RESUMO
A previously healthy 29-year-old man developed electrocardiographic evidence of an anterolateral myocardical infarction following the kick of a cow to the left precordial area. This was complicated by three episodes of ventricular fibrilition and cardiogenic shock. After five months, electrocardiographic and echocardiographic of a ventricular aneurysm persists
Assuntos
Adulto , Humanos , Masculino , Ferimentos não Penetrantes/complicações , Traumatismos Cardíacos/etiologia , Traumatismos Torácicos/complicações , Eletrocardiografia , Aneurisma Cardíaco/etiologia , Doença Aguda , Infarto do Miocárdio/diagnósticoRESUMO
Three cases are reported of patients with the Acquired Immune Deficiency Syndrome (AIDS) and cutaneous histoplasmosis. Their initial presentation was that of a generalised maculopapular rash. Two patients were bisexual males and the third was an unmarried female. The range of opportunistic infections seen in AIDS patients in Trinidad is mentioned and clinicians are alerted to the fact that in areas endemic for Histoplasma capsulatum maculopapular rash in patients with AIDS may suggest disseminated histoplasmosis. The value of skin biopsy is mentioned.
Assuntos
Síndrome da Imunodeficiência Adquirida/complicações , Dermatomicoses/etiologia , Histoplasmose/etiologia , Adulto , Anfotericina B/uso terapêutico , Biópsia , Dermatomicoses/tratamento farmacológico , Dermatomicoses/patologia , Ensaio de Imunoadsorção Enzimática , Feminino , Histoplasmose/tratamento farmacológico , Histoplasmose/patologia , Humanos , Cetoconazol/uso terapêutico , Masculino , Pessoa de Meia-Idade , Coloração e Rotulagem , Trinidad e TobagoRESUMO
Adult T cell leukaemia/lymphoma was first recognised as a clinical entity in southwest Japan. Subsequently the Caribbean has been found to be another area where the disease is endemic, and sporadic cases have been identified in different parts of the world. The human T cell leukaemia/lymphoma virus (HTLV-I) is causally related to adult T cell leukaemia/lymphoma. A subgroup of HTLV, designated HTLV-III, has recently been isolated from many patients with the acquired immunodeficiency syndrome (AIDS) and preAIDS, and there is now evidence that this variant is the primary cause of AIDS. This is the first report from Trinidad to describe 12 cases of adult T cell leukaemia/lymphoma and 14 of AIDS. All were in patients of African descent. No cases were seen in subjects of East Indian descent, who, like those of African descent, comprise as much as 40% of the population. West Indians of African descent may have increased susceptibility to infection with both HTLV-I and HTLV-III.
