RESUMO
We describe the case of a mother in the second trimester of pregnancy with severe paraquat poisoning who ended her pregnancy at term and a healthy newborn. Management was initiated after 34 h of paraquat administration with the HA-230 hemoadsorption cartridge, followed by continuous venovenous hemodiafiltration for 120 h, in addition to cyclophosphamide and methylprednisolone. There was no evidence of adverse effects associated with treatment or extracorporeal therapy, and maternal and fetal well-being was maintained during the 26 days of hospitalization and at the end of pregnancy. This case treated with hemoadsorption and hemodiafiltration for paraquat poisoning during pregnancy is one of the few procedures reported in the literature and can be used as a guide for the management of subsequent cases.
RESUMO
BACKGROUND: Sporotrichosis is a subcutaneous mycosis caused by dimorphic fungi of the genus Sporothrix. The route of entry of the causative agent is direct inoculation by skin trauma, generally with decaying wood and other vegetation. However, cat-transmitted sporotrichosis has become more relevant in recent decades especially in South America. Until now, there are no case reports of cat-transmitted sporotrichosis in Colombia. CASE REPORT: We present three cases of cutaneous sporotrichosis after the scratches of an ill cat, in the feline's owners and its veterinarian, confirmed by culture and PCR, where S. schenckii sensu stricto was isolated and typified. CONCLUSIONS: Cat-transmitted sporotrichosis is becoming more relevant in recent decades due to its potential to generate epidemics and become a public health problem. In addition, since the associated species are more virulent, the disease has more aggressive behavior. In Colombia, this is the first case series of cat-transmitted cutaneous sporotrichosis.
Assuntos
Sporothrix , Esporotricose , Animais , Gatos , Colômbia , Reação em Cadeia da Polimerase , América do Sul , Sporothrix/genética , Esporotricose/diagnóstico , Esporotricose/tratamento farmacológico , Esporotricose/epidemiologiaRESUMO
El trypanosoma cruzi (T. cruzi) es un protozoario hemoflagelado, considerado el agente causal de la enfermedad de Chagas y es transmitido a los hospederos mamíferos por medio de insectos vectores del género Triatoma. El T. cruzi presenta un pleomorfismo natural, al cual se ha atribuido a la diferencia de severidad con que se presenta la enfermedad en el hospedero humano y otros mamíferos. Considerando este aspecto han sido varios los trabajos sobre caracterización de cepas de T. cruzi, abarcando aspectos biológicos, bioquímicos y moleculares para poder establecer un método de clasificación de las diferentes cepas de dicho parásito, de manera que las cepas que pertenezcan a un mismo grupo compartan estos aspectos y así una cepa pudiera ser representativa de ese grupo, simplificando los estudios a realizar. Esta revisión pretende dar un panorama de los diferentes métodos de caracterización de la cepas T. cruzi, para tratar de agruparlas para su mejor estudio y control