[Invasive pulmonary aspergillosis]. / Aspergilose pulmonar invasiva.

Aspergillosis, the most frequent of pulmonary mycosis, represents a group of varying pathogenesis diseases with the same etiological agent--Aspergillus. This fungus is a saprophyte of normal respiratory airways, but the disease occurs in immunocompromised hosts. There are several anatomo-clinical forms, but it is important to know that some could be fatal, being necessary an early diagnosis and therapy. The authors describe an Invasive Pulmonary Aspegillosis case, in a immunocompromised patient submitted to long term corticotherapy treatment. Was started with liposomal Amphotericin B, discontinued due to nephrotoxicity and substituted by Itraconazol, with clinical, laboratorial and radiologic favourable evolution, as it's proven by imagiological studies.

[The "package" and nursing (critical analysis of a death scene)]. / O "pacote" e a enfermagem (análise crítica de uma cena de morte).

This is a descriptive study based upon an experience related by a group of nursing students in their senior year at a public university in the city of Rio de Janeiro. As part of a course content in Methodological Perspectives in Nursing II, based on problem solving, the authors analysed a death scene which occurred during practical training, in a large public general hospital, in order to describe how nursing staff deal with such an event. The main goal of the study was to provide thought provoking material from different points of view--cultural, religious and ethical--concerning the subject of death and the professional nursing ethics code. The authors concluded that the such a theme must be discussed in the academic environment, but not only from a technical point of view, for the process of human interaction which is established during health assistance demands the provision of nursing care to the patient during his entire lifespan, of which death is the last stage.