Prevalence of cryptococcosis in Atlántico, department of Colombia assessed with an active epidemiological search
CONCLUSIONS These results provide the basis for passive surveillance of cryptococcosis. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 25, 2019 Category: Tropical Medicine Source Type: research

Occurrence of triatomines in an urban residential complex in the municipality of Rio Branco, Acre, South-Western Amazon
CONCLUSIONS Future studies are recommended in other locations of Rio Branco in order to develop a georeference database of the occurrence of triatomines in urban areas. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 25, 2019 Category: Tropical Medicine Source Type: research

Descriptive analysis of syphilis cases reported in Mato Grosso do Sul, Brazil identifies failure in treatment
CONCLUSIONS: The incidence rate of syphilis could be reduced by improving prevention through counselling on the risk of infection, improving access to condoms, and increasing the frequency of diagnostic tests. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 25, 2019 Category: Tropical Medicine Source Type: research

Comparative assessment of the replication efficiency of dengue, yellow fever, and chikungunya arboviruses in some insect and mammalian cell lines
CONCLUSIONS: C6/36 was the most efficient cell line in the alpha and flavivirus production, followed by Vero cells. Thus, Lulo cells may be a useful substrate to study the mechanisms by which cells evade viral replication. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 25, 2019 Category: Tropical Medicine Source Type: research

Pain and Quality of Life in Human T-cell Lymphotropic Virus Type 1-Associated Myelopathy or Tropical Spastic Paraparesis After Home-Based Exercise Protocol: A Randomized Clinical Trial
CONCLUSIONS: The protocol generated mild and moderate pain relief and reduced losses in the functional QOL in the treatment groups. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 25, 2019 Category: Tropical Medicine Source Type: research

Biett’s sign: a hallmark sign of secondary syphilis
This study describes the isolation of a leech following the presentation of unusual vaginal bleeding. Vaginal bleeding in children due to a leech bite is very rare. This is the first report of severe bleeding in a virgin 14-year-old girl from Mashhad, Iran due to the presence of a leech in the vagina. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

Envenomation by a juvenile pit viper (Bothrops atrox) presumed to be dead
This study describes the isolation of a leech following the presentation of unusual vaginal bleeding. Vaginal bleeding in children due to a leech bite is very rare. This is the first report of severe bleeding in a virgin 14-year-old girl from Mashhad, Iran due to the presence of a leech in the vagina. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

Multivesicular hydatid cyst of the kidney
This study describes the isolation of a leech following the presentation of unusual vaginal bleeding. Vaginal bleeding in children due to a leech bite is very rare. This is the first report of severe bleeding in a virgin 14-year-old girl from Mashhad, Iran due to the presence of a leech in the vagina. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

Histopathological findings of nucleus pulposus in lumbar brucellar spondylodiscitis
This study describes the isolation of a leech following the presentation of unusual vaginal bleeding. Vaginal bleeding in children due to a leech bite is very rare. This is the first report of severe bleeding in a virgin 14-year-old girl from Mashhad, Iran due to the presence of a leech in the vagina. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

Unusual vaginal bleeding due to a leech bite in a girl from a tropical area: A case report
This study describes the isolation of a leech following the presentation of unusual vaginal bleeding. Vaginal bleeding in children due to a leech bite is very rare. This is the first report of severe bleeding in a virgin 14-year-old girl from Mashhad, Iran due to the presence of a leech in the vagina. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

A case of envenomation caused by Oxybelis fulgidus (Serpentes, Colubridae) in Brazilian Amazon
We report tirst authenticated case of adult Oxybelis fulgidus with signs of mild local envenoming without evidence of systemic envenoming. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

First report of treatment failure in a patient with cutaneous leishmaniasis infected by Leishmania (Viannia) naiffi carrying Leishmania RNA virus: a fortuitous combination?
We report the case of a 32-year-old man from Rio de Janeiro, who was infected in the Amazon region of Brazil by Leishmania (Viannia) naiffi. Generally, patients with L. naiffi cutaneous leishmaniasis exhibit a good therapeutic response to either pentavalent antimonials or pentamidine. However, after pentamidine treatment, this patient ’ s infection evolved to therapeutic failure. To understand this clinical outcome, we investigated the presence of the Leishmania RNA virus (LRV) in parasites isolated from the cutaneous lesion; herein, we discuss the possible association between a poor response to pentamidine therapy a...
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

