Bruna Dos Anjos Bortolini, Rachel Bertolani do Espírito Santo, Lucia Martins Diniz, Robson Dettmann Jarske, Natália Tebas de Castro
{"title":"Paracoccidioidomycosis manifested by sarcoid-like cutaneous lesions with severe systemic disease: a rare and challenging diagnosis.","authors":"Bruna Dos Anjos Bortolini, Rachel Bertolani do Espírito Santo, Lucia Martins Diniz, Robson Dettmann Jarske, Natália Tebas de Castro","doi":"10.1590/0037-8682-0605-2023","DOIUrl":"10.1590/0037-8682-0605-2023","url":null,"abstract":"<p><p>Cutaneous involvement in paracoccidioidomycosis (PCM) can exhibit a highly polymorphic spectrum. The infiltrative pattern corresponds to up to 26.6% of observed skin lesions, including sarcoid-like plaques, a rare presentation of cutaneous lesions in PCM. This clinical expression is almost exclusively cutaneous, and its histology reveals a tuberculoid granuloma with a scarcity of fungi, leading to misdiagnosis as other granulomatous diseases. Here, we report a rare form of chronic multifocal paracoccidioidomycosis manifesting as sarcoid-like skin lesions misdiagnosed as granulomatous rosacea in a patient with severe systemic disease.</p>","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"57 ","pages":"e008042024"},"PeriodicalIF":2.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10962352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140306739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carlos Graeff-Teixeira, Dayse Souza de Pauli, Carlos Alexandre Martins Zicarelli, Vanessa Fey Pascoal, Estefany de Paula Paiva-Novaes, João Pedro Sarcinelli Chagas, Betina Bolina Kersanach, David Jamil Hadad, Letícia Karolini Walger-Schultz
{"title":"Gnathostoma infection after ingestion of raw fish is a probable cause of eosinophilic meningitis in the Brazilian Amazon.","authors":"Carlos Graeff-Teixeira, Dayse Souza de Pauli, Carlos Alexandre Martins Zicarelli, Vanessa Fey Pascoal, Estefany de Paula Paiva-Novaes, João Pedro Sarcinelli Chagas, Betina Bolina Kersanach, David Jamil Hadad, Letícia Karolini Walger-Schultz","doi":"10.1590/0037-8682-0434-2023","DOIUrl":"10.1590/0037-8682-0434-2023","url":null,"abstract":"<p><p>We report a case of eosinophilic meningitis associated with the ingestion of raw fish (Cichla sp.) from the Brazilian Amazon, likely caused by Gnathostoma. A 36-year-old male visited Juruena river on a fishing trip. After 50 days, the patient presented with an intense frontal headache. A cerebrospinal fluid examination revealed 63% eosinophilia. Another individual who ingested raw fish developed linear dermatitis on the abdominal wall. Anti-Gnathostoma serum antibodies were detected, and the patient made a full recovery after treatment with corticosteroids and albendazole. To date, autochthonous Gnathostoma spp. infections in Latin American countries have only caused linear panniculitis. This report raises awareness of gnathostomiasis-causing meningitis.</p>","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"57 ","pages":"e008012024"},"PeriodicalIF":2.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10911281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140050206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Roque Rafael de Oliveira Neto, Gabriela Belmonte Dorilêo, Ana Carolina da Silva Ferreira Mendonça, Amílcar Sabino Damazo
{"title":"Neural leprosy investigation using electroneuromyography and the ML Flow rapid test: a case report.","authors":"Roque Rafael de Oliveira Neto, Gabriela Belmonte Dorilêo, Ana Carolina da Silva Ferreira Mendonça, Amílcar Sabino Damazo","doi":"10.1590/0037-8682-0586-2023","DOIUrl":"10.1590/0037-8682-0586-2023","url":null,"abstract":"<p><p>Neural leprosy, which is characterized by nerve involvement without visible skin lesions, presents a diagnostic challenge. This case report examined the significance of diverse diagnostic modalities in the identification of pure neural leprosy. A 28-year-old patient with symptoms of edema, pain, paresthesia, and diminished sensitivity in the lower limbs underwent various tests. A stilt skin smear yielded negative results on bacilloscopy, whereas a Fast ML Flow leprosy test and electroneuromyography supported the diagnosis. This discussion highlights the importance of accessible methods for early investigation. This study emphasizes the multidisciplinary approach and value of the Fast ML Flow leprosy test and electroneuromyography for diagnosing neural leprosy.</p>","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"57 ","pages":"e008022024"},"PeriodicalIF":2.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10911422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139741889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wesley Marcio Cardoso, Ana Rita Coimbra Motta-Castro, Sabrina Moreira Dos Santos Weis-Torres, Larissa Melo Bandeira, Minoru German Higa Júnior, Marco Antonio Moreira Puga, Ana Rita Barbieri, Sonia Maria Fernandes Fitts
