RESUMO
PURPOSE: To analyse the evolution of 8 cases of Chagas' disease after a microepidemy of 17 cases which occurred in Teotonia-RS-in 1965 and to discuss the importance of oral contamination in Chagas' disease. METHODS: All 8 patients are followed at the IC/FUC-RS-Brazil since 1980. Clinical examinations, blood tests, ECG, Cx-Ray and Echo were made in 1991. RESULTS: None of the eight cases presented any sign of chronic Chagas' disease manifestation. The blood tests, ECG, Cx-Ray and Echo were normals. Only one case showed a immunofluorescence of 1/20. CONCLUSION: 1) The follow-up after 25 years in all the 8 cases did not show clinical alterations or any chronic manifestation of Chagas' disease. All the tests performed had normal results; 2) the oral transmission must be considered definitive in Chagas' disease.
Assuntos
Cardiomiopatia Chagásica/fisiopatologia , Doença Aguda , Adolescente , Adulto , Brasil/epidemiologia , Cardiomiopatia Chagásica/epidemiologia , Cardiomiopatia Chagásica/transmissão , Criança , Pré-Escolar , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
PURPOSE: To identify the clinical findings of first attack in acute rheumatic fever (ARF), and to find a profile of its epidemiology. METHODS: Results of clinical manifestations, incidence, laboratory findings relative to a new cases of first attack in ARF were studied. Six hospitals in Porto Alegre area were involved in the surveillance, during 16 months between 1992 and 1993. RESULTS: Fifty-one cases with clinical manifestations were recorded: 40 (78.4%) cases with arthritis; 28 (56%) with carditis; 6 (11.8%) with Sydenhan's Chorea, 6 (11.8%) with erythema marginatum and 4 (7.8%) with subcutaneous nodes. CONCLUSION: Diagnostic criteria firstly described by Jones are still employed in the clinical diagnosis in ARF in a first attack and that remains the principal etiology of valvar heart disease in that city.
Assuntos
Febre Reumática/epidemiologia , Doença Aguda , Adolescente , Brasil/epidemiologia , Criança , Pré-Escolar , Surtos de Doenças , Feminino , Humanos , Incidência , Masculino , Prevalência , Febre Reumática/diagnóstico , Fatores SocioeconômicosAssuntos
Doenças das Valvas Cardíacas/prevenção & controle , Prevenção Primária , Febre Reumática/prevenção & controle , Cardiopatia Reumática/prevenção & controle , Adolescente , Brasil , Criança , Pré-Escolar , Humanos , Infecções Respiratórias/prevenção & controle , Infecções Estreptocócicas/prevenção & controle , Streptococcus agalactiaeRESUMO
E apresentado um caso de infarto de miocardio em paciente de 57 anos, que apos cardioversao eletrica, por fibrilacao ventricular, apresentou faturas vertebrais em TII e LI por compressao aguda. O relato deste caso objetiva chamar atencao para uma complicacao rara nesta forma de tratamento tao em uso nas unidades de tratamento intensivo