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1.
Rural Remote Health ; 12: 2188, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22931053

RESUMEN

CONTEXT: People living in rural or remote Brazil, as in other sub-tropical or tropical nations, are vulnerable to infections that would not normally occur in urban areas or wealthier nations. Brazil is a geographically extensive nation, historically marked by vast socioeconomic inequalities. Approximately 16% of the population live in rural areas. ISSUE: This clinical case report demonstrates the vulnerability of rural residents who are underserved by Brazil's 'universal' public healthcare system, despite social and economic challenges that increase their risk for disease. Myiasis (especially oral myiasis) is a rare health condition in humans caused by fly larvae. Oral myiasis usually appears in periodontal pockets and open wounds, such as after dental extractions. It is associated with poverty, lack of access to health care, and very poor overall health status. While myiasis has a worldwide distribution, it is particularly associated with the tropical and sub-tropical regions of North and South America. LESSONS LEARNED: This article describes a rare case of myiasis in the upper lip of a rural male patient. The case report demonstrate that rural and remote residents can be socially excluded from the benefits of technology and biomedicine, making them vulnerable to rare infections.


Asunto(s)
Antiparasitarios/uso terapéutico , Ivermectina/uso terapéutico , Enfermedades de los Labios/tratamiento farmacológico , Mucosa Bucal , Miasis/tratamiento farmacológico , Servicios de Salud Rural , Aislamiento Social , Enfermedad de Alzheimer/diagnóstico , Anestesia Local , Brasil , Servicio de Urgencia en Hospital , Accesibilidad a los Servicios de Salud/normas , Humanos , Enfermedades de los Labios/parasitología , Enfermedades de los Labios/cirugía , Masculino , Desnutrición/terapia , Área sin Atención Médica , Persona de Mediana Edad , Mucosa Bucal/parasitología , Mucosa Bucal/cirugía , Miasis/diagnóstico , Miasis/parasitología , Miasis/cirugía , Guías de Práctica Clínica como Asunto , Servicios de Salud Rural/normas , Condiciones Sociales , Resultado del Tratamiento , Poblaciones Vulnerables
3.
Dermatol Surg ; 29(4): 429-32, 2003 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-12656829

RESUMEN

We report a case of a lip granulomatous reaction after injection of silicone being treated successfully with topical Aldara (Imiquimod 5%). Silicone granulomas and the inflammatory foreign body reaction that can occur are some of the complications that arise from using silicone for cosmetic enhancement. The inflammatory reaction of this patient first appeared shortly after silicone injection of both the upper and lower lips. Histopathologic examination revealed a foreign body inflammatory reaction that is consistent with silicone granuloma. Although this reaction has been described extensively in the dermatologic literature as one of the disfiguring side effects of silicone injection, its treatment has plagued cosmetic dermatologists. We report the use of an immunomodulatory cream Aldara (Imiquimod 5%) to treat this type of reaction.


Asunto(s)
Adyuvantes Inmunológicos/uso terapéutico , Aminoquinolinas/uso terapéutico , Técnicas Cosméticas/efectos adversos , Granuloma de Cuerpo Extraño/tratamiento farmacológico , Enfermedades de los Labios/tratamiento farmacológico , Siliconas/efectos adversos , Adyuvantes Inmunológicos/administración & dosificación , Adulto , Aminoquinolinas/administración & dosificación , Femenino , Humanos , Imiquimod , Enfermedades de los Labios/etiología , Siliconas/administración & dosificación
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