Syphilis associated with paretic neurosyphilis mimicking Reiter's syndrome in HIV-infected patients.

HIV/syphilis co-infection is common because both conditions affect similar risk groups. HIV interferes with the natural history of syphilis, which often has atypical clinical features and nervous system involvement in the early stage of disease. We report the case of an HIV-positive patient with secondary syphilis, scaling palmoplantar keratoderma, scrotal eczema, balanitis and urethritis mimicking Reiter's syndrome. Immunohistochemistry using polyclonal antibodies against Treponema pallidum revealed the presence of spirochetes, associated with the paretic form of parenchymal neurosyphilis. The patient was given crystalline penicillin, with complete resolution of dermatological and neurological symptoms, and no sequelae.

Syphilis associated with paretic neurosyphilis mimicking Reiter’s syndrome in HIV-infected patients

HIV/syphilis co-infection is common because both conditions affect similar risk groups. HIV interferes with the natural history of syphilis, which often has atypical clinical features and nervous system involvement in the early stage of disease. We report the case of an HIV-positive patient with secondary syphilis, scaling palmoplantar keratoderma, scrotal eczema, balanitis and urethritis mimicking Reiter’s syndrome. Immunohistochemistry using polyclonal antibodies against Treponema pallidum revealed the presence of spirochetes, associated with the paretic form of parenchymal neurosyphilis. The patient was given crystalline penicillin, with complete resolution of dermatological and neurological symptoms, and no sequelae.

Chromoblastomycosis: an exuberant case.

Chromoblastomycosis is a chronic subcutaneous mycotic infection caused by dematiaceous saprophytic moulds. The most frequently isolated agent is Fonsecae pedrosoi. This article reports a case of a man from the Amazon region in Northern Brazil who presented with a lesion of 12 months' duration, which gradually increased in size until covering the majority of his right leg. A successful treatment with itraconazole was performed.

Chromoblastomycosis: an exuberant case

Chromoblastomycosis is a chronic subcutaneous mycotic infection caused by dematiaceous saprophytic moulds. The most frequently isolated agent is Fonsecae pedrosoi. This article reports a case of a man from the Amazon region in Northern Brazil who presented with a lesion of 12 months' duration, which gradually increased in size until covering the majority of his right leg. A successful treatment with itraconazole was performed.

Extra ocular sebaceous adenocarcinoma in HIV-positive patient--case report.

Sebaceous adenocarcinoma is a rare adnexal tumor that can affect the skin and is divided into ocular, a more common form and extra ocular, of a rarer occurrence. We report the case of a patient diagnosed with Acquired Immune Deficiency Syndrome (AIDS) who developed an extra ocular, bulky and fast-growing sebaceous adenocarcinoma on the face. The literature has suggested that transplanted patients and HIV-positive patients have an excess risk for developing adnexal tumors, including sebaceous adenocarcinoma.

Extra ocular sebaceous adenocarcinoma in HIV-positive patient - case report / Adenocarcinoma sebaceo extra-ocular em paciente HIV positivo - relato de caso

Sebaceous adenocarcinoma is a rare adnexal tumor that can affect the skin and is divided into ocular, a more common form and extra ocular, of a rarer occurrence. We report the case of a patient diagnosed with Acquired Immune Deficiency Syndrome (AIDS) who developed an extra ocular, bulky and fast-growing sebaceous adenocarcinoma on the face. The literature has suggested that transplanted patients and HIV-positive patients have an excess risk for developing adnexal tumors, including sebaceous adenocarcinoma.

Adenocarcinoma sebáceo é um tumor anexial raro que pode envolver a pele e é dividido em ocular, mais comum e extraocular, mais raro. Relatamos o caso de um paciente com diagnóstico de Síndrome da Imunodeficiência Adquirida que desenvolveu um adenocarcinoma sebáceo extra-ocular, na face, volumoso, de rápido crescimento. A literatura tem sugerido que pacientes transplantados e portadores do vírus da imunodeficiência humana têm um excesso de risco para o desenvolvimento de tumores anexiais, incluindo o Adenocarcinoma sebáceo.

Avaliação dos níveis de estresse psicológico em médicos residentes e não residentes de hospitais universitários / Evaluating stress levels on physicians residents and non-residents from academic hospitals

O estresse laboral é uma das maiores preocupações nos centros de trabalho, já que as manifestações repercutem na saúde e no bem-estar dos trabalhadores. Dentre as consequências mais reconhecidas está a Síndrome de Burnout. Este artigo é um relato de pesquisa realizado nas dependências dos Hospitais Universitários da Universidade Federal do Amazonas com objetivo de avaliar o estresse psicológico e burnout dosmédicos residentes e não residentes através do Inventário de Stress para Adultos de Lipp e o Inventário de Burnout de Maslach. Dos médicos residentes, 70% encontravam-se estressados; possuíam níveis baixos de Realização Pessoal. Quanto aos médicos não residentes, 87,9% não possuíam estresse. Os resultados evidenciam a necessidade da implantação de um serviço de apoio ao profissional da área da saúde, visto que este está sujeito a uma tripla tarefa: de cuidar dos indivíduos que o procuram, lutar contra as doenças da sociedade e atender às necessidades de si próprio(AU)

The laboral stress is one of the biggest concerns in work centers, since the symptoms have repercussions on workers' health and well-being. Among the best known consequences there is the Burnout Syndrome. This article is a research report carried out on the Universital Hospitals of the Universidade Federal do Amazonas with the objective of evaluating the psychological stress and burnout of the Residents and Non-Residents Doctors through the Lipp Inventory of Stress Symptoms in Adults and the Maslach Burnout Inventory. The results show that 70% of resident doctors were stressed, with low levels of Personal Achievement. About the non-residents doctors, 87,9% do not have stress. The results make clear the necessity to implement a service that helps the health professional, considering that they are subject of a triple work: take care of people who search for them, fight against society disease and attend to their own necessities(AU)