Jobson Lopes de Oliveira, Igor Albuquerque Nogueira, Afonso Rocha Eisele, Luis Arthur Brasil Gadelha Farias
{"title":"Methotrexate-Induced Pneumonitis in a Patient with Chronic Chikungunya Arthritis.","authors":"Jobson Lopes de Oliveira, Igor Albuquerque Nogueira, Afonso Rocha Eisele, Luis Arthur Brasil Gadelha Farias","doi":"10.1590/0037-8682-0136-2025","DOIUrl":"10.1590/0037-8682-0136-2025","url":null,"abstract":"","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"58 ","pages":"e01362025"},"PeriodicalIF":1.8,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12233749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609225","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}
Mariana Antunes Villa, Caroline Ogea Tavares, Gisela Cipullo Moreira, Carlos Alberto Caldeira Mendes
{"title":"Secondary infection with Aeromonas hydrophila and death of two patients with probable Bothrops envenomation.","authors":"Mariana Antunes Villa, Caroline Ogea Tavares, Gisela Cipullo Moreira, Carlos Alberto Caldeira Mendes","doi":"10.1590/0037-8682-0430-2024","DOIUrl":"10.1590/0037-8682-0430-2024","url":null,"abstract":"<p><p>Secondary infection following snakebites is a common complication, and few studies exist in the literature regarding the most frequent microorganisms and the most appropriate antibiotic regimens. This article reports two cases of patients who progressed to death due to infection by Aeromonas hydrophila following a snakebite from the genus Bothrops in southeastern Brazil. This bacterium is not commonly reported as an agent of this complication in the national literature; however, it should be considered for the treatment of secondary infections following snakebites because of their potentially severe progression.</p>","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"58 ","pages":"e04302024"},"PeriodicalIF":1.8,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12233744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609227","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}
Vidal Haddad Júnior, Flávio César Thadeo de Lima, William Gareth Richard Crampton, Ribamar Ponsiano Monteiro, Raimundo Nonato Gomes Mendes-Júnior
{"title":"Two Clinical Records of Human Injuries with a Death caused by Electric Eels Electrophorus spp. Gill, 1864.","authors":"Vidal Haddad Júnior, Flávio César Thadeo de Lima, William Gareth Richard Crampton, Ribamar Ponsiano Monteiro, Raimundo Nonato Gomes Mendes-Júnior","doi":"10.1590/0037-8682-0007-2025","DOIUrl":"10.1590/0037-8682-0007-2025","url":null,"abstract":"<p><p>Electrical eels, or poraqués or temblones (Electrophorus spp. Gill, 1864), are highly feared animals in the Amazon, mainly because of their electric discharge of up to 860 volts. We report two cases of human injuries caused by electric eels, one of which was fatal. The shocks caused muscle rigidity, and the victim likely drowned because of muscle contracture. Strong electric shocks increase the levels of cardiac enzymes in the blood, as observed with the elevation of total creatine phosphokinase (CPK) and creatine phosphokinase myocardial band (CPK-MB) in surviving victims, which is potentially indicative of injuries caused by poraqués.</p>","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"58 ","pages":"e00072025"},"PeriodicalIF":1.8,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12233748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609229","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":"Erratum.","authors":"","doi":"10.1590/0037-8682-0304e-2024","DOIUrl":"10.1590/0037-8682-0304e-2024","url":null,"abstract":"<p><p>[This corrects the article doi: 10.1590/0037-8682-0304-2024].</p>","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"58 ","pages":"e020022025"},"PeriodicalIF":1.8,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561002","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}
Vanessa Ribeiro Ferreira, Mariana Santiago Bernardes, Rebeca de Oliveira Alves Melo Martins, Isabella Cristiny Mendes Alexandre, Carolina Souza de Oliveira, Thalyssa Figueiredo Magalhães, Daniela Vale Dias, Laísa Ezaguy de Hollanda, Guilherme Augusto Pivoto João, Marcelo Cordeiro-Santos, Luciana Mendes Dos Santos
{"title":"Cutaneous nontuberculous mycobacterial infection after intra-articular corticosteroid injection in a patient with psoriatic dactylitis.","authors":"Vanessa Ribeiro Ferreira, Mariana Santiago Bernardes, Rebeca de Oliveira Alves Melo Martins, Isabella Cristiny Mendes Alexandre, Carolina Souza de Oliveira, Thalyssa Figueiredo Magalhães, Daniela Vale Dias, Laísa Ezaguy de Hollanda, Guilherme Augusto Pivoto João, Marcelo Cordeiro-Santos, Luciana Mendes Dos Santos","doi":"10.1590/0037-8682-0055-2025","DOIUrl":"10.1590/0037-8682-0055-2025","url":null,"abstract":"<p><p>The incidence of skin nontuberculous mycobacterial (NTM) infections has been rising in recent years, paralleling the increase in invasive procedures and immunosuppression. We present a case involving a patient undergoing treatment with a tumor necrosis factor blocker (Etanercept®) for psoriatic dactylitis, who showed clinical deterioration 30 days following intra-articular corticosteroid therapy. Liquid culture media identified M. abscessus, prompting the initiation of combination antibiotic therapy. To the best of our knowledge, this is the first reported case of an NTM superinfection in dactylitis, underscoring the importance of screening for these infections in immunosuppressed patients receiving localized injectable treatments.