Multiple Colonic and Ileal Perforations due to Unsuspected Intestinal Amoebiasis – Case Report and Review

Publication date: Available online 19 August 2019Source: Pathology - Research and PracticeAuthor(s): Hui Wang, Rani KanthanAbstractAmoebiasis, caused by the intestinal protozoan Entamoeba histolytica, though a relatively common parasitic disease in the tropical and subtropical regions, is uncommon in the developed countries. In these countries, as amoebic colitis shares similar clinical symptoms and endoscopic features with inflammatory bowel disease (IBD), these cases can be easily unrecognized and misdiagnosed.In this case report, we discuss the case of an adult patient with invasive intestinal amoebiasis, who was initially managed as Crohn’s disease on corticosteroid treatment and subsequently rapidly deteriorated and developed multiple perforations in the colon and ileum. Despite total colectomy followed by resection of the small bowel, he died of multiple organ failure and sepsis within two months of his initial clinical presentation of diarrhea with abdominal pain.The learning point of this case is that invasive intestinal amoebiasis should be considered as a differential diagnosis at the first clinical adult presentation of IBD-like symptoms despite suggestive endoscopic findings of Crohn’s like ulcers. Regardless of negative endoscopic biopsies, due to the low sensitivity of microscopic examination, serology test for antibody and molecular test for Entamoeba DNA are recommended for accurate detection and identification of Entamoeba species, especially in t...
Source: Pathology Research and Practice - Category: Pathology Source Type: research

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Conclusions: Pregnancy planning and women's satisfaction with the discovery of being pregnant favors the performance of prenatal care with better indicators.Resumo Objetivos: analisar a influ ência do planejamento reprodutivo e da satisfação das mulheres com a descoberta da gravidez nas características da assistência pré-natal. Métodos: estudo transversal e quantitativo realizado entre março e julho de 2018 em uma maternidade de risco habitual no Nordeste brasileiro. Foram avali adas 652 puérperas por meio de entrevista e visualização do cartã...
Source: Revista Brasileira de Saude Materno Infantil - Category: Midwifery Source Type: research
Conclusions: it was possible to recognize doula as part of the humanized care, to provide subsidies for a reflection of her work, and to reveal the influence of the practice of doulagem for academic formation of doulas at university.Resumo Objetivos: analisar a compreens ão das puérperas, das doulas e da equipe assistencial sobre a presença da doula durante o processo de parturição das gestantes. Métodos: trata-se de estudo qualitativo, utilizando como instrumento de coleta de dados entrevistas semiestruturadas. O critério de saturação foi utilizado para l imit...
Source: Revista Brasileira de Saude Materno Infantil - Category: Midwifery Source Type: research
Conclusions: greater adherence to the “ Brazilian traditional ” and “ healthy ” dietary patterns was inversely associated with feelings of depression during pregnancy, possibly mediated by the degree of industrial processing of the foods.Resumo Objetivos: investigar a rela ção entre padrões alimentares e o grau de processamento de alimentos com sentimento de depressão na gestação. Métodos: estudo transversal conduzido entre 784 gestantes adultas de Ribeirão Preto, SP, em 2011-2012. O sentimento de depressão foi obtido por questioná...
Source: Revista Brasileira de Saude Materno Infantil - Category: Midwifery Source Type: research
Conclusions: When compared with adolescent women, pregnant women of advanced age presented a higher frequency of cesarean deliveries.Resumo Objetivos: comparar os resultados perinatais adversos em gesta ções de adolescentes e mulheres em idade avançada de rede pública de saúde. Métodos: estudo transversal realizado com gestantes nos extremos de idade reprodutiva segundo classificação do Ministério da Saúde do Brasil (adolescentes aquelas com idade ≤ 19 anos e em idade avan çada aquelas com idade ≥ 35 anos) e seus rec ém-nascidos. Fora...
