RESUMO
Here we report a case of pseudotumoral recurrence of allergic fungal sinusitis with involvement of the skull base that was successfully treated with systemic corticosteroids and itraconazole without surgery. This report discusses the sometimes misleading radiological and clinical features as well as the diagnostic and therapeutic challenges of a condition that should be recognized by ENT specialists, neurosurgeons, ophtalmologists and radiologists.
Assuntos
Aspergilose/diagnóstico , Aspergilose/terapia , Aspergillus fumigatus , Rinite Alérgica Perene/microbiologia , Sinusite/microbiologia , Base do Crânio/microbiologia , Feminino , Humanos , Pessoa de Meia-Idade , Rinite Alérgica , Rinite Alérgica Perene/diagnóstico , Rinite Alérgica Perene/terapia , Sinusite/diagnóstico , Sinusite/terapiaRESUMO
SUBJECT: In 1992-93 all deaths (n=97) of women 15 to 49 years old in three islands of Cape Verde were investigated to determine the cause of death, the maternal mortality ratio, the reliability of cause-of-death ascertainment, and the level of avoidability. METHOD: Data were obtained through interviews with the deceased person's family members and other knowledgeable persons (verbal autopsy) and through hospital files. RESULTS: The overall mortality rate was 163 per 100,000 women 1549 years old, and the maternal mortality ratio was 127 per 100,000 live births. A plausible diagnosis could be determined in 77%. The most frequent causes of death were circulatory disorders, external causes, maternal causes, infectious diseases. and neoplasms. CONCLUSIONS: It was estimated that three of four of the deaths were avoidable with locally available resources. Since access to health care in the study area is not a major hindrance, a further decrease of female mortality depends mainly on improved quality of care in health facilities.
Assuntos
Causas de Morte , Mortalidade Materna , Reprodução , Mulheres , Adolescente , Adulto , Distribuição por Idade , Ilhas Atlânticas/epidemiologia , Atestado de Óbito , Países em Desenvolvimento , Feminino , Humanos , Pessoa de Meia-Idade , Avaliação das Necessidades , Vigilância da População , Qualidade da Assistência à SaúdeRESUMO
In a cross-sectional study, 350 pregnant Capeverdian women were examined to assess the prevalence of Chlamydia trachomatis infection (CT), Neisseria gonorrhoeae infection (NG) and Bacterial vaginosis (BV). Among various analytic methods used, the polymerase chain reaction PCR (for NG, CT) yielded a higher detection rate than did direct microscopy or culture (NG), or direct immuno-fluorescence (CT). Since the PCR analytic of air-dried specimens is not hampered by harsh storage and transport conditions, it could serve to validate other detection methods where laboratory facilities are suboptimal. Among sociodemographic risk factors young age, and currently living alone, were significantly associated with infection.