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Morphometric Investigation of Neurons in the Hippocampal CA1, CA3 Areas and Dentate Gyrus in a Rat Model of Sepsis International Journal of Morphology
Kafa,Ilker M; Ari,Ilknur; Kurt,M. Ayberk.
Approximately, half of the patients with progressive sepsis develop encephalopathy, but there is scarce knowledge onto question that how the sepsis associated encephalopathy contributes brain dysfunction. Hippocampus is one of the most vulnerable regions during experimental sepsis. In the present study, effects of sepsis on the neuronal density and morphology in CA1, CA3 and DG areas were investigated in a rat model of intraperitoneal sepsis. Twenty-four Wistar rats were divided into three different groups: faecal peritonitis group, sham-operated and un-operated control groups. Pyramidal neuron volume density was significantly higher in CA1 area of the faecal peritonitis group compared to both un-operated (p<0.05) and sham-operated (p<0.05) groups....
Tipo: Journal article Palavras-chave: Sepsis; Animal models of sepsis; Faecal peritonitis; Hippocampus; Sepsis associated encephalopathy.
Ano: 2010 URL: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022010000100026
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Fluid therapy on patients in septic shock: literature review MV&Z
Cardoso, Natalia Alves; Sobrinho, Celso Braga.
Defined by the Systemic Inflammatory Response Syndrome (SIRS), which is secondary to an infectious agent, sepsis is a common affection in dogs and cats, being related to high morbidity and mortality rates in these species. The pathogenesis is multifactorial and complex. Hemodynamic instability is being identified as a key factor for the high mortality rate, since it causes hypoxia and subsequent multiple organ dysfunction. The treatment consists of goal-oriented therapy and the primary objective is to restore the circulatory balance through the infusion of large amounts of fluid. However, choosing the adequate fluid therapy is still very controversial. Thus, the objective of this review is to describe the pathophysiology of sepsis and to compare the...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Sepsis; Septic shock; Fluid resuscitation; Colloids and crystalloids sepse; Choque séptico; Fluidoterapia; Coloides e cristaloides.
Ano: 2018 URL: http://www.revistamvez-crmvsp.com.br/index.php/recmvz/article/view/37711
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Utilidad de la procalcitonina y proteina C reactiva en la unidad de terapia intensiva pediatrica ABCL
Scandizzo,Hilda Emilia; Lopez,Ricardo Angel; Busso,Leonardo; Bernstein,Judith Celina; Blanco,Miriam Edith; Zubieta,Martin.
El objetivo de este trabajo fue evaluar la utilidad de la Procalcitonina (PCT) y Proteina C Reactiva (PCR) en pacientes pediatricos con sospecha de infeccion bacteriana o sepsis al ingreso a la Unidad de Terapia Intensiva Pediatrica (UTIP) y posterior seguimiento como pronostico de internacion prolongada o muerte en un hospital de tercer nivel. Se realizo un estudio prospectivo observacional, unicentrico. Punto final primario: se considero un punto final combinado de muerte hospitalaria o internacion prolongada en la UTIP (mayor de 12 dias). Se dosaron Procalcitonina (VIDASR BRAHMS PCT) y PCR (Ensayo turbidimetrico BT 3000) al ingreso y al tercer dia de internacion y se calculo el aclaramiento de ambos marcadores. De 41 pacientes, 24 (58%) fallecieron o...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Procalcitonina; Proteína C reactiva; Sepsis.
Ano: 2013 URL: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0325-29572013000400005
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La sepsis como estresor: asociación con los niveles séricos de cortisol, proteína C reactiva e interleuquina1beta ABCL
Gaydou,Luisa; Bertuzzi,Romina; Moretti,Edgardo.
El estrés tiene alta prevalencia en el mundo; una de sus causas es la sepsis. Durante la misma, se liberan citoquinas que activan el eje hipotálamo-hipofiso suprarrenal (HHS) elevándose el cortisol y proteínas de fase aguda. El objetivo de este trabajo fue analizar el efecto de la sepsis sobre el eje HHS a través del cortisol, y asociarlo con interleuquina 1 beta (IL1-beta) y proteína C reactiva (PCR). Se dosó cortisol por electroquimioluminscencia, PCR por inmunoturbidimetría e IL1-beta por ELISA en sueros de pacientes sépticos (S, n=40) y no sépticos (NS, n=21). El cortisol fue significativamente mayor al valor de corte (VC), establecido mediante curva ROC, en el 63% de pacientes S, y sólo en el 14% de NS (OR: 10,0; IC: 2,5 - 39,7; p<0,05). La PCR...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Estrés; Sepsis; Cortisol; Interleuquina 1beta; Proteína C reactiva.
