RESUMO
Cryptococcal meningoencephalitis (CM) classically occurs in individuals with advanced HIV infection, solid organ transplants, or other immunocompromising conditions. We report a case of fatal CM in a 78-year-old woman with well-controlled HIV infection who had delayed diagnosis, persistently elevated intracranial pressure and pleocytosis of the cerebrospinal fluid. Initial suspicion for CM was low due to her relatively high CD4+ T cell counts, which likely contributed to greater inflammation.
RESUMO
OBJECTIVE: Physicians who know about physical activity guidelines (PAG) and those who adhere to the PAG themselves may have a greater tendency to recommend physical activity (PA) to their patients. This study was aimed at evaluating the level of PA in a group of medical residents from Puerto Rico and to assess their knowledge regarding the PAG for adults. METHODS: A total of 104 medical residents from Puerto Rico completed a selfadministered questionnaire designed to obtain standardized estimates of their PA and to determine their level of knowledge regarding the PAG. RESULTS: Results: Most of the medical residents (66.3%) declared that they did not have any knowledge of the existence of the PAG and that their residency programs had not provided any educational activities about the PAG (96.2%). The level of inactivity among medical residents was high; 41.35% reported not engaging in any PA during their leisure time. CONCLUSION: Most of the medical residents in this group from Puerto Rico did not know about the PAG and many of them did not engage in PA. As a means of improving patient care, medical residents from Puerto Rico might benefit if their programs implemented educational activities aimed at increasing knowledge of both PA and the PAG.
