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- Ventilação Mecânica próximo dos Grandes Centros: Experiência de uma Unidade de Apoio PeriNatalPublication . Vale, P; Guerreiro, R; Luiz, P; Gonçalves, G; Areias, F; Nunes, A; Mocho, A; Garcia, P; Berdeja, A; Avelar, CA retrospective study of the newborns who were submitted to mechanical ventilation at the Neonatal Intermediate Care Unit was made between July 1991 and June 1994. Mechanical ventilation in such a unit should be transitory and not exceed 24 hours. Information concerning pregnancy, labour, neonates, type of ventilation and its problems was gathered. Forty seven neonates were ventilated. The average ventilation time was six hours (1-20 hours). The main cause of ventilation was hyaline membrane disease which occurred in 24% of all cases. Mortality observed was 16.6% and some sequellae were registered which were related not only to ventilation but also to the basic pathology in 26% of cases.
- Exantema papulo-purpúrico em “luvas e meias”Publication . Peres, A; Pimentel, S; Tuna, M; Cunha, F
- Doença pneumocóccica invasiva na era vacinalPublication . Neves, JF; Rodrigues, P; Peres, A; Constantino, C; Cunha, F
- Gastropatia hipertrófica exsudativa na criança: uma doença rara?Publication . Rodrigues, P; Peres, A; Simões, AS; Cunha, F
- Duplo arco aórtico: causa rara de estridorPublication . Simões, AS; Peres, A; Valente, S; Casimiro, A; Cunha, F
- Abordagem do traumatismo craniano ligeiro na idade pediátrica: neuro imagem ou atitude conservadora?Publication . Esteves, I; Crispim, J; Neves, JF; Cunha, F
- Peritonitis due to Rhizobium radiobacterPublication . Marta, R; Dâmaso, C; Silva, JE; Almeida, MRhizobium radiobacter (Agrobacterium radiobacter) is an aerobic Gram-negative rod belonging to Agrobacterium genus, a group of phytopathogenic bacteria present in the soil that has been implicated in human opportunistic infections. We report a clinical case of bacterial peritonitis in a 5-year-old child with chronic renal disease in peritoneal dialysis, who had a history of direct soil contact identified. The infection was treated with ceftazidime and piperaciline+tazobactam without relapses or the need to remove the peritoneal dialysis catheter.
- Infective endarteritis complicating clinically silent patent ductus arteriosusPublication . Ferreira, PS; Rodrigues, P; Peres, A; Roque do Vale, P; Casimiro, A; Cunha, FInfective Endocarditis is caused by bacteria or fungi involving the heart or the great vessels (Endarteritis). It is a rare and potentially ominous disease, with increasing incidence. Despite technological advances it remains difficult to diagnose and treat, particularly in children below two years. Congenital heart disease is the main risk factor for Infective Endocarditis in children. A patent ductus arteriosus clinically silent is infrequently implied. Over two-month-old Streptococci spp and Staphylococcus aureus are the main agents, responsible for 62-77% of cases. Gram negative rods count for 4-6%, being Klebsiella pneumoniae a rare pathogen. The authors report a case of a previously healthy four-months-old infant, admitted for bronchiolitis. He developed a Klebsiella pneumoniae persistent bacteremia related to Endarteritis of a silent patent ductus arteriosus. After prolonged and successful antibiotic therapy, the ductus arteriosus was surgically closed. He suffered no complication during the disease process and recovered uneventfully.
- Dois casos de Quérion por Trichophyton mentagrophytesPublication . Silva, AV; Morais, RB; Francisco, T; Dessal, S; Pastilha, P; Cunha, FIntroduction: Kerion celsi is the rare and infl ammatory form of tinea capitis which is caused by dermatophyte fungi. Diagnosis is not easy due to the delay in cultural examination and the need to consider various etiologies in the differential diagnosis. Treatment must be prolonged and requires systemic antifungals. Since griseofulvin was discontinued in the Portuguese market, it has been necessary to consider therapeutic alternatives.
- Análise das Serologias para Infeções do Grupo TORCH e do Rastreio para Streptococcus do Grupo B na População de Grávidas de uma MaternidadePublication . Lito, D; Francisco, T; Salva, I; Tavares, M; Rodrigues, R; Neto, MTINTRODUCTION: Systematic screening for TORCH infections and group B Streptococcus (GBS) during pregnancy has been an important factor in the improvement of perinatal care. AIM: To evaluate TORCH serology and GBS carriers state in the population of a maternity, to assess variability with age and nationality and to search for congenital infections. MATERIAL AND METHODS: Non-probabilistic prevalence study. RESULTS: 9508 TORCH and 2639 GBS results were registered. Immunity rate for rubella was 93.3%, higher for Portuguese women; for toxoplasmosis it was 25.7%, higher among the oldest and foreign women; IgG for CMV was positive in 62.4%, no influence of age was found. VDRL was reactive in 0.5%; HBsAg was found to be positive in 2.3%, higher in foreign women. Antibodies for hepatitis C virus and HIV were found respectively in 1.4% and 0.7%. No congenital infections were diagnosed. GBS carrier state was found in 13.9%. DISCUSSION: A high rate of positive IgG was found for rubella reflecting vaccines policy. For toxoplasmosis the low rate of positives means that a high number of pregnant women have to repeat serology during pregnancy with inherent costs. Like in the general population, a high rate of CMV positive mothers was found. For some infections we found that foreign women had different conditions. CONCLUSION: Knowledge on TORCH and GBS state helps to better draw guidelines concerning screening policies during pregnancy