Cervical brucellar spondylitis causing incomplete limb paralysis
Abstract Brucellosis, a zoonosis with worldwide distribution, is a systemic infection caused by bacteria of the genus Brucella. Meanwhile, brucellosis often causes complications, such as osteoarticular involvement, and spondylitis is the most prevalent and important clinical form. Here, is a case of cervical brucellar spondylitis causing incomplete limb paralysis in a middle-aged male. The diagnosis was based on clinical history, and supported by Brucella serology and magnetic resonance imaging. Quadruple antibacterial treatment continued for four weeks. In this case, the epidural abscess causing spinal cord compression re...
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

Congenital toxoplasmosis: the challenge of early diagnosis of a complex and neglected disease
The objective of this study was to report a case of congenital toxoplasmosis that illustrates the difficulties in diagnosing this disease. The case highlights the lack of prophylactic guidelines and shortcomings in the gestational screening process. It demonstrates the peculiarities of the non-specific clinical picture of the infection acquired during pregnancy and identifies the challenges of ophthalmological and high-sensitivity exams in newborns that are crucial for an early diagnosis. These factors contribute to a delay in early treatment of both the mother and the newborn. The lack of skill and expertise of clinical p...
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

Schistosomiasis mansoni in the northeast region of brazil: temporal modeling of positivity, hospitalization,and mortality rates
Abstract INTRODUCTION We aimed to analyze trends in Schistosomiasis positivity, mortality, and hospitalization rates in Northeast Brazil. METHODS We conducted an ecological study using data from the Brazilian Schistosomiasis Control Program, and Hospital and Mortality Information Systems. A joinpoint regression model was used for temporal analysis. RESULTS The positivity( − 4.7%;p
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

Seroprevalence of Neospora caninum and Toxoplasma gondii in dogs from an urban area of North-eastern Brazil: a spatial approach
CONCLUSIONS These data are pivotal for better understanding the dynamics of infection caused by these protozoa in the canine population. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

Honey bee envenoming in Santa Catarina, Brazil, 2007 through 2017: an observational, retrospective cohort study
CONCLUSIONS: Santa Catarina has a high incidence rate of bee stings, which is higher than the national average. The data presented in this study may be underestimated. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

Confirmation of the occurrence of Panstrongylus rufotuberculatus (Champion, 1899) in the state of Acre, Western Amazon
CONCLUSIONS The necessity to develop further studies was verified, especially with the domiciliary process of P. rufotuberculatus, resulting in tracing prophylactic measures against the vector transmission of Trypanosoma cruzi. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

Adverse events in patients with leprosy on treatment with thalidomide
Abstract INTRODUCTION: Thalidomide, used to treat erythema nodosum leprosum (ENL), is associated with severe adverse events (AEs) and is highly teratogenic. METHODS: A cross-sectional study was conducted on thalidomide-treated patients with ENL. AEs and selected variables were investigated through interviews and assessment of medical records. Odds ratios with 95% confidence intervals were estimated via logistic regression. RESULTS: Peripheral neuropathy symptoms and deep vein thrombosis (DVT) were the most common AEs reported. Although women of reproductive age used contraceptives,
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

Cost-effectiveness analysis of diagnostic-therapeutic strategies for visceral leishmaniasis in Brazil
CONCLUSIONS: These findings indicate the feasibility of incorporating DAT and designating liposomal amphotericin B as the first-line drug for VL in Brazil. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

Increase in the diagnosis of mycobacteremia after the implementation of semi-automated blood culture at a Brazilian public health laboratory
CONCLUSIONS Semi-automated liquid blood culture showed a better performance in the diagnosis of mycobacteremia. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

Use of pharmaceutical nanotechnology for the treatment of leishmaniasis
CONCLUSIONS: There is a need to intensify research on the use of nanotechnology for the treatment of leishmaniasis. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