Ano: 2009 URL: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0325-29572009000300002
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Rol de las plaquetas en la formación de trampas de ADN derivadas de neutrófilos ABCL
Carestia,Agostina; Kaufman,Tomás; Schattner,Mirta.
Además de ser elementos clave en la hemostasia y trombosis, las plaquetas tienen un rol preponderante en la respuesta inflamatoria e inmune asociada con su capacidad para reconocer patógenos a través de la expresión de los receptores tipo Toll, la secreción de una amplia variedad de citoquinas, quemoquinas y factores de crecimiento almacenados en sus gránulos y por la expresión de moléculas de adhesión que permiten la interacción con otras células vasculares. Como parte de la primera línea de defensa, los neutrófilos controlan la infección por fagocitosis, liberación de proteínas antimicrobianas durante la degranulación o a través de la formación de estructuras tipo red, conocidas como trampas extracelulares de neutrófilos (NETs). Estas están formadas por...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Plaquetas; Trombosis; Sepsis; Neutrófilos; Bacterias.
Ano: 2016 URL: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0325-29572016000200009
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Vitamin B6 reduces oxidative stress in lungs and liver in experimental sepsis Anais da ABC (AABC)
GIUSTINA,AMANDA D.; DANIELSKI,LUCINÉIA G.; NOVOCHADLO,MICHELE M.; GOLDIM,MARIANA P.S.; JOAQUIM,LARISSA; METZKER,KIUANNE L.L.; CARLI,RAQUEL JACONI DE; DENICOL,TAIS; CIDREIRA,THAINA; VIEIRA,THAYNAN; PETRONILHO,FABRICIA.
Abstract Abstract: Sepsis is a life-threatening organ dysfunction induced by a disrupted host response to infecting pathogens. Inflammation and oxidative stress are intrinsically related to sepsis progression and organ failure. Vitamin B6 is an important cellular cofactor for metabolic processes and has anti-inflammatory and antioxidant properties. We aimed at evaluating the effect of vit B6 on inflammation and oxidative stress markers in the liver and lung of rats subjected to a relevant animal model of polymicrobial sepsis. Adult male Wistar rats were submitted to cecal ligation and perforation model and immediately after sepsis induction, vit B6 was administered as a single dose (600 mg/kg, subcutaneous). Twenty-four hours later, the lung and liver...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Sepsis; Vitamin B6; Oxidative stress; Antioxidant.
Ano: 2019 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0001-37652019000700627
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Surveillance programs for detection and characterization of emergent pathogens and antimicrobial resistance: results from the Division of Infectious Diseases, UNIFESP Anais da ABC (AABC)
Colombo,Arnaldo L.; Janini,Mario; Salomão,Reinaldo; Medeiros,Eduardo A. S.; Wey,Sergio B.; Pignatari,Antonio C. C..
Several epidemiological changes have occurred in the pattern of nosocomial and community acquired infectious diseases during the past 25 years. Social and demographic changes possibly related to this phenomenon include a rapid population growth, the increase in urban migration and movement across international borders by tourists and immigrants, alterations in the habitats of animals and arthropods that transmit disease, as well as the raise of patients with impaired host defense abilities. Continuous surveillance programs of emergent pathogens and antimicrobial resistance are warranted for detecting in real time new pathogens, as well as to characterize molecular mechanisms of resistance. In order to become more effective, surveillance programs of...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Emerging infectious diseases; HIV; AIDS; Candidemia; Antimicrobial resistance; Bacteremia; Sepsis; Nosocomial infectious.
Ano: 2009 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0001-37652009000300020
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Candidate genes and pathogenesis investigation for sepsis-related acute respiratory distress syndrome based on gene expression profile Biol. Res.
Wang,Min; Yan,Jingjun; He,Xingxing; Zhong,Qiang; Zhan,Chengye; Li,Shusheng.
