scholarly journals Fiebre reumática, errores diagnósticos comunes y retraso del tratamiento: a propósito de un caso

2019 ◽  
Vol 3 (2) ◽  
pp. 13
Author(s):  
Diana Victoria Moreira Vera ◽  
David Ramón Cedeño Vélez ◽  
Egny María Mendoza Guillem
Keyword(s):  
Emergency Room ◽  
Rheumatic Fever ◽  
Recurrent Tonsillitis ◽  
Palabras Clave ◽  
History Of ◽  
Group A ◽  
Major Criterion ◽  
Minor Criteria ◽  
Frequent Reason

  La fiebre reumática es la secuela más común por amigdalitis debida al estreptococo β-hemolítico del grupo A, siendo la causa más frecuente de valvulopatía adquirida en niños. Se presenta el caso de una niña de 10 años de edad que acudió a emergencias debido a artralgia en rodillas, piernas y tobillos, de ocho días de evolución alternando su intensidad 48 horas en cada articulación y fiebre de 39ºC. Antecedentes de faringoamigdalitis a repetición desde los dos años con sugerencia de amigdalectomía. Se observaron valores de antiestreptolisina positivos. Se encontró artritis como criterio mayor y la fiebre junto con los valores de la antiestreptolisina como criterios menores, además de los antecedentes de amigdalitis a repetición. Su relevancia recae en el abordaje variado que recibió la paciente y la duda diagnóstica de la enfermedad.   Palabras clave: Fiebre reumática, poliartritis, faringitis, criterios de Jones.   Abstract Rheumatic fever is the most common sequel due to tonsillitis caused by the group A β-hemolytic streptococci, being the most frequent reason of acquired valvulopathy in children. The case of a 10-year-old girl who went to the emergency room due to arthralgia in the knees, legs and ankles of eight days of evolution - alternating its intensity 48 hours in each joint - and fever of 39 ºC is presented. History of pharyngotonsillitis repeated since two years-old with suggestion of tonsillectomy. Anti streptolysin values were positive. Arthritis was found as major criterion and fever along with anti streptolysin values as minor criteria, in addition to the history of recurrent tonsillitis. Its relevance lies in the varied approach that the patient received and the diagnostic doubt of the disease.   Keywords: Rheumatic fever, polyarthritis, pharyngitis, Jones criteria.

Clinical features and diagnosis of acute rheumatic fever

ESC CardioMed ◽  
2018 ◽  
pp. 1138-1140
Author(s):  
Antoinette Cilliers
Keyword(s):  
High Risk ◽  
Rheumatic Fever ◽  
Acute Rheumatic Fever ◽  
Clinical Signs ◽  
Clinical Manifestations ◽  
Heart Association ◽  
Risk Groups ◽  
Group A ◽  
High Risk Populations ◽  
Minor Criteria

The diagnosis of acute rheumatic fever cannot be made using a single test. The diagnosis requires the recognition of a complex of clinical signs divided into major and minor manifestations as well as laboratory investigations aided by application of the Jones criteria, originally devised in 1944. The clinical manifestations are secondary to the effects of antibodies produced against the group A Streptococcus organism which cross-react against cardiac, skin, synovial, and neurological tissue associated with signs of inflammation. Several adjustments to the Jones criteria have been published over the last 70 years. The latest 2015 American Heart Association modification includes echocardiography/Doppler studies to diagnose subclinical carditis and also incorporates risk stratification whereby at-risk populations are divided into low- and moderate-to-high-risk groups. The presence of a single episode of a fever of at least 38°C and a slight elevation of the erythrocyte sedimentation rate to at least 30 mm/hour are classified as minor criteria in moderate- and high-risk populations. A monoarthritis or polyarthralgia are included as major criteria in the same risk group.

IMMUNOLOGIC AND BIOCHEMICAL STUDIES IN INFANTS AND CHILDREN, WITH SPECIAL REFERENCE TO RHEUMATIC FEVER

PEDIATRICS ◽  
1948 ◽  
Vol 2 (4) ◽  
pp. 410-414
Author(s):  
PAUL F. DEGARA
Keyword(s):  
Rheumatic Fever ◽  
Special Reference ◽  
High Titer ◽  
Infants And Children ◽  
Significant Difference ◽  
Biochemical Studies ◽  
History Of ◽  
Group A ◽  
Different Strains ◽  
In Infants And Children

