scholarly journals Clinical and epidemiological features of 123 cases of cryptococcosis in Mato Grosso do Sul, Brazil

2008 ◽  
Vol 50 (2) ◽  
pp. 75-78 ◽  
Author(s):  
Andrea De Siqueira Campos Lindenberg ◽  
Marilene Rodrigues Chang ◽  
Anamaria Melo Miranda Paniago ◽  
Márcia Dos Santos Lazéra ◽  
Paula Maria Frank Moncada ◽  
...  
Keyword(s):  
Medical Records ◽  
University Hospital ◽  
Mato Grosso ◽  
Drug Of Choice ◽  
Cryptococcus Species ◽  
The Central Nervous System ◽  
Male Patients ◽  
Epidemiological Profile ◽  
The University ◽  
Mato Grosso Do Sul

To identify the clinical and epidemiological profile of cryptococcosis diagnosed at the University Hospital of the Federal University of Mato Grosso do Sul, Brazil, medical records of 123 patients admitted from January 1995 to December 2005 were analyzed. One hundred and four cases (84.5%) had HIV infection, six (4.9%) had other predisposing conditions and 13 (10.6%) were immunocompetent. Male patients predominated (68.3%) and their age ranged from 19 to 69 years (mean: 35.9). Most patients (73.2%) were born and lived lifelong in the state of Mato Grosso do Sul. Involvement of the central nervous system occurred in 103 patients (83.7%) and headache and vomiting were the most frequent symptoms. In 77 cases it was possible to identify the Cryptococcus species: 69 (89.6%) C. neoformans and eight (10.4%) C. gattii. Amphotericin B was the drug of choice for treatment (106/123), followed by fluconazole in 60% of cases. The overall lethality rate was 49.6%, being 51% among the HIV infected patients and 41.2% among the non-HIV infected (p > 0.05). Although cryptococcosis exhibited in our region a similar behavior to that described in the literature, the detection of an important rate of immunocompetent individuals and five C. gattii cryptococcosis in HIV-infected patients is noteworthy.

scholarly journals Antifungal susceptibility and distribution of Candida spp. isolates from the University Hospital in the municipality of Dourados, State of Mato Grosso do Sul, Brazil

2013 ◽  
Vol 46 (3) ◽  
pp. 335-339 ◽  
Author(s):  
Adriana Araujo de Almeida ◽  
Cristiane Suemi Shinobu Mesquita ◽  
Terezinha Inez Estivalet Svidzinski ◽  
Kelly Mari Pires de Oliveira
Keyword(s):  
Antifungal Susceptibility ◽  
University Hospital ◽  
Candida Spp ◽  
Mato Grosso ◽  
The University ◽  
Mato Grosso Do Sul

scholarly journals Study of 30 cases of histoplasmosis observed in the Mato Grosso do Sul State, Brazil

2007 ◽  
Vol 49 (1) ◽  
pp. 37-39 ◽  
Author(s):  
Marilene Rodrigues Chang ◽  
Cleison Ledesma Taira ◽  
Anamaria Melo Miranda Paniago ◽  
Deborah Ledesma Taira ◽  
Rivaldo Venâncio Cunha ◽  
...  
Keyword(s):  
Histoplasma Capsulatum ◽  
Clinical Manifestations ◽  
Brain Heart Infusion ◽  
Laboratory Diagnosis ◽  
Underlying Disease ◽  
University Hospital ◽  
Mato Grosso ◽  
Almost All ◽  
The University ◽  
Mato Grosso Do Sul

Thirty cases of histoplasmosis observed at the University Hospital of the Federal University of Mato Grosso do Sul (HU-UFMS) from January 1998 to December 2005 are reported. Most (83.3%) of the patients were men, average 33.4 years old, 63.3% of them were born and living in Mato Grosso do Sul and 83.3% presented AIDS as an underlying disease. In almost all cases (96.7%) the disease occurred in its disseminated form and the most frequent clinical manifestations were: fever (83.3%), weight loss (70.0%), cough (63.3%), hepatomegaly and splenomegaly (40.0%), and lymph node enlargement (36.7%). The laboratory diagnosis was obtained in 29 patients by isolation of Histoplasma capsulatum from various clinical specimens cultivated in Sabouraud dextrose and brain heart infusion agar and in 16 patients the fungus was observed by direct microscopy of Giemsa-stained smears. The observed mortality was 40%. This is the first report in the literature of the occurrence of histoplasmosis in Mato Grosso do Sul State.