Clinical and laboratory profiles of children with severe chikungunya infection
Abstract INTRODUCTION: Chikungunya infection presents with distinct clinical features depending on the patient age group. METHODS: Medical records of children with positive IgM for the chikungunya virus who were hospitalized in a pediatric ward in Fortaleza, Cear á, Brazil were analyzed. RESULTS: Fourteen children with a median age of 4 months (36 days to 15 years) were included. All patients presented with fever persisting for an average of 5 days. The joints were involved in 6 (42.8%) children, and 8 (57.1%) children presented with bullous rash. CONCLU SIONS: Systemic involvement and atypical clinical manifestatio...
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

Different susceptibilities of Aedes aegypti and Aedes albopictus larvae to plant-derived products
CONCLUSIONS: The essential oils an d methyl esters showed greater larvicidal activity than did the ethanol extracts. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

Clinico-immunological spectrum of American tegumentary leishmaniasis and leprosy coinfection: A case series in Southeastern Brazil
CONCLUSIONS: The spectrum of ATL-leprosy comorbidity suggests that the host has a specific immune response against each pathogen. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

Clinical and epidemiology evaluation of Aids-infected patients hospitalized between 2011 and 2016 in the Santos region of Brazil
CONCLUSIONS: AIDS patients in the Santos region had high rates of late diagnosis and low treatment adherenc e. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

Survival analysis of patients with sepsis in Brazil
CONCLUSIONS: Identification of prognostic variables may reduce sepsis-related mortality. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

Spatiotemporal patterns of AIDS incidence among adults in São Paulo, Brazil
CONCLUSIONS: The results are useful to support the planning of actions aimed at controlling the incidence and transmission of AIDS in certain areas, based on diversification by gender and risk populations. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

The topical treatment of old world cutaneous leishmaniasis with gentian violet along with cryotherapy: a pilot single-blind randomized controlled clinical trial
CONCLUSIONS: Although the clinical response of the two groups was significantly different at the end of the fourth week, application of GV did not increase the efficacy of cryotherapy. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - April 12, 2019 Category: Tropical Medicine Source Type: research

“Kambô” frog (Phyllomedusa bicolor): use in folk medicine and potential health risks
We report the first case of cryptococcosis due to Cryptococcus decagattii in an immunocompetent pediatric patient from an indigenous community in Argentina with a successful outcome. Two isolates (blood, cerebrospinal fluid) were genotyped by restriction fragment length polymorphism of the orotidine monophosphate pyrophosphorylase (URA5) gene as VGIV and identified by multi-locus sequence typing as C. decagattii. Matrix-assisted laser desorption/ionization time of flight mass spectrometry identification indicated genotype VGIII. The minimum inhibitory concentration of amphotericin B, fluconazole, itraconazole, and voricona...
Source: Revista da Sociedade Brasileira de Medicina Tropical - March 29, 2019 Category: Tropical Medicine Source Type: research

First case report of cryptococcosis due to Cryptococcus decagattii in a pediatric patient in Argentina
We report the first case of cryptococcosis due to Cryptococcus decagattii in an immunocompetent pediatric patient from an indigenous community in Argentina with a successful outcome. Two isolates (blood, cerebrospinal fluid) were genotyped by restriction fragment length polymorphism of the orotidine monophosphate pyrophosphorylase (URA5) gene as VGIV and identified by multi-locus sequence typing as C. decagattii. Matrix-assisted laser desorption/ionization time of flight mass spectrometry identification indicated genotype VGIII. The minimum inhibitory concentration of amphotericin B, fluconazole, itraconazole, and voricona...
Source: Revista da Sociedade Brasileira de Medicina Tropical - March 29, 2019 Category: Tropical Medicine Source Type: research

Bronchiolitis Hospitalization in Southern Brazil from 2002 to 2012: A Count Time-series Approach
CONCLUSIONS: The constructed model presented a better fit and allowed prediction of when and where the bronchiolitis hospitalizations are distributed. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - March 29, 2019 Category: Tropical Medicine Source Type: research

Accumulation of oocysts of Cryptosporidium parvum in Biomphalaria glabrata (Pulmonata:Planorbidae) under experimental conditions
CONCLUSIONS: Further studies should be conducted under natural conditions. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - March 29, 2019 Category: Tropical Medicine Source Type: research

