RESUMO
The authors report an unusual case of a neonate who presented with volvulus of the midgut malrotation, diagnosed in utero by ultrasound at 35 weeks and five days of gestation. Signs of fetal distress with mid polyhydramnios in the last week were deleted and cesarean section followed upon the presence of slow fetal movements. A laparotomy was performed in the neonate which showed a midgut volvulus, and thus underwent a 20 cm resection and anastomosis of a gangrenous intestine. Our case constitutes a clinical rarity as compared to other cases previously reported in the literature as he was diagnosed in uterus via ultrasound, and being a healthy and well developed child
Assuntos
Humanos , Masculino , Recém-Nascido , Gravidez , Recém-Nascido , Obstrução Intestinal/cirurgia , Obstrução Intestinal/diagnóstico , Obstrução Intestinal/terapia , Gravidez , Cirurgia Geral , PediatriaRESUMO
Leismania naiffi was isolated from 10 out of 64 armadillos (Dasypus novemcinctus) examined in Amazonas, Pará and Rondônia States in the Brazilian Amazon Region. The isolates were obtained in culture from samples of liver (3), spleen (3), lymph nodes (2), skin (1) and blood (1) from the infected animals. Heavy infections with the same parasite were detected for the first time in Psychodopygus squamiventris, a common man-biting phlebotomine, in amazonas and Pará. A new case of cutaneous leishmaniasis caused by L. naiffi is described from the Manaus area, making a total of three known cases of human infection by this parasite