Organización de los Servicios de Salud en Portugal a Principios del Siglo XX: el Caso de la Sífilis / Organization of the Health Services in Portugal in the Beginning of the 20th Century: The Syphilis’s Case

La lucha contra las enfermedades venéreas como la sífilis se viene dando desde el siglo XVI, desarrollándose significativamente en el siglo XIX, especialmente tras el armisticio de 1918. El gran impacto social sobre todo debido a las malformaciones que causaba la sífilis congénita, poco tiempo después de terminar la primera guerra mundial fue creada la Unión Internacional Contra el Peligro Venéreo [Fragmento de texto] (AU)

Preparados curativos aplicados por sanitarios al sifilítico: un recorrido histórico (s. XVI-XXI) / Preparations applied by nurses to syphilitics from 1500 to the present day

La sífilis enfermedad infecciosa, cuyo agente causal es la bacteria Treponema Pallidum, presenta una evolución tórpida, con períodos de exacerbación y latencia, siendo su transmisión por vía placentaria o contagio directo. La enfermedad posee varios estadios, denominándose el primero la sífilis primaria o primitiva, momento que comienza la infección con la aparición de un chancro, si el tratamiento es efectivo, en torno a 4-6 semanas el chancro cicatriza [Fragmento de texto] (AU)

[Sudden death and tachycardiomyopathy in a young man with incessant tachycardia]. / Morte súbita e taquicardiomiopatia em jovem com taquicardia incessante.

The case of a 19-year-old young man with clinical picture of congestive heart failure and supraventricular tachycardia is reported. Heart failure got better with conventional treatment, but the tachycardia persisted in spite of antiarrhythmic drugs. Echocardiogram showed dilated cardiomyopathy of important degree and the endomyocardial biopsy, mild interstitial infiltration. Scintigraphy with gallium 67 was normal. Twenty days after the patient leaving the hospital, suffered sudden death. It is discussed the hypothesis that patient had developed a tachycardiomyopathy secondary to the incessant tachycardia. The importance of the diagnosis is reinforced by possibility of reversion of the cardiomyopathy by the resection of the anomalous pathway.

[Jaccoud's syndrome. A case report]. / Síndrome de Jaccoud. Relato de caso.

The study concerns a 44 year-old male patient with a history of intermittent episodes of rheumatic activity; the physical examination showed mitral valve stenosis and metacarpophalangeal joint deformities. The joint deformities were bilateral and symmetrical, similar to that of rheumatoid arthritis. Nevertheless, the ulnar deviation of the hands was reversible and there were no typical signs of rheumatoid arthritis in the X-ray. In view of the facts, the diagnosis of Jaccoud's Artrhopathy (JA) was made. The pathogenesis, the clinical features and the association between mitral valve stenosis and joints deformities of JA are discussed. This disease has a good prognosis and it is sparsely mentioned in the cardiologic literature. Many patients with JA are diagnosed as having rheumatoid arthritis, which is a chronic and disabling disease.