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1.
Rev Esp Quimioter ; 35(6): 559-562, 2022 Dec.
Artigo em Espanhol | MEDLINE | ID: mdl-36129757

RESUMO

OBJECTIVE: To evaluate the implementation of Xpert-MTB/RIF®, as an early diagnosis technique, in a rural area of Ethiopia. METHODS: Data were retrospectively collected from those patients over 13 years of age who were requested to take the Xpert MTB/RIF® test in a rural hospital located 45 km from the reference laboratory, during the first 3 years of its implementation (2015, April -2018, April). RESULTS: A total of 306 patients older than 13 years were evaluated, in 85 (27.8%) there was an error in the processing of the test and the result was not obtained. Of the 221 samples with results, the median time between obtaining the sample and receiving the result was 21 days and 42 of them were positive (19%, 95% CI: 14.2-24.9%). The sample with the highest diagnostic yield was adenopathy (88.8%; [8/9]; p<0.001). CONCLUSIONS: There are more bacteriological diagnoses with Xpert-MTB/RIF®, but with a delay in obtaining the result and its main objective, which is early diagnosis, is not achieved.


Assuntos
Mycobacterium tuberculosis , Tuberculose Pulmonar , Tuberculose , Humanos , Pré-Escolar , Tuberculose Pulmonar/diagnóstico , Hospitais Rurais , Estudos Retrospectivos , Etiópia/epidemiologia , Sensibilidade e Especificidade , Tuberculose/diagnóstico , Tuberculose/epidemiologia , Escarro
3.
Minerva Chir ; 58(2): 231-4, 2003 Apr.
Artigo em Italiano | MEDLINE | ID: mdl-12738932

RESUMO

A rare case of primary hydatid cyst of the mesentery is described. Though cystic echinococcosis infestation can occur in any part of the body primary peritoneal involvement is rare. The mechanism of primitive peritoneal infection by the parasite is still unclear. The hypotheses which can explain this rare primary localization, the sensitivity and the specificity of the serological and instrumental tests and the therapeutic management of this atypical lesion are discussed.


Assuntos
Equinococose , Mesentério/parasitologia , Equinococose/diagnóstico , Equinococose/epidemiologia , Equinococose/cirurgia , Feminino , Humanos , Itália/epidemiologia , Mesentério/cirurgia , Pessoa de Meia-Idade , Omento/cirurgia , Especificidade de Órgãos
4.
G Chir ; 23(6-7): 257-9, 2002.
Artigo em Italiano | MEDLINE | ID: mdl-12422782

RESUMO

The Authors report a case of primary non-Hodgkin's lymphoma of the testis. Although lymphoma is a rare neoplasm, it is commonest tumor in the elderly age. Surgical therapy is essential but some times it can be associated to radio-chemotherapy.


Assuntos
Linfoma Difuso de Grandes Células B/cirurgia , Neoplasias Testiculares/cirurgia , Idoso , Humanos , Linfoma Difuso de Grandes Células B/patologia , Masculino , Neoplasias Testiculares/patologia
5.
G Chir ; 23(5): 205-8, 2002 May.
Artigo em Italiano | MEDLINE | ID: mdl-12228973

RESUMO

The Authors report a case of intestinal bleeding due to lipoma of the epatic flexure. Lipomas are the commonest mesenchymal benign tumors that can be found in the colon and are second as frequence only to the adenomatous polyps. They are most frequent in the right colon and shown an opposite distribution in comparison with adenocarcinomas and adenomatous polyps. When tumor size is greater than 3 cm, lipomas become symptomatic. Radiological and endoscopic investigations provide orientative elements for diagnosis. In lipomas less than 2 cm in diameter an endoscopic treatment is feasible.


Assuntos
Neoplasias do Colo/complicações , Hemorragia Gastrointestinal/etiologia , Lipoma/complicações , Neoplasias do Colo/diagnóstico , Neoplasias do Colo/diagnóstico por imagem , Neoplasias do Colo/cirurgia , Endoscopia , Humanos , Lipoma/diagnóstico , Lipoma/diagnóstico por imagem , Lipoma/cirurgia , Masculino , Pessoa de Meia-Idade , Reto , Ultrassonografia
7.
G Chir ; 23(3): 85-7, 2002 Mar.
Artigo em Italiano | MEDLINE | ID: mdl-12109230

RESUMO

The Authors have reported a case of retroperitoneal leiomyosarcoma. The retroperitoneal localization is quite unusual and early diagnosis is difficult. Only surgery operation and radio-chemotherapy can improve the prognosis. Tumor size is the major prognostic factor.


Assuntos
Leiomiossarcoma , Neoplasias Retroperitoneais , Adulto , Feminino , Humanos , Leiomiossarcoma/diagnóstico , Leiomiossarcoma/terapia , Neoplasias Retroperitoneais/diagnóstico , Neoplasias Retroperitoneais/terapia
8.
G Chir ; 23(3): 97-100, 2002 Mar.
Artigo em Italiano | MEDLINE | ID: mdl-12109233

RESUMO

The Authors report a case of Vater's ampulla apudoma and after having examined the characteristics of these neoplasms they discuss clinical presentation, diagnostic and treatment problems of islet cell adenomas. They review the literature and make some remarks.


Assuntos
Ampola Hepatopancreática , Apudoma , Neoplasias do Ducto Colédoco , Idoso , Apudoma/diagnóstico , Apudoma/terapia , Neoplasias do Ducto Colédoco/diagnóstico , Neoplasias do Ducto Colédoco/terapia , Feminino , Humanos
9.
G Chir ; 23(1-2): 26-8, 2002.
Artigo em Italiano | MEDLINE | ID: mdl-12043466

RESUMO

Personal experience in the treatment of 93 cases of cancer of the large bowel and rectal localization is reported 32 patients (A group) received blood transfusions, 61 patients (B group) hadn't any transfusions or autotransfusions. Postoperative morbidity was 34.37% in A group and 14.75% in B group. The Authors stress the basic importance of autotransfusions as well in patients surgically treated for colorectal cancer.


Assuntos
Neoplasias Colorretais/cirurgia , Reação Transfusional , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/epidemiologia , Estudos Retrospectivos , Fatores de Risco
10.
G Chir ; 22(10): 349-51, 2001 Oct.
Artigo em Italiano | MEDLINE | ID: mdl-11816947

RESUMO

Lipomas are an uncommon cause of small-bowel obstruction. The symptoms are intermittent and nonspecific. The Authors report a case in which intussusception was diagnosed with echography and the obstruction was treated with resection. They conclude that lipomas must always be considered in the differential diagnosis of intrabdominal neoplasms and in intestinal obstructions.


Assuntos
Intussuscepção/etiologia , Doenças do Jejuno/etiologia , Lipoma/complicações , Adulto , Diagnóstico Diferencial , Humanos , Intussuscepção/diagnóstico , Intussuscepção/cirurgia , Doenças do Jejuno/diagnóstico , Doenças do Jejuno/cirurgia , Lipoma/diagnóstico , Lipoma/cirurgia , Masculino
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