Leprosy type-I reaction episode mimicking facial cellulitis--the importance of early diagnosis.

Leprosy is an easily recognizable disease due to its dermato-neurological manifestations. It must be present in the physician's diagnostic repertoire, especially for those working in endemic areas. However, leprosy reaction is not always easily recognized by non-dermatologists, becoming one of the major problems in the management of patients with leprosy, as it presents clinical complications characterized by inflammatory process, accompanied by pain, malaise and sometimes the establishment or worsening of the patient's disabilities. We report the case of a patient with type-1 periorbital reaction admitted to the hospital, diagnosed and treated as facial cellulitis, whose late diagnosis may have contributed to the appearance or worsening of facial neuritis.

Leprosy type-I reaction episode mimicking facial cellulitis-the importance of early diagnosis

Leprosy is aneasily recognizable disease due to its dermato-neurological manifestations. It must be present in the physician’s diagnostic repertoire, especially for those working in endemic areas. However, leprosy reaction is not always easily recognized by non-dermatologists, becoming one of the major problems in the management of patients with leprosy, as it presents clinical complications characterized by inflammatory process, accompanied by pain, malaise and sometimes the establishment or worsening of the patient’s disabilities. We report the case of a patient with type-1 periorbital reaction admitted to the hospital, diagnosed and treated as facial cellulitis, whose late diagnosis may have contributed to the appearance or worsening of facial neuritis.

Acolhimento aos usuários de demanda espontânea da unidade básica de saúde Maringá como estratégia de organização do processo de trabalho

Este plano de intervenção visa implementar na Unidade Básica de Saúde (UBS) Maringá, no município de Juazeiro-BA, o acolhimento como prática diária, de forma a qualificar a equipe e, consequentemente, garantir um atendimento universal e humanizado. O plano prevê a construção de oficinas que serão realizadas nos momentos formativos para todos os integrantes da equipe, com a finalidade de fomentar a discussão sobre acolhimento. Haverá a apresentação do projeto à equipe, com suas propostas e, em seguida, serão executadas as oficinas. A partir de então, fluxogramas de acolhimento com as principais queixas serão discutidos e implementados na prática diária, de modo a otimizar e qualificar o acolhimento. Para avaliação dos resultados alcançados, será elaborado questionário quali-quantitativo com usuários e profissionais. Espera-se reorganizar o atendimento à demanda espontânea da UBS - Maringá, otimizando e qualificando o processo de trabalho da equipe como um todo.