RESUMEN
The purpose of this study was to evaluate the electromyographic activity of the accessory inspiratory muscles and the diaphragmatic amplitude (DA) in nasal and mouth-breathing adults. The study evaluated 38 mouth-breathing (MB group) and 38 nasal-breathing (NB group) adults, from 18 to 30years old and both sexes. Surface electromyography (sEMG) was used to evaluate the amplitude and symmetry (POC%) of the sternocleidomastoid (SCM) and upper trapezius (UT) muscles at rest, during nasal slow inspiration at Lung Total Capacity (LTC) and, during rapid and abrupt inspiration: Sniff, Peak Nasal Inspiratory Flow (PNIF) and Maximum Inspiratory Pressure (MIP). M-mode ultrasonography assessed the right diaphragm muscle amplitude in three different nasal inspirations: at tidal volume (TV), Sniff and inspiration at LTC. The SCM activity was significantly lower in the MB group during Sniff, PNIF (p<0.01, Mann-Whitney test) and MIP (p<0.01, t-test). The groups did not differ during rest and inspiration at LTC, regarding sEMG amplitude and POC%. DA was significantly lower in the MB group at TV (p<0.01, Mann-Whitney) and TLC (p=0.03, t-test). Mouth breathing reflected on lower recruitment of the accessory inspiratory muscles during fast inspiration and lower diaphragmatic amplitude, compared to nasal breathing.
Asunto(s)
Diafragma/fisiología , Electromiografía/métodos , Inhalación/fisiología , Respiración por la Boca , Cavidad Nasal/fisiología , Músculos del Cuello/fisiología , Adolescente , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Músculo Esquelético/fisiología , Volumen de Ventilación Pulmonar/fisiología , Adulto JovenRESUMEN
Bilioma é qualquer coleção de bile fora das vias biliares. Geralmente, resulta de complicações cirúrgicas e trauma abdominal. A ocorrência espontânea é rara, ocasionalmente associada a coledocolitíase. Relata-se um caso de bilioma espontâneo, cujo diagnóstico foi confirmado radiologicamente. À laparotomia, observou-se bilioma retroperitoneal. A colangiografia transoperatória não evidenciou fístula. Após drenagem, o paciente teve boa evolução e alta hospitalar.
Biloma is defined as any collection of bile outside the biliary tree, usually resulting from surgery complications and abdominal trauma. Spontaneous occurrence of bilomas is rare, occasionally associated with choledocolithiasis. The present report describes a case of spontaneous biloma, whose diagnosis was radiologically confirmed. At laparotomy, the presence of a retroperitoneal biloma was observed. Intraoperative cholangiography has not demonstrated the presence of fistula. After drainage, the patient progressed well and was discharged.
Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Bilis , Enfermedades de las Vías Biliares , Coledocolitiasis , Coledocolitiasis/complicaciones , Tomografía Computarizada por Rayos X , UltrasonografíaAsunto(s)
Encefalopatías/diagnóstico , Infecciones Fúngicas del Sistema Nervioso Central/diagnóstico , Paracoccidioidomicosis/diagnóstico , Adulto , Anfotericina B/uso terapéutico , Antifúngicos/uso terapéutico , Encefalopatías/microbiología , Infecciones Fúngicas del Sistema Nervioso Central/terapia , Femenino , Humanos , Paracoccidioidomicosis/terapia , Tomografía Computarizada por Rayos XAsunto(s)
Adulto , Femenino , Humanos , Encefalopatías/diagnóstico , Infecciones Fúngicas del Sistema Nervioso Central/diagnóstico , Paracoccidioidomicosis/diagnóstico , Anfotericina B/uso terapéutico , Antifúngicos/uso terapéutico , Encefalopatías/microbiología , Infecciones Fúngicas del Sistema Nervioso Central/terapia , Paracoccidioidomicosis/terapia , Tomografía Computarizada por Rayos XRESUMEN
Relata-se o caso de um paciente portador da doença de Madelung, definida clinicamente pela presença de múltiplos acúmulos de tecido adiposo não encapsulados, usualmente envolvendo a região cervical e superior do tórax, de distribuição simétrica. O exame de imagem eleito para confirmação do diagnóstico foi tomografia computadorizada, por ser menos dispendiosa e mais acessível, comparando-se à ressonância magnética.
The authors report the case of a patient with Madelung's disease, which is clinically described as the presence of multiple and symmetric non-encapsulated masses of fatty tissue, usually involving the neck and the upper region of the trunk. Computed tomography was selected as the imaging method for diagnosis confirmation, considering its lower cost and higher availability as compared with magnetic resonance imaging.
Asunto(s)
Humanos , Masculino , Adulto , Neoplasias de Cabeza y Cuello , Lipomatosis Simétrica Múltiple/diagnóstico , Lipomatosis Simétrica Múltiple/etiología , Neoplasias de Cabeza y Cuello/complicaciones , Tejido Adiposo/patología , Tórax/patología , Neoplasias de Cabeza y Cuello/cirugía , Neoplasias de Cabeza y Cuello/diagnóstico , Tomografía Computarizada por Rayos XRESUMEN
We report the case of a 74-year-old male patient with a one-year history of chest pain in the suprasternal notch associated with erythema, edema and drainage of purulent material from a fistulous lesion. The patient was HIV-negative with no history of TB. A CT scan of the chest showed an osteolytic lesion in the sternum, and a biopsy revealed caseous granuloma, which, in the microbiological evaluation, was negative for fungi and acid-fast bacilli. The diagnosis of sternal osteomyelitis caused by Mycobacterium tuberculosis was confirmed using PCR.
Asunto(s)
Mycobacterium tuberculosis , Esternón/microbiología , Tuberculosis Osteoarticular/microbiología , Anciano , Humanos , Masculino , Reacción en Cadena de la PolimerasaRESUMEN
Descrevemos o caso de um paciente de 74 anos, masculino, com dor torácica na porção superior do esterno com um ano de evolução associada a eritema, edema e fístula com drenagem de material purulento. Paciente HIV negativo e sem história prévia de contato com TB. A TC de tórax evidenciou lesão osteolítica esternal, e o material de biópsia revelou granuloma caseoso negativo para fungos e bacilos álcool-ácido resistentes no exame microbiológico direto. O diagnóstico de osteomielite esternal por Mycobacterium tuberculosis foi realizado por PCR.
We report the case of a 74-year-old male patient with a one-year history of chest pain in the suprasternal notch associated with erythema, edema and drainage of purulent material from a fistulous lesion. The patient was HIV-negative with no history of TB. A CT scan of the chest showed an osteolytic lesion in the sternum, and a biopsy revealed caseous granuloma, which, in the microbiological evaluation, was negative for fungi and acid-fast bacilli. The diagnosis of sternal osteomyelitis caused by Mycobacterium tuberculosis was confirmed using PCR.
Asunto(s)
Anciano , Humanos , Masculino , Mycobacterium tuberculosis , Esternón/microbiología , Tuberculosis Osteoarticular/microbiología , Reacción en Cadena de la PolimerasaRESUMEN
Complications involving the central nervous system in patients suffering from hepatitis C virus (HCV) infectionhave been rare. Among them, it appears the transverse myelitis, which has already been reported in likely association with HCV. This paper presents the case study of a 65-year-old woman who developed cervical transverse myelitis linked to chronic HCV infection and anti-HCV antibodies in the spinal fluid, being excluded other etiologies for transverse myelitis. Current evidence has reinforced the likely association between chronic HCV infection and transverse myelitis, especially as recurrent manifestations of the disease. These findings reveal the need for more searching to establish the causal relationship between transverse myelitis and hepatitis C.
