Prevalência de casos de tricomoníase em laudos citopatológicos de um laboratório particular da cidade do Crato ­ Ceará / Prevalence of tricomoníase cases in citopatological reports of a particular laboratory of the city of Crato-Ceará

Objetivo: o presente artigo tem como objetivo avaliar a prevalência de mulheres infectadas pelo protozoário Trichomonas vaginalis (T. vaginalis) em um laboratório particular da cidade do Crato, Ceará. Metodologia: tratou-se de um estudo do tipo descritivo, retrospectivo com abordagem quantitativa. A coleta de dados foi realizada em um Laboratório particular de Análises Clínicas, localizado na cidade de Crato-CE, cujo grupo de estudo foi todas as mulheres, com idade entre 17 e 87 anos, que realizaram o exame de Papanicolau no período de 2014 a 2016. Resultados: foram quantificados os percentuais de amostras positivas para a tricomoníase e outras patologias correlatas obtendo-se como resultado que entre os anos de 2014 a 2016 foram realizados 28.910 exames citopatológicos, dos quais 2,22 % foram positivos para tricomoníase. Dentre os casos positivos 22,15% apresentaram co-infecção com outros microrganismos, sendo a Gardnerella vaginalis a principal bactéria encontrada, obtendo um total de 80,99% dos casos, Cândida sp com 11,97% dos casos, Leptothrix com 5,63% e Papilomavírus humano (HPV) com 1,41% dos casos. Observou-se que a faixa etária com maior incidência de tricomoníase é entre 26 a 45 anos, com um percentual de 65,21%, sendo possível notar a alta prevalência de tricomoníase na população feminina. Conclusão: os resultados foram apresentados a Secretaria de Saúde da cidade de Crato ­ Ceará com o intuito de alertar os profissionais de saúde com relação ao número de casos, incentivando a periodicidade do exame de Papanicolau e outros exames voltados ao diagnóstico dessa patologia, além de uma atenção especial ao tratamento das mulheres já infectadas .

Objective: the present article aims to evaluate the prevalence of women infected by the protozoan Trichomonas vaginalis (T. vaginalis) in a private laboratory in the city of Crato, Ceará. Methodology: this was a descriptive, retrospective study with a quantitative approach. The data collection was performed in a Private Laboratory of Clinical Analyzes, located in the city of Crato-CE, whose study group were all women aged between 17 and 87 years who underwent the papanicolau in the period from 2014 to 2016. Results: the percentages of positive samples for trichomoniasis and other related pathologies were quantified, resulting in 28.910 cytopathological exams between 2014 and 2016, of which 2.22% were positive for trichomoniasis. Among the positive cases, 22.15% presented co-infection with other microorganisms, Gardnerella vaginalis being the main bacterium found, obtaining a total of 80.99% of the cases, Candida sp. With 11.97% of the cases, Leptothrix with 5, 63% and human papillomavirus (HPV) with 1.41% of the cases. It was observed that the age group with the highest incidence of trichomoniasis is between 26 and 45 years old, with a percentage of 65.21%, being possible to note the high prevalence of trichomoniasis in the female population. In view of these results it is possible to note the high prevalence of trichomoniasis in the female population. Conclusion: the results were presented to the Health Department of the city of Crato-Ceará with the aim of alerting health professionals about the number of cases, encouraging the periodicity of the papanicolau and other tests aimed at the diagnosis of this pathology, besides paying special attention to the treatment of women already infected.

Thrombocytopenic purpuraafter Influenza A H1N1 vaccine

Idiopathic thrombocytopenic purpura (ITP) is probably a disease with autoimmune etiology, defined as an isolated thrombocytopenia not associated with any clinical condition. Other causes related to thrombocytopenia are: HIV infection, systemic lupus erythematosus and druginduced thrombocytopenia. In this report we describe a case of ITP developed after vaccination against influenza A H1N1 in a 64-year-old female patient, hypertensive, offset and in use of antihypertensives, with no history of ITP, after review of clinical history and laboratory tests. The patient's physical examination revealed pallor, ecchymosis in the trunk, limbs and oral mucosa, with bleeding gums. Absence of adenomegaly and palpable splenomegaly, fever or other signs and symptoms of relevance. The blood count and bone marrow examination showed severe thrombocytopenia with platelet count of 7,000/µL and hypercellularity of the megakaryocytic series (other series were normal), respectively. A transfusion of concentrate platelet was performed and after treatment with specific poly immunoglobulin (IVIG) and corticoids, the patient showed clinical improvement and laboratory indexes were normalized. ITP after vaccine against influenza A H1N1 is a rare event whose causal relationship is difficult to prove, and the diagnosis is based on exclusion of other possible etiologies.