HIV with initial ocular Kaposi sarcoma / HIV com sarcoma de Kaposi ocular inicial

ABSTRACT We present an interesting case of a 62-year-old black female, presented to the ophthalmological hospital with a little "nevus" on the left eye previously visualized at the mirror, with one month of development. Physical examination with slit lamp (biomicroscopy) showed a group of painless veins, with vascular redness, and a mass nodular aspect in the mid temporal bulbar conjunctiva, of approximately 2mmx4mm.

RESUMO Apresentamos o interessante caso de uma mulher negra de 62 anos, que deu entrada no hospital oftalmológico com um pequeno nevo no olho esquerdo previamente visualizado ao espelho, com 1 mês de evolução. O exame físico com lâmpada de fenda (biomicroscopia) mostrou um grupo de veias indolor e vermelhidão vascular, com uma massa de aspecto nodular na conjuntiva bulbar temporal média, de aproximadamente 2mmx4mm.

Community periodontal index of treatment needs index: An indicator of anaerobic periodontal infection.

Background : Community periodontal index of treatment needs (CPITN) index is commonly used to measure periodontal disease. It's uniqueness, apart from assessing the periodontal status, also gives the treatment needs for the underlying condition. Benzoyl-DL-arginine napthylamide (BANA) test is a chair side diagnostic test used to detect the presence of putative periodontal pathogens. We correlated the CPITN scores of patients with BANA test results to assess the validity of CPITN as an indicator of anaerobic periodontal infection. Objectives : The present study was aimed to correlate the CPITN scores with the BANA activity of subgingival plaque. The objective was to assess the validity of CPITN index as indicator of anaerobic periodontal infection. Patients and Methods : A total of 80 sites were selected from 20 patients with generalized chronic periodontitis. After measuring the probing depth with CPITN C probe, the highest score from each sextant was selected according to the CPITN criteria and subgingival plaque samples were collected using a sterile curette and the BANA test was performed. Results : Kendall's tau-b and Chi- square test were used to assess the correlation between the BANA test results and CPITN scores. Results indicated sensitivity (92.86%), specificity (80%) and agreement (91.25%); indicating the validity of CPITN in assessing anaerobic infection. Conclusion : There was a significant correlation between BANA test results and scores 3 and score 4 of CPITN index (P < 0.001) clearly indicating the presence of anaerobic periodontal infection.

Diagnóstico da sífilis a partir das manifestações bucais / Syphilis diagnosis through oral manifestation

A sífils é uma doença sexualmente transmissível causada pelo Treponema pallidium. Pode ser transmitida também pelas vias hematogênicas e materno-fetal. A sífilis primária é caracterizada pelo cancro, observado na mucosa bucal na forma de úlcera firme indolor. As placas mucosas representam a manifestação oral da sífilis secundária. A sífilis terciária é caracterizada pela formação de gomas que podem levar a perfuração do palato. O diagnóstico de sífilis deve ser baseado de acordo com o estágio da doença. O tratamento da sífilis consiste em antibioticoterapia. A sífilis pode ser diagnosticada a partir de lesões bucais, sendo portanto, de fundamental importância o conhecimento desta doença pelo cirurgião-dentista.

Diagnóstico antenatal de sífilis congénita por PCR en líquido amniótico y sus posibles aplicaciones / Prenatal diagnosis of congenital syphilis by PCR in amniotic liquid and its possible applications

Se presenta un caso clínico de sífilis congénita diagnosticada antenatalmente mediante el uso de la reacción de la polimerasa en cadena (PCR) en líquido amniótico. La PCR permitiría identificar la espiroqueta en diferentes medios, como en sangre, líquido amniótico y líquido céfalo-raquídeo. Deberán desarrollarse nuevos protocolos para poder probar la efectividad de los tratamientos en base a esta técnica diagnóstica.

Reporte de resultados de 9.809 exámenes de VDRL realizados en el Hospital Central Militar de 1996 / Reporte of 9.809 results of VDRL test carried out in Hospital Central Militar in 1996

Estudio retrospectivo de los reportes del VDRL, realizados en la Sección de Patología Clínica del Hospital Central Militar, en 1996. Se efectuaron 9,809 pruebas, 103 se informaron positivas (1.05 por ciento), de las cuales 27 con diluciones entre 1:8 y 1:64 que correspondió a 0.27 por ciento del total de estudios. El VDRL con títulos mayores de 1:8 o la elevación de 4 veces los niveles de base ayudan en el diagnóstico de sífilis. Es conveniente revalorar las indicaciones de estos estudios, a fin de optimizar los recursos hospitalarios

Sexually transmitted diseases in domestic expatriate workers in Jeddah, Saudi Arabia

This study was conducted to determine the sexually transmitted disease in domestic expatriate workers [DEW[s]] screened for pre-employment in the general clinics of a teaching hospital. The study included 1648 domestic expatriate workers who were reviewed by a general practitioner, and who underwent serological tests for treponemal infections and human immunodeficiency virus [HIV]. Screening for hepatitis B surface antigen [HB[s]Ag] was also done routinely as part of the requirement of the pre-employment screening. The relative frequencies for syphilis and HIV were 23.8% and 19% respectively. HIV was detected more frequently in DEW[s] from Africa, and syphilis in DEW[s] from Indonesia and the Philippines, whereas HG[s]Ag was more frequently detected in DEW[s] from the African subcontinent, and significant among males [2.8%], compared to females [1.0%], where P< 0.05. These findings indicate that pre-employment screening is a viable means of identifying major STD[s] [venereal syphilis, HIV] and communicable disease such as hepatitis B in the DEW[s]. It is recommended that stringent measures be adopted to prevent fraudulen reporting from laboratories and health care providers locally, and from the home country of the DEW

Lues congénita en sala de cuidados intensivos de recién nacidos maternidad german urquidi-Cochabamba / Congenital syphilis at the children's intensive care unit of the Obstetric Hospital German Urquidi

Tomamos para nuestro estudio, a los recien nacidos con sospecha o con cuadro clínico evidente de lúes congénita, que ingresaron al servicio de CIREN desde el mes de agosto/86 hasta junio/87. Durante el tiempo que duró el estudio se produjeron 2.322 nacimientos en la maternidad G. Urquidi de los cuales 12 tuvieron características clínicas de lúes congénita sintomática, es decir 4.5 del total de internaciones a CIREN.