSAIDs are used as first line. We present the case of an 18-year-old male subject with severe acne on his back, chest, chin, and the retroauricular area, being this associated to high fever and erythematous plaques in both legs. The bone scan showed right leg hyper-uptake, related to non-infectious osteitis. The patient did well with antibiotics and oral steroids.
RÉSUMÉ
Abstract The Atlantic Forest of South America is one of the most degraded tropical forests and the cultivation of sugarcane is considered one of the main causes. In humid forests termites stand out with regard to their abundance and functional importance. The present study aimed to compare termite assemblages of fragments of the Atlantic Forest with that of the sugarcane matrices that surround them. Collections were performed in two sugarcane plantations in Northeast Brazil. In each plantation a fragment of Atlantic Forest and an adjacent sugarcane field were sampled using a standardized termite sampling protocol. A total of 39 species and 302 encounters were recorded. Species richness, relative abundance and composition differed significantly between forests and the matrices, with the presence of exclusive species in each environment—25 in the forests and seven in the matrices. Soil feeding species of the subfamily Apicotermitinae and species of open areas were found in the matrices. There was a marked difference between the assemblages of the matrices, possibly due to soil characteristics. The majority of the species found in the matrices do not cause damage to the crop, but instead act in the processes of soil decomposition and formation, thereby contributing to increased productivity.
RÉSUMÉ
Se presenta el caso de una paciente mujer de 35 años de edad operada por obesidad mórbida con índice de masa corporal (IMC) de 45, que fue referida por presentar fistula gastrobronquial post gastrectomía en manga la que no cicatrizó con medidas endoscópicas requiriendo manejo quirúrgico de resección total del remanente gástrico con reconstrucción en Y de Roux como opción curativa.
A 35 years old female with morbid obesity IMC 45 was referred because of a gastrobronchial fistula developed post sleeve gastrectomy initially treated with endoscopic techniques without improvement, reason why a total resection of the gastric remanent with a Roux en Y reconstruction was done as an option with successful result.