Agglutinative antibodies for three different strains Str. hemolyticus, beta, group A, were studied in 497 sera from 372 children. A high titer was found in approximately 9% of well children. There was no significant difference between rheumatic and non-rheumatic subjects in the incidence of high agglutinin titers for Str. hemolyticus. Following infections, presumably streptococcal in origin, approximately 46% of the children examined had high agglutinin titers for Str. hemolyticus. In active rheumatic fever, agglutinins were present in high titers in nine out of 11 patients who had experienced an antecedent illness, presumably streptococcal in origin. Of 23 patients with no history of such an infection, only three had streptococcal agglutinins.

scholarly journals Chorea as the first presenting sign of rheumatic fever in a 12-year-old female child

2020 ◽  
Vol 7 (6) ◽  
pp. 1444
Author(s):  
Mitul N. Kasundra
Keyword(s):  
Early Diagnosis ◽  
Rheumatic Fever ◽  
Children And Adolescents ◽  
Movement Disorder ◽  
Clinical Sign ◽  
Female Child ◽  
Treated Group ◽  
Prompt Treatment ◽  
History Of ◽  
Group A

Rheumatic chorea (RC*) is a movement disorder seen in young children and adolescents with a recent history of incompletely treated group A beta-hemolytic streptococcal (GABHS) pharyngitis. Although, it rarely presents as the first manifestation of the rheumatic fever, physicians should be aware of the disease, so that early diagnosis and prompt treatment may lead to elimination of the pathogen and prevent further disease progression. We present a case of a 12-year-old female child who presented with only RC as the first clinical sign.

Hormonal stimulation and some risk factors studied to improve bovine pregnancy rate at the Coastal areas of Barisal district of Bangladesh

2018 ◽  
Vol 52 (1-4) ◽  
pp. 22-30
Author(s):  
A K Paul ◽  
S M T Rahman
Keyword(s):  
Pregnancy Rate ◽  
Coastal Region ◽  
Hormonal Treatment ◽  
Coastal Areas ◽  
Pregnancy Rates ◽  
Hormonal Stimulation ◽  
Crossbred Cows ◽  
Treatment Groups ◽  
History Of ◽  
Group A

Hormonal treatment of cows at the coastal region of Barisal district of Bangladesh was performed to assess the improvement of pregnancy rate. A total of 100 cows and heifers with irregular history of cyclicity were selected randomly and divided into five treatment groups. The groups were A (treated with anthelmintic), B (treated with anthelmintic, vitamin ADE and multivitamin powder), C (treated with PGF2α), D (treated with GnRH) and E (treated with GnRH and PGF2α). Each group comprised of 20 animals. The age, breed and parity of experimental cows were considered during treatment. In the study, the cows treated with both GnRH and PGF2α (group E) showed significantly (p<0.05) higher estrus (80%) and pregnancy rate (60%) than that of group A, B, C and D. The overall estrus rates of local and crossbred cows were 64% and 70%, respectively and the pregnancy rates were 40 and 52%, respectively. The crossbred cows responded significantly (p<0.05) to hormonal treatment than that of local cows. Parity-2 cows showed higher estrus sign than that of other parities. However, the pregnancy rates were higher significantly (p<0.05) in parity-2 and parity ≥4 cows than that of parity-0, parity-1 and parity-3 cows. The pregnancy rate was also found higher in case of 4 to <5 years old cows than that of 2 to <3, 3 to <4, 5 to <6, and ≥6 years old. It may conclude that the hormonal regimen increases the pregnancy rate as well as decreases the undesired waiting of estrus and conception. Further study with more sample size will reveal the more effective treatment for cows at the coastal areas of Bangladesh.

Hormonal stimulation and some risk factors studied to improve bovine pregnancy rate at the Coastal areas of Barisal district of Bangladesh

2018 ◽  
Vol 52 (1-4) ◽  
pp. 22-30
Author(s):  
A K Paul ◽  
S M T Rahman
Keyword(s):  
Pregnancy Rate ◽  
Coastal Region ◽  
Hormonal Treatment ◽  
Coastal Areas ◽  
Pregnancy Rates ◽  
Hormonal Stimulation ◽  
Crossbred Cows ◽  
Treatment Groups ◽  
History Of ◽  
Group A

