ABSTRACT
Tuberculosis is one of the most common infections worldwide with particularly high incidence rates in countries with unfavorable socioeconomic conditions and among persons with impaired immune systems. While most patients with this disease will present with pulmonary tuberculosis, immunocompromised individuals also commonly present with extrapulmonary manifestations. We report the case of a 28-year-old male patient with end-stage renal disease who presented with long-standing systemic symptoms and genitourinary manifestations, who was diagnosed with urogenital tuberculosis both by clinical and microbiologic criteria. Clinicians should always suspect tuberculosis in patients with chronic symptoms, especially in those with immunosuppression.
Subject(s)
Kidney Failure, Chronic/complications , Tuberculosis, Urogenital/diagnosis , Adult , Antitubercular Agents/therapeutic use , Humans , Immunocompromised Host , Male , Tuberculosis, Urogenital/complications , Tuberculosis, Urogenital/drug therapyABSTRACT
Abstract Tuberculosis is one of the most common infections worldwide with particularly high incidence rates in countries with unfavorable socioeconomic conditions and among persons with impaired immune systems. While most patients with this disease will present with pulmonary tuberculosis, immunocompromised individuals also commonly present with extrapulmonary manifestations. We report the case of a 28-year-old male patient with end-stage renal disease who presented with long-standing systemic symptoms and genitourinary manifestations, who was diagnosed with urogenital tuberculosis both by clinical and microbiologic criteria. Clinicians should always suspect tuberculosis in patients with chronic symptoms, especially in those with immunosuppression.
Subject(s)
Humans , Male , Tuberculosis, Urogenital/diagnosis , Kidney Failure, Chronic/complications , Tuberculosis, Urogenital/complications , Tuberculosis, Urogenital/drug therapy , Immunocompromised Host , Antitubercular Agents/therapeutic useABSTRACT
O presente estudo tem como objetivo verificar se o funcionamento executivo pode influenciar o processo de obesidade extrema. Foi utilizada uma amostra composta por 48 participantes, que foram avaliados através dos seguintes instrumentos: Teste do Mapa do Zoo; Stroop Color and Word Test; Figura Complexa de Rey; e Trail Making Test (parte B). Os resultados mostraram que as provas Mapa do Zoo e Figura Complexa de Rey apresentam um efeito estatisticamente significativo sobre o logit da probabilidade de sofrer obesidade extrema, pelo que défices executivos podem se repercutir num comportamento alimentar mal adaptativo. Estes resultados comprovam a necessidade de identificar de forma precoce os défices executivos. Estas alterações podem ter um impacto no aumento da adiposidade e consequentemente poderão conduzir a obesidade. Desta forma, é possível delinear intervenções mais adequadas, com o intuito de educar as decisões alimentares destes indivíduos
This work aims to verify if the executive functioning can influence the development of morbid obesity. It was used a sample of 48 subjects, which were evaluated by the following neuropsychological assessment tools: Zoo Map; Stroop Interference Test; Rey Complex Figure; and Trail Making Test (part B). The results have shown that the Zoo Map and the Rey Complex Figure have a statistically significant effect on the probability of suffering of morbid obesity, so that executive deficits may lead to a maladaptive eating behavior. These results confirm the need to identify early executive deficits. These changes may have an impact on the increase of adiposity and, consequently, on the evolution of an obesogenic process. Thus, it is possible to delineate more appropriate interventions, in order to educate the eating habits of these individuals