RESUMO
An 18-year-old patient had a large traumatic pulmonary pneumatocoele diagnosed 5 years after being involved in motor vehicle accident. She had minimal symptoms and CXR and pulmonary function tests were unremarkable; diagnosis was by CT scan.
Assuntos
Cistos/etiologia , Pneumopatias/etiologia , Traumatismos Torácicos/complicações , Acidentes de Trânsito , Adolescente , Feminino , Humanos , Pneumotórax/complicações , Pneumotórax/diagnóstico por imagem , Fatores de Tempo , Tomografia Computadorizada por Raios XRESUMO
A retrospective analysis of the 1996 DEN-1 epidemic in Trinidad was undertaken to better understand the clinical and demographic expression of dengue infection in the island during one of the larger epidemics in the past 10 years and following the reintroduction of DEN-1 into the island in 1991 after a gap of 14 years. A total of 393 laboratory-confirmed cases were identified. Of these, notes for 157 patients were available for analysis. The epidemic was island-wide, though most cases occurred in the most densely populated county of St. George. There was a slight predominance of females (51.6 per cent) among the cases, and while all age groups were affected, older children and adults comprised the majority. South Asians among the population predominated. Overall, 27 clinical symptoms were reported. The most common were: fever (98.7 per cent), generalized pain (96.2 per cent) and anorexia (63.1 per cent). Rash, arthralgia, retro-orbital pain and haemorrhage (all mentioned in the WHO clinical description for dengue fever) were reported in <50 per cent of cases. Gastrointestinal symptoms were also very common and occurred in over two-thirds of cases at presentation. Bleeding manifestations were reported in 30 per cent of patients and commonly involved the gastrointestinal tract. Features of DHF were noted in only six (4 per cent)