Analysis of pulmonary manifestations in patient infected with plasmodium vivax / Análise das manifestações pulmonares em pacientes infectados por plasmodium vivax

ABSTRACT

Objective: To evaluate pulmonary manifestations in patients infected with Plasmodium vivax. MethOds: This was a cross- sectional, retrospective study of 50 patients diagnosed in 2006 to 2008 with vivax malaria at the Evandro Chagas Institute and referred to the University Hospital João de Barros Barreto to examine the pulmonary manifestations. Results: 72% of the patients were men, 28% were 21 to 30 years of age, 30% had parasitaemia 50 to 2000 p/mm3, 88%, 94% and 92% of the patients presented respectively with fever, chills and headache respectively, 56% of the patients had cough, 62% felt breathlessness, 28% presented dyspnea and 86% experienced chest pain. COnClusiOn: The majority of patients surveyed had parasitaemia in the range 50 to 2000 p/mm3. The classic triad fever, chills and headache was present in most patients. Among pulmonary manifestations, cough, chest pain and shortness of breath were reported by the majority of patients.(AU)

RESUMO

Objetivo: Analisar as manifestações pulmonares em pacien- tes infectados por Plasmodium vivax. Métodos: Estudo transversal realizado por meio da análise de 50 prontuários de pacientes diagnosticados com malária vivax entre 2006 a 2008, no Instituto Evandro Chagas, e encaminhados para o Hospital Universitário João de Barros Barreto para análise das manifes- tações pulmonares. ResultadOs: Observou-se que 72% dos pacientes eram homens, 28% possuíam de 21 a 30 anos de idade, 30% apresentaram parasitemia de 50 a 2000 p/mm3. Entre as manifestações clínicas, 88%, 94% e 92% dos pacientes apresentaram, respectivamente, febre, calafrio e cefaleia, 56% apresentaram tosse, 62% sentiram falta de ar, 28% dispneia e 86% dor torácica. COnClusãO: A maioria dos pacientes pesquisados apresentou parasitemia no intervalo de 50 a 2000 p/mm3. A tríade clássica da malária esteve presente na maioria, já dentre as manifestações pulmonares pesquisadas, a tosse, a dor torácica e a falta de ar corresponderam aos sintomas mais relatados pelos pacientes.(AU)