BACKGROUND: Acute respiratory distress syndrome (ARDS) is a potentially devastating form of acute inflammatory lung injury as well as a major cause of acute respiratory failure. Although researchers have made significant progresses in elucidating the pathophysiology of this complex syndrome over the years, the absence of a universal detail disease mechanism up until now has led to a series of practical problems for a definitive treatment. This study aimed to predict some genes or pathways associated with sepsis-related ARDS based on a public microarray dataset and to further explore the molecular mechanism of ARDS RESULTS: A total of 122 up-regulated DEGs and 91 down-regulated differentially expressed genes (DEGs) were obtained. The up- and down-regulated...
Tipo: Journal article Palavras-chave: Acute respiratory distress syndrome; Sepsis; Differentially expressed mRNAs; Functional enrichment analysis; Pathway analysis; Transcription factors.
Ano: 2016 URL: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-97602016000100025
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C-reactive protein-guided approach may shorten length of antimicrobial treatment of culture-proven late-onset sepsis: an intervention study BJID
Couto,Renato C.; Barbosa,José A. A.; Pedrosa,Tânia M.G.; Biscione,Fernando M..
Late-onset sepsis (LOS) (i.e., sepsis in a neonate after 72 hours of life) is associated with high mortality and significantly prolonged antibiotic exposure and hospital stay in neonates admitted to intensive care units (ICU). In this study, we assessed the reliability of serum C-reactive protein (CRP) as a determinant of antimicrobial treatment duration of LOS. From January 1996 to December 2002, all consecutive infants aged <28 days admitted to a single medical-surgical ICU and diagnosed with primary LOS were enrolled in a prospective, intervention trial with historical controls. Only blood culture-positive LOSs were included. Exclusion criteria were: age >28 days at diagnosis of LOS, development of site-specific infection, and central venous...
Tipo: Info:eu-repo/semantics/article Palavras-chave: C-reactive protein; Newborn; Neonatal intensive care units; Sepsis; Antibiotics.
Ano: 2007 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702007000200015
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Inadequate timing between corticosteroid and antibiotics applications increases mortality due to sepsis BJID
Fadel,Marcus Vinícius Telles; Repka,João Carlos; Cunha,Cláudio Leinig Pereira da; Leão,Maria Terezinha C..
This study tested the hypothesis that the use of corticosteroids prior to antibiotics can lower the mortality rate in severe infections by S. aureus or Gram-negative bacilli, using an animal model. This study was a prospective and controlled study, placed in a university laboratory. Seven hundred and sixty mice distributed into three groups (Staphylococcus aureus, Escherichia coli and Klebsiella pneumoniae infected). The interventions in each group were: I) infection control (intra-peritoneal); II) treatment solely with antibiotics (teicoplanin or amikacin); III) antibiotics administered prior to the corticosteroid (methylprednisolone); IV) antibiotics administered after the corticosteroid. Mortality in the E. coli group, subgroup I: 100%; subgroup II: 55%...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Adrenal cortex hormones; Antibiotics; Sepsis; Survival; Mice; Animals; Laboratory; Severe infection; Peritonitis; Shock; Endotoxin.
Ano: 2008 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702008000500013
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Multiple organ failure in septic patients BJID
Bilevicius,Elizabeth; Dragosavac,Desanka; Dragosavac,Sanja; Araújo,Sebastião; Falcão,Antonio L.E.; Terzi,Renato G.G..
Multiple organ failure (MOF) is the main cause of death in ICUs, especially affecting septic patients. It is strongly related to number of systems with failure, type of system involved, risk factors such as age, previous chronic diseases, delayed or inadequate resuscitation, persistent infection, immune suppression, and others. The prognoses is worse for patients rather than in elective or emergency surgical patients. The objective of this article is to provide data from our university teaching hospital ICU related to the incidence of septic patients, the distribution of MOF, and distribution of failure among each of the organs. The mortality rate, relationship between mortality and age, and mortality and types of organs affected were evaluated. The main...
Tipo: Info:eu-repo/semantics/article Palavras-chave: APACHE II; Sepsis; Multiple organ failure.
Ano: 2001 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702001000300001
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Therapeutic effects of compound hypertonic saline on rats with sepsis BJID
Dong,Fang; Chen,Wei; Xu,Liang; Wang,Huabing; Lu,Huizhi.
