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Carneiro,Rodrigo da Costa; Miranda,Bianca Grassi de; Camilo Neto,Carlos; Tsukumo,Marina K; Fonseca,Cibele LC; Mendonça,João Silva de. |
We present two cases of juvenile form of paracoccidioidomycosis (PCM), a systemic mycosis frequently found in rural areas, whose prognosis is poor in children and young adults. They are a 14-year-old boy and a 25-year-old woman, both residents in an urban area in São Paulo - Brazil, without any history of travelling to an endemic area. They have been admitted to the hospital due to fever, weight loss and lymphadenopathy. The diagnosis was confirmed by serologic and histopathologic study. Patients have recovered after therapy with oral itraconazole and were discharged from hospital, maintaining outpatient visits. In this article, the authors discuss the unusual presentation of PCM in an urban area. |
Tipo: Info:eu-repo/semantics/report |
Palavras-chave: Juvenile paracoccidioidomycosis; Lymphadenopathy; Paracoccidioides brasiliensis; Urban area. |
Ano: 2010 |
URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702010000100015 |
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Silva Júnior,João Manoel da; Rezende,Ederlon; Guimarães,Thaís; Campos,Edvaldo V. dos; Magno,Luiz André; Consorti,Lívia; Pereira,Renata Andréa Pietro; Nascimento,Maria de Lourdes; Mendonça,João Silva de. |
Ventilator-associated pneumonia (VAP) is the most commonly-acquired infection in patients in intensive care units. We analyzed epidemiological and microbiological characteristics and the outcome, in a cohort of critically-ill patients with confirmed diagnosis of VAP. All patients who had been on mechanical ventilation (MV) for more than 48 hours were included in our study; material collection for microbiological analysis was done within the first 24 hours after beginning treatment or after changing antibiotics. There were 55/265 (20.7%) VAP cases diagnosed, at a rate of 21.6 episodes per 1,000 days of mechanical ventilation. Mean age of the patients was 66 years, with a mean APACHE II score of 26.7 + 7.0; male patients were more prevalent. The mortality... |
Tipo: Info:eu-repo/semantics/article |
Palavras-chave: Ventilator-associated pneumonia; Epidemiology; Microbiology. |
Ano: 2007 |
URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702007000500009 |
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