Browsing by Author "Alves-Moura, JJ"
Now showing 1 - 10 of 12
Results Per Page
Sort Options
- Amiloidose primária: Tratamento e prognósticoPublication . Ascensão, M; Figueiredo, H; Nabais, MJ; Pimenta, P; Parente, F; Paiva, A; Feio, J; Alexandrino, MB; Alves-Moura, JJ
- Avaliação do percurso intra-hospitalar após a alta de um serviço de Medicina InternaPublication . Dias, P; Parente, F; Gaspar, E; Carrola, P; Alexandrino, MB; Alves-Moura, JJ
- Biópsia hepática: evolução numa casuística recentePublication . Devesa, N; Guimarães, J; Carrola, P; Reis, R; Dias, P; Parente, F; Lourenço, A; Alexandrino, MB; Alves-Moura, JJ
- Colite isquémica e ergotamina: um caso clínicoPublication . Carrola, P; Devesa, N; Sequeira, C; Parente, F; Alexandrino, MB; Alves-Moura, JJ
- Colite pseudomembranosa : uma casuística de internamentosPublication . Almeida, N; Silva, N; Parente, F; Portela, F; Gouveia, H; Alexandrino, MB; Alves-Moura, JJ; Freitas, DIntroduction: pseudomembranous colitis (PMC) is an infectious disease that generally begins after antibiotic treatment. Objectives: Characterize the patients with PMC in two Services of a Central Hospital. Material and Methods: we considered the patients admitted in a Medicine (MS) and in a Gastroenterology (GES) Service with primary or secondary diagnosis of PMC, between January/1995 and July/2003 and registered the age, gender, clinical presentation, antibiotics (AB) and other risk factors, diagnostic procedures, complications and treatment. Results: we considered 80 patients (43 - GES and 37 - MS); Mean age - 68,6 ± 17,7 years; 52,5% were male; Antibiotic treatment in the previous 3 months - 85%; Mean time of antibiotic treatment - 10,5 ± 6,1 days. Most Commonly Involved Antibiotics: cephalosporins, amoxicillin/clavulanic acid and quinolones. Associated risk factors: renal insufficiency (22,5%); cardiac insufficiency (22,5%); previously dependent patient ( 36,3%). Diagnostic procedures: toxin search-58 patients ( in 36 ), colonoscopy - 62 ( in 53); culture - 23 (in 17 ). The mortality rate was 18,8% (n = 15); recurrence rate - 10% (n = 8). Therapeutics: metronidazol - 37 patients (46,3%); vancomycin - 24 (30%); metronidazol + vancomycin – 12 (15%). Differences Between Services: mean age (MS - 72,9 and GES - 64,9); admission criteria (GES - intestinal disorders, MS – respiratory infections); diagnostic procedures (colonoscopy more frequent in GES); therapeutic options (MS - metronidazol; GES - vancomycin and metronidazol + vancomycin). Conclusions: PMC is more common in older patients that were generally submitted to previous antibiotic treatment, especially with ß-lactamics. Considering two distinct Services we observed differences concerning age, co-morbility and risk factors that implied distinct diagnostic and therapeutic approaches.
- Dementia in a patient with Thymoma and hypogammaglobulinaemia (Good's syndrome)Publication . Jesus, NP; Carvalho, PM; Alves-Moura, JJGood's syndrome is extremely rare and refers to an acquired B and T cell immunodeficiency in thymoma patients. The authors of this article present a case report of a 75-year-old, caucasian male patient previously subjected to examinations for secondary dementia and recurrent infections, which revealed paraneoplastic syndrome arose from thymoma. He underwent thymectomy, while his immunodeficiency syndrome sustained with frequent opportunistic infections, constantly requiring intravenous immunoglobulin treatment.
- Doença celíaca do adulto: uma casuística de 12 anosPublication . Cardoso, J; Alexandre, J; Nabais, MJ; Moura, P; Vieira, JD; Alexandrino, MB; Alves-Moura, JJ
- Eritema induratum: um caso clínicoPublication . Devesa, N; Carrola, P; Lourenço, A; Alexandrino, MB; Alves-Moura, JJ
- Estatinas e microalbuminúriaPublication . Dias, P; Silva, JM; Silva, N; Alexandrino, MB; Alves-Moura, JJ
- Esteato-hepatite não alcoólica: a propósito de um caso clínicoPublication . Devesa, N; Carrola, P; Silva, JM; Alexandrino, MB; Alves-Moura, JJ