Sepsis is one of the major causes of death and is the biggest obstacle preventing improvement of the success rate in curing critical illnesses. Currently, isotonic solutions are used in fluid resuscitation technique. Several studies have shown that hypertonic saline applied in hemorrhagic shock can rapidly increase the plasma osmotic pressure, facilitate the rapid return of interstitial fluid into the blood vessels, and restore the effective circulating blood volume. Here, we established a rat model of sepsis by using the cecal ligation and puncture approach. We found that intravenous injection of hypertonic saline dextran (7.5% NaCl/6% dextran) after cecal ligation and puncture can improve circulatory failure at the onset of sepsis. We found that the...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Sepsis; Cecal ligation and puncture; Immune regulation; Lung injury.
Ano: 2014 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702014000500518
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Risk factors for laboratory-confirmed bloodstream infection in neonates undergoing surgical procedures BJID
Romanelli,Roberta Maia de Castro; Anchieta,Lêni Márcia; Carvalho,Elaine Alvarenga de Almeida; Silva,Lorena Ferreira da Glória e; Nunes,Rafael Viana Pessoa; Mourão,Paulo Henrique; Clemente,Wanessa Trindade; Bouzada,Maria Cândida Ferrarez.
BACKGROUND: Healthcare Associated Infections constitute an important problem in Neonatal Units and invasive devices are frequently involved. However, studies on risk factors of newborns who undergo surgical procedures are scarce. OBJECTIVE: To identify risk factors for laboratory-confirmed bloodstream infection in neonates undergoing surgical procedures. METHODS: This case-control study was conducted from January 2008 to May 2011, in a referral center. Cases were of 21 newborns who underwent surgery and presented the first episode of laboratory-confirmed bloodstream infection. Control was 42 newborns who underwent surgical procedures without notification of laboratory-confirmed bloodstream infection in the study period. Information was obtained from the...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Newborn intensive care units; Infection control; Surgery; Sepsis.
Ano: 2014 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702014000400400
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Leptospirosis mimicking sepsis after orthopedic surgery: a case report BJID
Abboud,C. S.; Vargas,J; Ferraretto,I..
We report a case of leptospirosis that occurred after elective surgery involving tendon transfer and shoulder arthroscopy. The disease mimicked hospital infection after orthopedic surgery and was at first misdiagnosed as post-operative sepsis. The patient was 60 year old female that developed sepsis with hypotension, shock, bleeding, jaundice and renal insufficiency 4 hours after surgery. Shock treatment procedures were performed and broad spectrum antibiotic therapy was used with coverage for bacteria acquired in hospitals. A careful investigation was carried out by the Hospital Infection Control Service in search of the possible source of the infection. After clinical evaluation by a specialist in infectious diseases, the hypothesis of leptospirosis was...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Leptospirosis; Sepsis; Orthopedic surgery.
Ano: 2001 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702001000500006
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Propionibacterium acnes-killed attenuates the inflammatory response and protects mice from sepsis by modulating inflammatory factors BJID
Silva,José Bruno Nunes Ferreira da; Oliveira,Samara Kelly Mendonça de; Campos,Ingrid Araújo; Carvalho-Júnior,Carlson Helder Reis de; Coutinho,Thiago da Cunha; Silva,Teresinha Gonçalves.
BACKGROUND: Sepsis is a systemic inflammation associated with infection caused by pathogenic micro-organisms with high mortality rates. OBJECTIVE: In this study, we investigated the protective effect of Propionibacterium acnes-killed against polymicrobial sepsis induced by cecal ligation and puncture. METHODS: The mice were treated by intramuscular route in 1, 3, 5, and 7 days before the cecal ligation and puncture induction. The control group animals received vehicle (saline solution 0.9%) and the animals of the treated group received the P. acnes-killed (0.4 mg/animal). After anesthesia, midline laparotomy was performed with exposure of cecum followed by ligature and one transverse perforation of the same, with a 18 G needle, for induction of lethal...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Propionibacterium acnes; Immunomodulation; Sepsis; Cytokines.
Ano: 2013 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702013000100004
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The burden of sepsis in critically ill human immunodeficiency virus-infected patients-a brief review BJID
Moreira,José.
Since the advent of highly active antiretroviral therapy in 1996, we have seen dramatic changes in morbi-mortality rates from human immunodeficiency virus-positive patients. If on the one hand, the immunologic preservation-associated with the use of current antiretroviral therapy markedly diminishes the incidence of opportunistic infections, on the other hand it extended life expectancy of human immunodeficiency virus-infected individuals similarly to the general population. However, the management of critically ill human immunodeficiency virus-infected patients remains challenging and troublesome for practicing clinician. Sepsis - a complex systemic inflammatory syndrome in response to infection - is the second leading cause of intensive care unit admission...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Sepsis; Human immunodeficiency virus; Highly active antiretroviral therapy; Intensive care.
