RESUMO
Acute disseminated encephalomyelitis, an infrequent demyelinating disease, complicates some common infections of childhood and is sometimes seen after vaccination particularly after rabies vaccination. We describe a six years old girl who had an upper respiratory tract infection two weeks prior to death. In a retrospective analysis we found that she also had received 14 doses of rabies vaccine eight months before her illness. The clinical and pathological features of this disease and its relationship with experimental allergic encephalomyelitis are analyzed.
Assuntos
Encefalomielite/diagnóstico , Infecções Respiratórias/complicações , Doença Aguda , Encéfalo/patologia , Criança , Coma/diagnóstico , Coma/etiologia , Coma/patologia , Encefalomielite/etiologia , Encefalomielite/patologia , Feminino , Humanos , Vacina Antirrábica/efeitos adversosRESUMO
This is a case of a 25 year old male with rheumatic heart disease who after 8 months of mitral valve replacement developed bacterial endocarditis complicated by severe valve malfunction due to a thrombus in the valve ring. The patient was correctly anticoagulated since the time the valve replacement, it was felt that the infection was responsible for the thrombus formation. The patient was reoperated and the valve changed for another of the same size and model. The need for prompt diagnosis and surgical intervention is emphasized in cases of prosthesis malfunction.