An outbreak of syphilis in Oslo

2002 ◽  
Vol 13 (6) ◽  
pp. 370-372 ◽  
Author(s):  
A M Halsos ◽  
K Edgardh
Keyword(s):  
Public Health ◽  
Hiv Infection ◽  
Medical Records ◽  
University Hospital ◽  
Oral Sex ◽  
Sexual Contacts ◽  
Male Patients ◽  
Sex With Men ◽  
Latent Syphilis ◽  
Retrospective Investigation

During 1999 and 2000, an outbreak of syphilis occurred in Norway: 93 cases were reported to the National Institute of Public Health. This report summarizes a retrospective investigation of the medical records of 60 patients with primary, secondary and early latent syphilis treated during 1999–2000 at the Department of STD at the Ullevål University Hospital in Oslo. Five women and 55 men were treated, mean age 38.6 and 44.9 years, respectively. Of the 60 cases, 14 (23.3%) had primary, 39 (65.0) secondary and seven (11.7%) early latent syphilis. Men who have sex with men (MSM) constituted 78.2% (43/55) of the male patients. Transmission among MSM was related to casual sexual contacts in bathhouses in Oslo. Two cases occurred among men with previously diagnosed HIV infection. Two new cases of HIV were reported. Condom use was inconsistent, and seldom used for oral sex.

scholarly journals Hemodialysis services: are public policies turned to guaranteeing the access?

2015 ◽  
Vol 31 (7) ◽  
pp. 1505-1516 ◽  
Author(s):  
Ana Rita Barbieri ◽  
Crhistinne Cavalheiro Maymone Gonçalves ◽  
Maria de Fátima Meinberg Cheade ◽  
Cristina Souza ◽  
Daniel Henrique Tsuha ◽  
...  
Keyword(s):  
Medical Records ◽  
Health Informatics ◽  
Ecological Study ◽  
Public Policies ◽  
National Average ◽  
Mato Grosso ◽  
Number Of Patients ◽  
Using Data ◽  
Mato Grosso Do Sul

The increasing incidence of chronic renal failure in Brazil and the consequential expansion of hemodialysis as a choice for treatment in final stage have to be taken into account to guarantee access to those in need. The ecological study conducted in Mato Grosso do Sul State, Brazil, in 2012, using data from the Brazilian Health Informatics Department (DATASUS) and from the analysis of medical records in 12 clinics, identified and mapped patients on hemodialysis, the distance they travelled and the estimated number of patients. The prevalence of hemodialysis patients in Mato Grosso do Sul State, about 55 per 100,000 inhabitants, is similar to the national average. The analyses indicated concentration of patients in counties with clinics and also geographical gaps that generate displacement of over 100km for more than 16% of patients. The results point to the necessity of strengthening public policies that consider, for decision-making, the decentralization of service, the expansion of home care and the follow-up education for professionals.

scholarly journals Low adherence to pneumococcal vaccination in lung cancer patients in a tertiary care university hospital in Southern Germany

2021 ◽  
Author(s):  
Arno Mohr ◽  
Mia Kloos ◽  
Christian Schulz ◽  
Michael Pfeifer ◽  
Bernd Salzberger ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Cancer Patients ◽  
Medical Records ◽  
Hepatitis A ◽  
Tertiary Care ◽  
Pneumococcal Vaccination ◽  
University Hospital ◽  
Lung Cancer Patients ◽  
Tick Borne Encephalitis ◽  
The University

Abstract IntroductionThe aim of this study was to investigate the adherence to vaccinations, especially pneumococcal vaccinations, in lung cancer patients.MethodsThe study was performed at the University Hospital Regensburg, Germany. All patients with a regular appointment scheduled between December 1, 2020, and April 29, 2021, and who provided informed consent were included. Available medical records, vaccination certificates and a questionnaire were analyzed.Results136 lung cancer patients (NSCLC n = 113, 83.1%, SCLC n = 23, 16.9%) were included. A correct pneumococcal vaccination according to national recommendations was performed in 9.4% (12/127) of patients.A correct vaccination was performed for tetanus in 50.4% (6/131), diphtheria in 34.4% (44/128), poliomyelitis in 25.8% (33/128), tick-borne encephalitis in 40.7% (24/59), hepatitis A in 45.5% (7/11), hepatitis B in 38.5% (5/13), shingles in 3.0% (3/101), measles in 50.0% (3/6), pertussis in 47.7% (62/130), influenza in 54.4% (74/136) and meningococcal meningitis in 0% (0/2).ConclusionAdherence to pneumococcal vaccinations, as well as other vaccinations, is rather low in lung cancer patients.