Binational burden of American cutaneous leishmaniasis in Oiapoque, Amapá State, Brazil, bordering French Guiana
CONCLUSIONS: Binational strategies are required to minimize exposure for high-risk populations. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - March 29, 2019 Category: Tropical Medicine Source Type: research

IgE antibodies from schistosomiasis patients to recognize epitopes in potato apyrase
CONCLUSIONS: Potato apyrase and SmATPDases have IgE-binding epitopes. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - March 29, 2019 Category: Tropical Medicine Source Type: research

Asymptomatic Plasmodium infection in a residual malaria transmission area in the Atlantic Forest region: Implications for elimination
Abstract INTRODUCTION: Elimination of malaria in areas of interrupted transmission warrants careful case assessment to avoid the reintroduction of this disease. Occasional malaria cases are reported among visitors of the Atlantic Forest area of Brazil, while data on residents of this area are scarce. METHODS: A sectional study was carried out to examine 324 individuals living in a municipality where autochthonous cases were detected. RESULTS: Asymptomatic Plasmodium infections were detected in 2.8% of the individuals by polymerase chain reaction (PCR), with one case of P. falciparum (0.3%), two cases of P. vivax (0.6%), an...
Source: Revista da Sociedade Brasileira de Medicina Tropical - March 29, 2019 Category: Tropical Medicine Source Type: research

A randomized, open-label clinical trial comparing the long-term effects of miltefosine and meglumine antimoniate for mucosal leishmaniasis
CONCLUSIONS: Miltefosine may be an interesting alternative for treating ML because of its oral administration and cure rate after long-term follow-up. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - March 29, 2019 Category: Tropical Medicine Source Type: research

West Nile virus infections are here! Are we prepared to face another flavivirus epidemic?
Abstract Emerging arthropod-borne viruses (arboviruses), such as chikungunya and Zika viruses, are a major threat to public health in countries like Brazil where biodiversity is high and medical care is sometimes precarious. West Nile fever is a disease caused by the West Nile Virus (WNV), an RNA virus belonging to the Flaviviridae family. It is transmitted by infected mosquitoes to numerous animals like birds, reptiles and mammals, including human and non-human primates. In the last decade, the number of reported cases of WNV infection in humans and animals has increased in the Americas. Circulation of WNV in forests and ...
Source: Revista da Sociedade Brasileira de Medicina Tropical - March 29, 2019 Category: Tropical Medicine Source Type: research

Rheumatic heart disease in the modern era: recent developments and current challenges
Abstract Rheumatic heart disease (RHD) remains a major cause of preventable death and disability in children and young adults. Despite significant advances in medical technology and increased understanding of disease mechanisms, RHD continues to be a serious public health problem throughout the world, especially in low- and middle-income countries. Echocardiographic screening has played a key role in improving the accuracy of diagnosing RHD and has highlighted the disease burden. Most affected patients present with severe valve disease and limited access to life-saving cardiac surgery or percutaneous valve intervention, co...
Source: Revista da Sociedade Brasileira de Medicina Tropical - March 26, 2019 Category: Tropical Medicine Source Type: research

Challenging Management of Hepatitis B infection in Ankylosing Spondylitis Patients in an Endemic Area during Immunosuppressive Therapy
We report 3 cases of association between ankylosing spondylitis and hepatitis B with the use of immunosuppressant drugs. Case 1 was a patient with previous HBV infection using DMARD. Cases 2 and 3 were patients chronically infected by HBV during immunosuppressant therapy. The management of HBV infection during immunosuppressant therapy is challenging and needs multidisciplinary support. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - March 18, 2019 Category: Tropical Medicine Source Type: research

First report of Panstrongylus lignarius (Walker, 1873) (Hemiptera: Reduviidae: Triatominae) in the State of Acre, Brazil
CONCLUSIONS: The occurrence of P. lignarius deserves attention, since this species has the potential for domiciliation and transmitting Trypanosoma cruzi. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - March 18, 2019 Category: Tropical Medicine Source Type: research