Hormonal treatment of cows at the coastal region of Barisal district of Bangladesh was performed to assess the improvement of pregnancy rate. A total of 100 cows and heifers with irregular history of cyclicity were selected randomly and divided into five treatment groups. The groups were A (treated with anthelmintic), B (treated with anthelmintic, vitamin ADE and multivitamin powder), C (treated with PGF2α), D (treated with GnRH) and E (treated with GnRH and PGF2α). Each group comprised of 20 animals. The age, breed and parity of experimental cows were considered during treatment. In the study, the cows treated with both GnRH and PGF2α (group E) showed significantly (p<0.05) higher estrus (80%) and pregnancy rate (60%) than that of group A, B, C and D. The overall estrus rates of local and crossbred cows were 64% and 70%, respectively and the pregnancy rates were 40 and 52%, respectively. The crossbred cows responded significantly (p<0.05) to hormonal treatment than that of local cows. Parity-2 cows showed higher estrus sign than that of other parities. However, the pregnancy rates were higher significantly (p<0.05) in parity-2 and parity ≥4 cows than that of parity-0, parity-1 and parity-3 cows. The pregnancy rate was also found higher in case of 4 to <5 years old cows than that of 2 to <3, 3 to <4, 5 to <6, and ≥6 years old. It may conclude that the hormonal regimen increases the pregnancy rate as well as decreases the undesired waiting of estrus and conception. Further study with more sample size will reveal the more effective treatment for cows at the coastal areas of Bangladesh.

Appreciation of the importance of pregravid preparation and reproductive attitudes of women of childbearing age in the city of Omsk

GYNECOLOGY ◽  
2018 ◽  
Vol 20 (6) ◽  
pp. 48-52
Author(s):  
E N Kravchenko ◽  
R A Morgunov
Keyword(s):  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Pregnancy And Childbirth ◽  
Perinatal Center ◽  
History Of ◽  
Group A ◽  
Group B ◽  
Complicated Pregnancy ◽  
The Relationship ◽  
The City

The aim of the study. Assess the importance of pregravid preparation and outcomes of pregnancy and childbirth, depending on the reproductive attitudes of women in the city of Omsk. Materials and methods. The study included 92 women who were divided into groups: group A (n=43) - women whose pregnancy was planned; group B (n=49) - women whose pregnancy occurred accidentally. Each group was divided into subgroups depending on age: from 18 to 30 and from 31 to 49 years. For each patient included in the study, a specially designed map was filled out. These patients were interviewed at the City Clinical Perinatal Center. Results. Comparative analysis revealed the relationship between the reproductive settings of women of childbearing age and the peculiarity of the course of pregnancy and childbirth in these patients. Summary. The majority of women of fertile age are married: in subgroup AA - 25 (96.2%), AB - 13 (76.5%), BA - 25 (92.6%), BB - 20 (91.0%). The predominant number of women of fertile age have one or more abortions: in subgroup AA - 12 (46.2%), AB - 6 (35.3%), in subgroups of comparison BA - 8 (29.6%), BB - 6 (27.3%). More than half of the women of fertile age surveyed have a history of untreated cervical pathology (from 40.8% to 64.7%). The course of pregnancy in women planning pregnancy in most cases proceeded without complications: in subgroup AA - 13 (50.0%), AB - 11 (64.7%). The most common cause of complicated pregnancy in women whose pregnancy occurred accidentally is the threat of spontaneous miscarriage: in subgroup BA - 15 (55.6%), BB - 16 (72.7%). The uncomplicated course of labor more often [subgroup AA - 19 (73.0%), AB - 12 (70.6%)] was observed in women whose pregnancy was planned and they were motivated to give birth to a healthy child.

A ABORDAGEM SOBRE O TERRITÓRIO EM AUTORES DA GEOGRAFIA BRASILEIRA: MUTAÇÕES DE UM CONCEITO

GEOgraphia ◽  
2018 ◽  
Vol 20 (42) ◽  
pp. 38
Author(s):  
Lucas Labigalini Fuini
Keyword(s):  
Theoretical Knowledge ◽  
History Of Thought ◽  
Palabras Clave ◽  
History Of ◽  
Territorial Approach ◽  
Selection Of

Resumo: O objetivo deste artigo é reconhecer, através de uma seleção de autores e obras, as características principais da abordagem territorial na Geografia brasileira desenvolvida desde fins dos anos 1970, quando se reconhece um verdadeiro interesse na sistematização e no conhecimento teórico sobre o conceito em nossa ciência. No perpassar por autores, objetiva-se identificar a crescente multidimensionalidade e transescalaridade que o conceito adquire nos seus conteúdos e aplicações e a mudança de sentido explicativo que assume no avançar dos anos 2000.Palavras-chave: Território. Territorialidade. História do pensamento. Político. Geografia brasileira. THE APPROACH TO THE TERRITORY IN AUTHORS OF THE BRAZILIAN GEOGRAPHY: MUTATIONS OF A CONCEPTAbstract: The purpose of this article is to recognize, through a selection of authors and works, the main features of the territorial approach in the Brazilian Geography developed since the late 1970s, when it recognizes a real interest in the systematization and theoretical knowledge about the concept in our science. In pervade by authors, aims to identify the increasing multidimensionality and transescalarity that the concept gets in their content and applications and the change in explanatory sense that assumes in advance the years 2000.Keywords: Territory. Territoriality. History of thought. Political. Brazilian geography. EL ENFOQUE SOBRE EL TERRITORIO EN AUTORES DE GEOGRAFÍA BRASILEÑA: MUTACIONES DE UN CONCEPTOResumen: El objetivo de este artículo es reconocer, a través de una selección de autores y obras, las características principales del abordaje territorial en la Geografía brasileña desarrollada desde fines de los años 1970, cuando se reconoce un verdadero interés en la sistematización y en el conocimiento teórico sobre el concepto en nuestra ciencia . En el traspaso por autores, se objetiva identificar la creciente multidimensionalidad y transescalaridad que el concepto adquiere en sus contenidos y aplicaciones y el cambio de sentido explicativo que asume a lo largo de los años 2000.Palabras-clave: Territorio. Territorialidad. Historia del pensamiento. Político. Geografía brasileña.