Source: Revista Brasileira de Saude Materno Infantil - Category: Midwifery Source Type: research
Conclusions: the frequencies of infections in maternal-fetal health were considered low, highlighting on syphilis and the presence for sickle cell trait.Resumo Objetivos: estimar a taxa de detec ção de patologias da TPN em papel de filtro nas regiões Sul e Sudoeste do Estado da Bahia, bem como delinear o perfil epidemiológico dessas gestantes, calcular e estimar a taxa de adesão e abrangência de cobertura do Programa. Métodos: estudo descritivo, de agosto 2013 a agosto de 2015, de d ados obtidos do Labimuno/ICS/UFBA. Resultados: foram incluídas 64.743 gestantes; as m&e...
Source: Revista Brasileira de Saude Materno Infantil - Category: Midwifery Source Type: research
In this study, the effects of Leucaena on different female reproductive variables were analyzed in two different reproductive conditions: gonadally intact and ovariectomized (OVX) female rats. Leucaena (LEU) was administered to females in both experimental conditions for 30 consecutive days. The effects of the legume extract were compared with those of Daidzein (DAI), a phytoestrogen, and of the female hormone estradiol (E2). In intact females, LEU disrupted the estrous cycle and female sexual behavior, decreased the number of follicles and corpora lutea, increased uterine and vaginal epithelium in proestrus and diestrus p...
Source: Physiology and Behavior - Category: Physiology Source Type: research
Publication date: 25 November 2019Source: Journal of Industrial and Engineering Chemistry, Volume 79Author(s): Rafael F.N. Quadrado, Gustavo Gohlke, Robson S. Oliboni, Alessandra Smaniotto, André R. FajardoAbstractSilver nanoparticles (AgNPs) were synthesized using an innovative strategy that makes use of tangerine peels extract, which acts as a reducing and stabilizing agent. This eco-friendly synthetic route allowed obtaining spherical nanoparticles with narrow size distribution (19.2 ± 6.7 nm) within a short reaction time (40 min). Later, the AgNPs suspension was entrapped in a poly(vin...
Source: Journal of Industrial and Engineering Chemistry - Category: Chemistry Source Type: research
Chem. Commun., 2019, Accepted Manuscript DOI: 10.1039/C9CC06151G, CommunicationZaher M. A. Judeh, Madhu Babu Tatina, Ziad Moussa, Mengxin Xia Perfluorophenylboronic acid 1c catalyzes the direct stereoselective addition of alcohol nucleophiles to deactivated peracetylated D-galactal to give 2-deoxygalactosides in 55-88% yield with complete -selectivity. The unprecedented results reported here also... The content of this RSS Feed (c) The Royal Society of Chemistry
Source: RSC - Chem. Commun. latest articles - Category: Chemistry Authors: Source Type: research
This study aimed to compare serum levels of vascular endothelial growth factor (VEGF) and the VEGF receptors, VEGFR-1 and VEGFR-2, free placental growth factor (fPGF), endostatin, and serum pregnancy-associated plasma protein-A (PAPP-A) levels in women with mild and severe preeclampsia and healthy pregnant women. MATERIAL AND METHODS A included patients diagnosed with mild preeclampsia (n=32), severe preeclampsia (n=32), and healthy pregnant women (n=24). Serum levels of VEGF-A, VEGFR-1, VEGFR-2, fPGF, endostatin, and PAPP-A levels were measured by enzyme-linked immunosorbent assay (ELISA). RESULTS In women with mild and s...
Source: Medical Science Monitor - Category: Research Tags: Med Sci Monit Source Type: research
Authors: Alshahrani MS Abstract OBJECTIVES: To evaluate the attitudes of pregnant women towards different forms of labor pain relief, preferred methods of pain relief, and the effects of social media on their awareness and knowledge. METHODS: This was a cross-sectional study conducted between April and August 2017 in the Maternity and Children's Hospital, Najran, Saudi Arabia. A total of 416 pregnant women were interviewed and analyzed using IBM Sstatistical Package for Social Sciences version 20 (IBM Corp, Armonk, NY, USA). RESULTS: A total of 62.7% were aware of labor pain. However, 58.7% of the total sam...
Source: Saudi Medical Journal - Category: Middle East Health Tags: Saudi Med J Source Type: research
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