{"title":"High prevalence of syphilis among recyclable waste collectors in Central Brazil.","authors":"Wesley Marcio Cardoso, Ana Rita Coimbra Motta-Castro, Sabrina Moreira Dos Santos Weis-Torres, Larissa Melo Bandeira, Minoru German Higa Júnior, Marco Antonio Moreira Puga, Ana Rita Barbieri, Sonia Maria Fernandes Fitts","doi":"10.1590/0037-8682-0283-2023","DOIUrl":"10.1590/0037-8682-0283-2023","url":null,"abstract":"<p><strong>Background: </strong>Syphilis is associated with social and behavioral factors.</p><p><strong>Methods: </strong>This cross-sectional study determined the prevalence of syphilis and its associated risk factors among recyclable waste collectors in Central Brazil.</p><p><strong>Results: </strong>A lifetime syphilis prevalence rate of 7.91% (95% confidence interval: 5.25-11.75) was found among 278 participants. Low educational level, history of sexually transmitted infection, and age ≥ 36 years were associated with a high prevalence of lifetime syphilis.</p><p><strong>Conclusions: </strong>These findings emphasize the need for syphilis prevention, screening, and treatment among recyclable waste collectors, highlighting the potential for the spread of infection in vulnerable populations.</p>","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"57 ","pages":"e007022024"},"PeriodicalIF":2.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10911280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139741887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ethel Leonor Noia Maciel, Mauro Niskier Sanchez, Alda Maria Da Cruz, Draurio Barreira Cravo Neto, Nísia Verônica Trindade Lima
{"title":"Brazil's Pivotal Moment in Public Health: Establishing the Interministerial Committee (CIEDDS) for the Elimination of Tuberculosis and Socially Determined Diseases.","authors":"Ethel Leonor Noia Maciel, Mauro Niskier Sanchez, Alda Maria Da Cruz, Draurio Barreira Cravo Neto, Nísia Verônica Trindade Lima","doi":"10.1590/0037-8682-0597-2023","DOIUrl":"10.1590/0037-8682-0597-2023","url":null,"abstract":"","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"57 ","pages":"e006012024"},"PeriodicalIF":2.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10911421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139741886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unusual Cause of Right Upper Quadrant Pain: Hepatic Amoebic Abscess.","authors":"Elif Gündoğdu","doi":"10.1590/0037-8682-0519-2023","DOIUrl":"10.1590/0037-8682-0519-2023","url":null,"abstract":"","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"57 ","pages":"e009082024"},"PeriodicalIF":2.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10911282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139741891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Luís Arthur Brasil Gadelha Farias, Iusta Caminha, Lauro Vieira Perdigão Neto, Luciano Pamplona de Góes Cavalcanti
{"title":"Human Rabies during the COVID-19 Pandemic: Insights into Rabies Worldwide and Brazil.","authors":"Luís Arthur Brasil Gadelha Farias, Iusta Caminha, Lauro Vieira Perdigão Neto, Luciano Pamplona de Góes Cavalcanti","doi":"10.1590/0037-8682-0520-2023","DOIUrl":"10.1590/0037-8682-0520-2023","url":null,"abstract":"<p><p>Human Rabies (HR) is a fatal zoonotic disease caused by lyssaviruses, with the rabies virus (RABV) identified as the causative agent. While the incidence of HR transmitted by dogs has decreased in Latin America, there has been a corresponding rise in transmission via wild animals. Given the lack of effective treatments and specific therapies, the management of HR relies on the availability of post-exposure prophylaxis and animal control measures. This review examines the dynamics and spread of HR during the global pandemic.</p>","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"57 ","pages":"e003002024"},"PeriodicalIF":2.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10911283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139741888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
José Atanásio de Oliveira Neto, Daniela Bandeira Anastácio, Tatiene Rossana Móta Silva, Samuel Souza Silva, Gílcia Aparecida de Carvalho, Rafael Antonio Nascimento Ramos
{"title":"Triatomine vectors of Trypanosoma cruzi in an endemic area for Chagas disease in Northeast Brazil.","authors":"José Atanásio de Oliveira Neto, Daniela Bandeira Anastácio, Tatiene Rossana Móta Silva, Samuel Souza Silva, Gílcia Aparecida de Carvalho, Rafael Antonio Nascimento Ramos","doi":"10.1590/0037-8682-0413-2024","DOIUrl":"10.1590/0037-8682-0413-2024","url":null,"abstract":"<p><strong>Background: </strong>We assessed the distribution of triatomines in an endemic area for Chagas disease.</p><p><strong>Methods: </strong>This retrospective study used secondary data extracted from the Official System of the National Chagas Disease Control Program (Sistema Oficial do Programa Nacional de Controle da Doença de Chagas - SisPCDCh).</p><p><strong>Results: </strong>A total of 7,257 (725.7 ± 221.7 per year) specimens were collected from 2013 to 2022. Most of them (6,792; 93.6%) were collected in the intradomicile and 465 (6.4%) in the peridomicile. A total of 513 (7.1%) triatomines tested positive for the presence of trypomastigote forms, similar to Trypanosoma cruzi.</p><p><strong>Conclusions: </strong>The spatial analysis revealed a heterogeneous distribution of triatomines across different municipalities.</p>","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"57 ","pages":"e007002023"},"PeriodicalIF":2.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10852468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139703254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}