Anterior approach levator plication for congenital ptosis, absorpable versus non absorpable sutures

2021 ◽  
pp. 112067212110053
Author(s):  
Moustafa Salamah ◽  
Ashraf Mahrous Eid ◽  
Hani Albialy ◽  
Sherif Sharaf EL Deen
Keyword(s):  
Randomized Study ◽  
Early Postoperative Period ◽  
Polyglactin 910 ◽  
Exclusion Criteria ◽  
Congenital Ptosis ◽  
History Of ◽  
Group A ◽  
Group B ◽  
Over Time

Purpose: To compare the efficacy of two different suture types in levator plication for correction of congenital ptosis. Subjects and methods: Prospective comparative interventional randomized study involving 42 eyes of 42 patients aged more than 6 years with congenital ptosis and good levator action. The exclusion criteria were as follows: bilateral ptosis, history of previous surgery, fair or poor levator action, and associated other ocular diseases. Patients were randomized into group A, in which double-armed 5/0 polyester Ethibond were used, and group B, in which double-armed 5/0 Coated Vicryl® (polyglactin 910) suture material we used. Outcomes including eyelid height and stability of eyelid height over time were compared with follow-up data. The MRD was 4.05 ± 0.36 mm and 3.95 ± 0.34 after 1 week for both groups A and B, respectively. At the end of study follow up period (24 weeks), the MRD was 3.60 ± 0.42 mm in group A, and 2.52 ± 0.85 mm in group B. Conclusion: No difference in eyelid height between two groups in early postoperative period, but the postoperative eyelid height was more stable over time in the 5/0 polyester Ethibond group (group A) than in the 5/0 Coated Vicryl® (polyglactin 910) group (group B).

scholarly journals Preoperative predictors of dysphagia after transoral surgery

2021 ◽  
Author(s):  
Kazunori Fujiwara ◽  
Kenkichiro Taira ◽  
Ryohei Donishi ◽  
Satoshi Koyama ◽  
Tsuyoshi Morisaki ◽  
...  
Keyword(s):  
Head And Neck ◽  
Forced Expiratory Volume ◽  
Transoral Surgery ◽  
Postoperative Dysphagia ◽  
Swallowing Function ◽  
History Of ◽  
Group A ◽  
Low Bmi ◽  
Head And Neck Radiotherapy

Abstract Background Transoral surgery (TOS) has been used to remove pharyngeal and laryngeal cancers with the objective of improving functional without worsening survival. However, there is a risk of postoperative dysphagia, which can severely impair quality of life. The aim of this study was to evaluate the preoperative predictive factors for postoperative dysphagia in patients undergoing TOS. Methods One hundred and twenty patients who underwent TOS were evaluated in this study. The degree of dysphagia was evaluated using the Functional Outcome Swallowing Scale (FOSS) both preoperatively and 3 months postoperatively. Those whose FOSS stage was maintained postoperatively were classified into the FOSS-M group, while those with increased FOSS stage postopratively were classified into the FOSS-I group. The following parameters were assessed before surgery: age, weight, height, body mass index (BMI), forced expiratory volume in 1 s, and history of head and neck radiotherapy. Videofluoroscopy (VF) was performed preoperatively to evaluate swallowing function using the Penetration-Aspiration Scale (PAS). Results The BMI of the FOSS-M group was significantly higher than that of the FOSS-I group. A history of radiotherapy was significantly more common in the FOSS-I group than in the FOSS-M group. Finally, preoperative PAS in the FOSS-M group was lower than that in the FOSS-I group. Conclusion This study suggested that patients with preoperative aspiration detected using VF might develop postoperative dysphagia severely. In addition, preoperative low BMI and a history of previous radiotherapy for head and neck cancer were associated with postoperative dysphagia. Objective examinations such as VF should be performed preoperatively.

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