RESUMEN
PURPOSE: To identify the clinical findings of first attack in acute rheumatic fever (ARF), and to find a profile of its epidemiology. METHODS: Results of clinical manifestations, incidence, laboratory findings relative to a new cases of first attack in ARF were studied. Six hospitals in Porto Alegre area were involved in the surveillance, during 16 months between 1992 and 1993. RESULTS: Fifty-one cases with clinical manifestations were recorded: 40 (78.4%) cases with arthritis; 28 (56%) with carditis; 6 (11.8%) with Sydenhan's Chorea, 6 (11.8%) with erythema marginatum and 4 (7.8%) with subcutaneous nodes. CONCLUSION: Diagnostic criteria firstly described by Jones are still employed in the clinical diagnosis in ARF in a first attack and that remains the principal etiology of valvar heart disease in that city.
Asunto(s)
Fiebre Reumática/epidemiología , Enfermedad Aguda , Adolescente , Brasil/epidemiología , Niño , Preescolar , Brotes de Enfermedades , Femenino , Humanos , Incidencia , Masculino , Prevalencia , Fiebre Reumática/diagnóstico , Factores SocioeconómicosRESUMEN
PURPOSE: To analyse the evolution of 8 cases of Chagas' disease after a microepidemy of 17 cases which occurred in Teotonia-RS-in 1965 and to discuss the importance of oral contamination in Chagas' disease. METHODS: All 8 patients are followed at the IC/FUC-RS-Brazil since 1980. Clinical examinations, blood tests, ECG, Cx-Ray and Echo were made in 1991. RESULTS: None of the eight cases presented any sign of chronic Chagas' disease manifestation. The blood tests, ECG, Cx-Ray and Echo were normals. Only one case showed a immunofluorescence of 1/20. CONCLUSION: 1) The follow-up after 25 years in all the 8 cases did not show clinical alterations or any chronic manifestation of Chagas' disease. All the tests performed had normal results; 2) the oral transmission must be considered definitive in Chagas' disease.
Asunto(s)
Cardiomiopatía Chagásica/fisiopatología , Enfermedad Aguda , Adolescente , Adulto , Brasil/epidemiología , Cardiomiopatía Chagásica/epidemiología , Cardiomiopatía Chagásica/transmisión , Niño , Preescolar , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana EdadAsunto(s)
Enfermedades de las Válvulas Cardíacas/prevención & control , Prevención Primaria , Fiebre Reumática/prevención & control , Cardiopatía Reumática/prevención & control , Adolescente , Brasil , Niño , Preescolar , Humanos , Infecciones del Sistema Respiratorio/prevención & control , Infecciones Estreptocócicas/prevención & control , Streptococcus agalactiaeAsunto(s)
Humanos , Preescolar , Niño , Adolescente , Cardiopatía Reumática , Enfermedades de las Válvulas Cardíacas , Fiebre Reumática , Prevención Primaria , BrasilRESUMEN
E apresentado um caso de infarto de miocardio em paciente de 57 anos, que apos cardioversao eletrica, por fibrilacao ventricular, apresentou faturas vertebrais em TII e LI por compressao aguda. O relato deste caso objetiva chamar atencao para uma complicacao rara nesta forma de tratamento tao em uso nas unidades de tratamento intensivo