</p>","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"58 ","pages":"e008052025"},"PeriodicalIF":1.8,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561001","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 Walmyr de Mattos Oliveira, Luiz Henrique Conde Sangenis, Sergio Salles Xavier, Roberto Magalhães Saraiva, Mauro Felippe Felix Mediano, Andrea Silvestre de Sousa, Alejandro Marcel Hasslocher-Moreno
{"title":"Association between transmission modes and chronic Chagas disease clinical forms.","authors":"Carlos Walmyr de Mattos Oliveira, Luiz Henrique Conde Sangenis, Sergio Salles Xavier, Roberto Magalhães Saraiva, Mauro Felippe Felix Mediano, Andrea Silvestre de Sousa, Alejandro Marcel Hasslocher-Moreno","doi":"10.1590/0037-8682-0432-2024","DOIUrl":"10.1590/0037-8682-0432-2024","url":null,"abstract":"<p><strong>Background: </strong>Chagas disease (CD) is associated with significant morbidity and mortality due to cardiac and/or gastrointestinal complications. CD transmission has diverse modes, and their potential relationship with the clinical forms of CD remains unexplored. This study evaluated the association between the transmission modes and chronic clinical forms of CD.</p><p><strong>Methods: </strong>This retrospective study included patients with chronic CD referred to the outpatient clinic of INI/Fiocruz between November 1986 and August 2024. Clinical and epidemiological data were retrieved from medical records. Sociodemographic profiles, epidemiological history of CD, and clinical, cardiac, and digestive evaluations were assessed. Unadjusted and adjusted logistic regression models were fitted to assess the association between transmission modes and CD clinical forms.</p><p><strong>Results: </strong>The analysis included 2,162 patients (53.0% women; mean age 48.3 years). The CD transmission mode was evaluated as vectorial in 1962 (90.8%) patients, followed by blood transfusion in 123 (5.7%), congenital in 59 (2.7%), and oral in 18 (0.8%). Patients with congenital or oral transmission were younger, less likely to be women or self-reported as black, had lower rates of illiteracy, and a higher percentage were from non-endemic areas. No significant associations were observed between transmission modes and the cardiac or digestive forms of CD in unadjusted and adjusted analyses.</p><p><strong>Conclusions: </strong>Vectorial transmission was the most common transmission mode in patients with chronic CD. No significant association was found between the transmission mode and CD clinical forms, indicating that other mechanisms associated with progression to chronic determinate forms should be investigated.</p>","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"58 ","pages":"e003012025"},"PeriodicalIF":1.8,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326789","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":"Shining star-like appearance in Pott's disease.","authors":"Li-Jie Guo, Yong-Sheng Yu, Yi Zhang","doi":"10.1590/0037-8682-0097-2025","DOIUrl":"10.1590/0037-8682-0097-2025","url":null,"abstract":"","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"58 ","pages":"e009192025"},"PeriodicalIF":1.8,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326791","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}
Vidal Haddad Júnior, Ariadne Mendes Vidal Haddad, João Pedro Barreiros
{"title":"Myriapods (Diplopoda and Chilopoda): medical aspects of envenomations.","authors":"Vidal Haddad Júnior, Ariadne Mendes Vidal Haddad, João Pedro Barreiros","doi":"10.1590/0037-8682-0104-2025","DOIUrl":"10.1590/0037-8682-0104-2025","url":null,"abstract":"<p><p>The Subphylum Myriapoda is part of the Phylum Arthropoda, and has two Classes related to human medicine. The Diplopoda Class comprises the Millipedes that poison through contact of their toxins with the skin and mucous membranes. The Chilopoda Class, the Centipedes are venomous animals that cause painful envenomation through stings. The clinical manifestations of human injuries caused by myriapods are typical. Because of the frequency with which these animals are found in domestic environments, it is important that this information be transmitted to medical teams and the general population.</p>","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"58 ","pages":"e003002025"},"PeriodicalIF":1.8,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326790","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}