RESUMO
A case of iatrogenic left ventricular pseudoaneurysm in a male patient, with a diagnosis of pericarditis, is presented. The patient developed severe complications after an attempted diagnostic and therapeutic pericardiocentesis. Six months later, after corrective surgery, the pseudoaneurysm recurred. The patient had a second operation and two connections to the left ventricle were found. One year later the patient is well.
Assuntos
Falso Aneurisma/cirurgia , Aneurisma Cardíaco/cirurgia , Ventrículos do Coração/cirurgia , Pericardiocentese , Pericardite/diagnóstico , Adulto , Humanos , Doença Iatrogênica , Masculino , Pericardite/cirurgia , Complicações Pós-Operatórias/cirurgia , Recidiva , Reoperação , Técnicas de SuturaRESUMO
Transmission of Chagas disease by blood transfusion is a major health problem in Central and South America. The annual incidence of transfusion-transmitted Chagas disease in Brazil is about 20,000 cases. Crystal violet is the only trypanosomicidal agent available at present, but there are some restrictions on its use. In a search for possible new chemoprophylactic agents, several natural products of different structural types were tested in vitro against infective blood trypomastigotes of Trypanosoma cruzi. Four compounds had high activity at a concentration of 5 x 10(-4) M: the diarylpropanoids (3R)-claussequinone, (R)-4-methoxydalbergione and (S)-4,4'-dimethoxy-dalbergione, and 15-deoxygoyazensolide, a sesquiterpenelactone. Haemoculture and serology of mice inoculated with infected blood treated with these active compounds were negative after 3 and 6 months. The benzoquinone moiety seemed to be important for this activity since lapachol and related naphthoquinones are known to be trypanosomicidal. 15-Deoxygoyazensolide has previously been recognized as a schistosomicide.
Assuntos
Doença de Chagas/tratamento farmacológico , Trypanosoma cruzi/efeitos dos fármacos , Animais , Transfusão de Sangue , Doença de Chagas/transmissão , Avaliação Pré-Clínica de Medicamentos , Flavonoides/farmacologia , Camundongos , Sesquiterpenos/farmacologiaRESUMO
Os autores apresentam 30 casos de pacientes submetidos a ultra-sonografia, portadores de massa abdominal palpavel. Tecem comentarios acerca da importancia deste metodo propedeutico recem-implantado em nosso meio, notadamente no que tange a distincao topografica, qualitativa e a natureza liquida, solida, ou mista das massas abdominais, terminando por estabelecerem que o ultra-som e de irrefutavel valor na detencao de tumores abdominais ja que encontraram um percentual de acertos, tanto em relacao ao diagnostico clinico quanto ao final, bastante animador