Ano: 2015 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702015000100077
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Georeferencing of deaths from sepsis in the city of São Paulo BJID
Diament,Décio; Colombari,Fernando; Cypriano,Adriana Serra; Lisboa,Luis Fernando; dos Santos,Bento Fortunato Cardoso; Cendoroglo Neto,Miguel; Serpa Neto,Ary; Silva,Eliezer.
Abstract Objective The aim of the present study was to obtain information about deaths due to sepsis in São Paulo from 2004 to 2009 and their relationship with geographical distribution. Methods Causes of death, both main and secondary, were defined according to the codes of the International Classification of Disease version 10 (ICD-10) contained in the database. Sepsis, septic shock, multiple organ failure, pneumonia, urinary tract infection, peritonitis and other intraabdominal infections, skin and soft tissue infections (including surgical wound infection) and meningitis were considered as immediate cause of death or as the condition leading to the immediate cause of death related or associated to sepsis. Results In the analyzed period, there was a...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Sepsis; Mortality; Infection; Georeferencing.
Ano: 2016 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702016000200149
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Tatumella ptyseos causing severe human infection: report of the first two Brazilian cases BJID
Costa,Paulo Sérgio Gonçalves da; Mendes,Juliana Monteiro de Castro; Ribeiro,Geyza Machado.
Tatumella ptyseos is the type species of the Tatumella genus (Enterobacteriaceae). This fermentative Gram-negative rod has only rarely been reported as a cause of human infections; there is very little information about it in the medical literature. We report here the first two Brazilian cases of T. ptyseos infections, both evolving to severe sepsis.
Tipo: Info:eu-repo/semantics/article Palavras-chave: Tatumella ptyseos; Sepsis; Brazil.
Ano: 2008 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702008000500017
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The epidemiology of sepsis in a Brazilian teaching hospital BJID
Kauss,IAM; Grion,Cintia MC; Cardoso,LTQ; Anami,EHT; Nunes,LB; Ferreira,GL; Matsuo,T; Bonametti,AM.
OBJECTIVES: The objective of this study was to estimate disease incidence and mortality rate of sepsis in a tertiary public hospital. METHODS: Patients admitted to the Intensive Care Unit (ICU) in 2004 and 2005 were monitored for sepsis using an observational longitudinal study design. Patients were monitored daily for diagnostic criteria of sepsis, according to ACCP/SCCM Consensus Conference criteria, until either death or hospital discharge. RESULTS: During the study, we analyzed 1,179 patients. Systemic Inflammatory Response Syndrome (SIRS) was present in 1,048 (88.9%) patients on admission, and was associated with infection in 554 (47.0%) patients. Of these, sepsis was diagnosed in 30 (2.5%) patients, while severe sepsis was diagnosed in 269 (22.8%)...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Sepsis; Incidence; Mortality; Epidemiology.
Ano: 2010 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702010000300011
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Atypical fulminant Rickettsia rickettsii infection (Brazilian spotted fever) presenting as septic shock and Adult Respiratory Distress Syndrome BJID
Costa,Paulo Sérgio Gonçalves da; Brigatte,Marcos Emilio; Almeida,Edmilton Pereira de; Valle,Lena Márcia de Carvalho.
Brazilian spotted fever, caused by Rickettsia rickettsii, has been increasingly reported in Brazil especially in the southeastern states. The severe and fulminant forms of the disease are not unusual but most of the reported fatal cases have shown some typical clinical clue, which leads the attending physician to a correct diagnosis. We report a probable case of atypical fulminant Brazilian spotted fever that presented full-blown septic shock associated with Adult Respiratory Distress Syndrome (ARDS) and delayed uncharacteristic rash with an over four-fold increase in reciprocal IgM, but not IgG titer against Rickettsia rickettsii. Brazilian practitioners should be aware of the possibility of Brazilian spotted fever as a cause of fulminant primary sepsis...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Rickettsia rickettsii; Brazilian spotted fever; Sepsis; ARDS.
Ano: 2002 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702002000200006
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