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Browsing by Author "Vida, Carlota"

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  • Celiac Disease as a Rare Cause of Membranous Nephropathy: A Case Report
    Publication . Pestana, Nicole; Vida, Carlota; Durães, José; Silva, Gil; Vieira, Pedro
    Membranous nephropathy is the most common cause of nephrotic syndrome in adults. A non-negligible number of cases are associated with systemic conditions. We report a case of a 50-year-old man who presented with nephrotic syndrome six months after being diagnosed with celiac disease. Although the patient showed disappearance of circulating immunoglobulin A (IgA) anti-tissue transglutaminase antibodies following a gluten-free diet, he had a sudden onset of nephrotic syndrome presenting with severe hypoalbuminemia. Other secondary causes were promptly excluded leading to the assumption of celiac disease-associated membranous nephropathy with remission after treatment with angiotensin system blockade and a gluten-free diet. The goal of this case report is to alert the clinic towards this rare association aiming for an early diagnosis and adequate selection of long-term therapy.
    2021-02Journal article Open access Show more
  • Salmonella peritonitis in an automated peritoneal dialysis patient- Case report
    Publication . Carvão, João; Resende, Luís; Vida, Carlota; Silva, Francisca; Durães, José; Silva, Gil
    Peritonitis remains one of the main complications of peritoneal dialysis (PD) and one of the main reasons for abandoning this treatment and switching to hemodialysis. It also accounts for considerable mortality and hospitalization among PD patients. Most cases of peritonitis related to PD result from the contamination caused by the poor management of the Tenckhoff catheter by the patient or care-provider. The most frequently associated agents are coagulase-negative Staphylococcus and Staphylococcus aureus. However, Gram-negative bacteria and fungi may also be the cause of peritonitis.1 Salmonella is an intracellular pathogen member of the Enterobacteriaceae family, and it is an extremely rare agent causing peritonitis (0.15%),2 with the particularity of being an extremely complicated organism to eradicate,3 and in most of the cases described, it was necessary to remove the Tenckhoff catheter. Literature is scarce on the ideal therapeutic approach….etc.
    2021Journal article Open access Show more