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Neonatal meningitis associated with osteomyelitis and epidural empyema.

Neonatal meningitis is a serious disease with significant mortality and morbidity. Its signs and symptoms are subtle, non-specific, atypical or absent. Cephalohaematoma is frequent in newborns and complications are uncommon, including local infection after haematogenous spread in the setting of bacteraemia or meningitis with a possibility of osteomyelitis, epidural abscess and subdural empyema. We report the cas...

Crescimento discordante precoce numa gravidez gemelar monocoriónica

Introduction: Abnormal growth, including discordant growth and intrauterine growth restriction (IUGR), occurs frequently in twin pregnancies and has been associated with increased risk of perinatal morbidity and mortality. Typically this occurs in the second or third trimester. Discordant growth in monochorionic twin pregnancies is probably related with the complications of a shared placenta. It is not clear wh...

Hiperplasia congénita da supra-renal: quando o mesmo genótipo tem diferentes fe...

Corionicidade e complicações perinatais na gravidez gemelar: casuística de 10 a...

OVERVIEW AND AIMS: Multiple pregnancy accounts for about 3% of all pregnancies. The monochorionic pregnancy presents a relatively constant incidence (1:250 pregnancies) unlike the dichorionic, which is influenced by race, heredity, maternal age, parity and medically assisted procreation. The purpose of this work was to evaluate the impact of chorionicity on perinatal morbidity of twin pregnancy. POPULATION AND ...

Severe intracranial haemorrhage in neonatal alloimmune thrombocytopenia

Neonatal alloimmune thrombocytopenia is a rare (1/1000-5000 births) life-threatening disorder, caused by fetomaternal incompatibility for a fetal human platelet alloantigen inherited from the father, with production of maternal alloantibodies against fetal platelets, leading to severe thrombocytopenia and potential bleeding. Intracranial haemorrhage is the most feared complication. This report presents the case...

CONTROLE DA PRESSÃO INTRCUFF EM DOENTES TRAQUEOSTOMIZADOS

CONTROLE DA PRESSÃO INTRCUFF EM DOENTES TRAQUEOSTOMIZADOS Álvara Silva1, Ana Taborda1, Hélder Vilarinho1, Inês Rocha1, Olinda Vieira1, Rosa Silva1. 1Serviço de de Traumatologia Craneo Encefálica (TCE), HSA/CHP. Hospital de Santo António, Centro Hospitalar do Porto (HSA/CHP), Porto. Introdução A pressão de perfusão sanguínea da mucosa traqueal situa-se entre os 25-35mmHg/20-30cmH2O. Pressões superiores a 30 cmH2...

INTERVENÇÕES EM DOENTES COM DEGLUTIÇÃO COMPROMETIDA

INTERVENÇÕES EM DOENTES COM DEGLUTIÇÃO COMPROMETIDA Álvara Silva 1, Ana Taborda1, Hélder Vilarinho1, Inês Rocha1, Olinda Vieira1 1Serviço de Traumatologia Craneo Encefálica (TCE), HSA/CHP. Hospital de Santo António, Centro Hospitalar do Porto (HSA/CHP), Porto. Introdução Deglutição compreende uma actividade neuromuscular complexa, que se inicia de forma consciente e envolve quatro fases: antecipatória, oral, fa...

Epidemiologia da gestação múltipla: casuística de 15 anos

Between January of 1987 and December of 2001 were born 1243 twins related to 609 multiple pregnancies, in Maternidade Bissaya-Barreto. Data were grouped in periods of three years and several parameters were studied. The rate of multiple gestation has increased probably due to the contribution of the assisted conception techniques, and to the increase of the number of multiple fetal pregnancies (two or more) and...

Crise hipercalcémia secundária a hiperparatiroidismo primário durante a gravidez

Primary hyperparathyroidism is a rare occurrence in pregnancy with significant risks to the mother and the foetus, witch is related to the level of serum calcium. A 41-year-old women, gravida 2, para 1, presented at 22 weeks gestation with nausea, vomiting and mild cognitive dysfunction associated with hypercalcemic crisis. The hypercalcemia was observed to be related to parathyroid hyperplasia that was surgica...

Valor de los metodos directos e indirectos de diagnóstico en las micosis sitémi...

Durante 5 años se estudiaron 117 pacientes con micosis sistémicas asociadas al SIDA: 74 criptococosis, 39 histoplasmosis y 4 con ambas enfermedades. Para el diagnóstico analizamos los siguientes materiales: escarificaciones de lesiones cutáneas o mucosas, aspirados de médula ósea, secreciones bronquiales, biopsias de diversos órganos, líquido cefalorraquídeo, hemocultivos y sueros para determinaciones serológic...