Prevalence of HIV and associated factors among visceral leishmaniasis cases in an endemic area of Northeast Brazil
CONCLUSIONS The prevalence of VL-HIV co-infection was high and co-infected patients were more likely to have adverse outcomes. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - March 18, 2019 Category: Tropical Medicine Source Type: research

Extractivism of palm tree fruits: A risky activity because of snakebites in the state of Acre, Western Brazilian Amazon
CONCLUSIONS: During the harvesting of “ a çaí, ” there is the risk of the presence of B. atrox on the ground near the palm tree, and of B. bilineatus at the top of the palm tree. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - March 18, 2019 Category: Tropical Medicine Source Type: research

Quality of life of people with HIV/AIDS - the influence of social determinants and disease-related factors
CONCLUSIONS: Sociodemographic factors and HIV/AIDS-related aspects were influential in the QoL of people living with HIV/AIDS. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - March 18, 2019 Category: Tropical Medicine Source Type: research

Syphilis in female sex workers: an epidemiological study of the highway system of the state of Pará, northern Brazil
CONCLUSIONS: Several characteristics of FSWs were identified, which reinforce the need for measures guaranteeing their health and protection. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - March 18, 2019 Category: Tropical Medicine Source Type: research

Rheumatic heart disease in the modern era: recent developments and current challenges
Abstract Rheumatic heart disease (RHD) remains a major cause of preventable death and disability in children and young adults. Despite significant advances in medical technology and increased understanding of disease mechanisms, RHD continues to be a serious public health problem throughout the world, especially in low- and middle-income countries. Echocardiographic screening has played a key role in improving the accuracy of diagnosing RHD and has highlighted the disease burden. Most affected patients present with severe valve disease and limited access to life-saving cardiac surgery or percutaneous valve intervention, co...
Source: Revista da Sociedade Brasileira de Medicina Tropical - March 15, 2019 Category: Tropical Medicine Source Type: research

Francisco das Chagas Oliveira Luz (★1933 †2017)
We present the case of a woman with 24 gestational weeks presenting fever, hepatosplenomegaly, pancytopenia, and inversion of albumin/globulin ratio. Anti-rK39 was positive and amastigotes were visualized on myelogram. Treatment with LAmB showed disease improvement. The newborn was born healthy at term, with delivery performed without complications. As VL in pregnancy can progress to death and complications for the mother-fetus binomial, inclusion of VL in the differential diagnosis of patients from endemic areas with compatible clinical picture is mandatory. Treatment with LAmB demonstrates safety and high cure rates in p...
Source: Revista da Sociedade Brasileira de Medicina Tropical - March 15, 2019 Category: Tropical Medicine Source Type: research

Clinical Practice Guidelines for Chagas Disease: Recent Developments and Future Needs
We present the case of a woman with 24 gestational weeks presenting fever, hepatosplenomegaly, pancytopenia, and inversion of albumin/globulin ratio. Anti-rK39 was positive and amastigotes were visualized on myelogram. Treatment with LAmB showed disease improvement. The newborn was born healthy at term, with delivery performed without complications. As VL in pregnancy can progress to death and complications for the mother-fetus binomial, inclusion of VL in the differential diagnosis of patients from endemic areas with compatible clinical picture is mandatory. Treatment with LAmB demonstrates safety and high cure rates in p...
Source: Revista da Sociedade Brasileira de Medicina Tropical - March 15, 2019 Category: Tropical Medicine Source Type: research

Vaccination against influenza in elderly people: factors associated with acceptance and refusal of the vaccine
CONCLUSIONS: The vaccination coverage was below the national goal; the reasons for not being vaccinated was “ did not want to receive the vaccine ” , in addition to “ forgot ” . (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - March 15, 2019 Category: Tropical Medicine Source Type: research

The role of pregnant women with rash in the Zika virus sentinel surveillance
CONCLUSIONS Our results allowed the characterization of pregnant women exposed to ZIKV and the outcome of pregnancy. (Source: Revista da Sociedade Brasileira de Medicina Tropical)
Source: Revista da Sociedade Brasileira de Medicina Tropical - March 15, 2019 Category: Tropical Medicine Source Type: research