TETANUS OF THE NEWBORN INFANT

PEDIATRICS ◽  
1964 ◽  
Vol 34 (1) ◽  
pp. 32-37
Author(s):  
Dacio Pinheiro
Keyword(s):  
Public Health ◽  
Newborn Infant ◽  
Public Health Problem ◽  
Clinical Severity ◽  
University Hospital ◽  
Important Public Health Problem ◽  
Important Public Health ◽  
Pediatric Service ◽  
The Central Nervous System ◽  
The University

Tetanus in the newborn infant is still a most important public health problem in Brazil. An analysis of 238 cases, admitted in a two-year period to the pediatric service of the University Hospital in Sao Paulo, is presented. It is suggested that prognosis is related more closely to amount of tetanospasmin produced and absorbed by the central nervous system than to some of the more traditional indices of clinical severity. The plan of treatment in use is presented, since the over-all recovery rate compares very favorably with other published reports.

scholarly journals Prevalence of mycobacterium tuberculosis among professionals in a university hospital, Mato Grosso do Sul, 2004

2007 ◽  
Vol 15 (6) ◽  
pp. 1120-1124 ◽  
Author(s):  
Sandra Maria do Valle Leone de Oliveira ◽  
Michael Robin Honner ◽  
Anamaria Mello Miranda Paniago ◽  
Eliana Setti Albuquerque Aguiar ◽  
Rivaldo Venâncio da Cunha
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Tuberculin Test ◽  
University Hospital ◽  
Nosocomial Transmission ◽  
Mato Grosso ◽  
Mato Grosso Do Sul

Several studies have demonstrated an elevated prevalence amongst professionals of mycobacterium tuberculosis, both in the rate of infections and illness. This study was carried out in a School Hospital in Campo Grande, MS, Brazil, aiming to establish the prevalence of infection with Mycobacterium tuberculosis. The results of the analysis of 194 subjects showed an overall positivity for the tuberculin test of 38.7%. There was a correlation with smoking (p=0.01, RP=1. 72 (1.20-2.45- Yates's correction). The conclusion is that the establishment of a program of tuberculin screening jointly with the implementation of interventions is necessary in order to reduce the risk of nosocomial transmission.

scholarly journals Generalized myoclonus in COVID-19

Neurology ◽  
2020 ◽  
Vol 95 (6) ◽  
pp. e767-e772 ◽  
Author(s):  
Pablo Rábano-Suárez ◽  
Laura Bermejo-Guerrero ◽  
Antonio Méndez-Guerrero ◽  
Javier Parra-Serrano ◽  
Daniel Toledo-Alfocea ◽  
...  
Keyword(s):  
Medical Records ◽  
Startle Response ◽  
Respiratory Arrest ◽  
University Hospital ◽  
Voluntary Movements ◽  
Inflammatory Phase ◽  
Immune Mediated ◽  
The University ◽  
Order Structures ◽  
Rule Out

ObjectiveTo report 3 patients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) who developed generalized myoclonus.MethodsPatient data were obtained from medical records from the University Hospital “12 de Octubre,” Madrid, Spain.ResultsThree patients (2 men and 1 woman, aged 63–88 years) presented with mild hypersomnia and generalized myoclonus following the onset of the so-called inflammatory phase of coronavirus disease 2019 (COVID-19). All of them had presented previously with anosmia. Myoclonus was generalized with both positive and negative jerks, predominantly involving the facial, trapezius, sternocleidomastoid, and upper extremities muscles. These myoclonic jerks occurred spontaneously and were extremely sensitive to multisensory stimuli (auditive and tactile) or voluntary movements, with an exaggerated startle response. Other causes of myoclonus were ruled out, and none of the patients had undergone respiratory arrest or significant prolonged hypoxia. All of them improved, at least partially, with immunotherapy.ConclusionsOur 3 cases highlight the occurrence of myoclonus during the COVID-19 pandemic as a post- or para-infectious immune-mediated disorder. However, we cannot rule out that SARS-CoV-2 may spread transneuronally to first- and second-order structures connected with the olfactory bulb. Further investigation is required to clarify the full clinical spectrum of neurologic symptoms and optimal treatment.

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