RESUMO
We report a case of acquired lymphocytic choriomeningitis virus (LCMV) infection due to an accidental percutaneous inoculation of LCMV at work. The injured worker developed a flu-like syndrome, followed by pericarditis and meningoencephalitis. Seroconversion was confirmed by ELISA. The patient made a complete recovery. We review measures undertaken to prevent a similar event and propose a follow-up protocol in the event of accidental LCMV exposure.
Assuntos
Acidentes de Trabalho , Antivirais/administração & dosagem , Coriomeningite Linfocítica/tratamento farmacológico , Vírus da Coriomeningite Linfocítica/patogenicidade , Ferimentos Penetrantes Produzidos por Agulha/virologia , Exposição Ocupacional/efeitos adversos , Ribavirina/administração & dosagem , Adulto , Humanos , Coriomeningite Linfocítica/etiologia , Coriomeningite Linfocítica/virologia , Masculino , Profilaxia Pós-Exposição , Guias de Prática Clínica como Assunto , Resultado do TratamentoRESUMO
The year 2014 was rich in significant advances in all areas of internal medicine. Many of them have an impact on our daily practice and on the way we manage one problem or another. From the use of the ultrasound for the diagnosis of pneumonia to the choice of the site of venous access and the type of line, and the increasing complexity of choosing an oral anticoagulant agent, this selection offers to the readers a brief overview of the major advances. The chief residents in the Service of internal medicine of the Lausanne University hospital are pleased to share their readings.
Assuntos
Medicina Interna/tendências , Corpo Clínico Hospitalar , Doença de Alzheimer/tratamento farmacológico , Anti-Inflamatórios não Esteroides/uso terapêutico , Anticoagulantes/uso terapêutico , Pressão Arterial/fisiologia , Cateterismo Venoso Central , Diverticulite/terapia , Serviço Hospitalar de Emergência , Hospitais Universitários , Humanos , Hipertensão/cirurgia , Fibrose Pulmonar Idiopática/tratamento farmacológico , Rim/inervação , Pneumonia/diagnóstico por imagem , Embolia Pulmonar/diagnóstico , Piridonas/uso terapêutico , Choque Séptico/terapia , Simpatectomia/métodos , Fator de Necrose Tumoral alfa/antagonistas & inibidores , Ultrassonografia , Tromboembolia Venosa/tratamento farmacológico , Deficiência de Vitamina B 12/etiologia , Vitamina E/uso terapêuticoRESUMO
Several reports showed SARS-CoV-2 rapid antigen tests (RATs) performances among COVID-19 symptomatic subjects in outpatient settings during periods of highest incidence of infections and high rates of hospital admissions, but few data are present for asymptomatic patients. We investigated the role of RATs in an emergency department, as a novel screening tool before admission for COVID-19 asymptomatic patients. A total of 116 patients were screened on admission in a 250-bed community hospital in Morges, Switzerland. RAT detected 2/7 RT-PCR-positive patients and delivered two false-positive results. These data suggest the non-fiability of RATs screening in this clinical scenario.