Revista da Sociedade Brasileira de Medicina Tropical最新文献_第8页

Strengthening Multidrug-Resistant Tuberculosis Epidemiological Surveillance in Rio de Janeiro: a multidimensional analysis. 加强里约热内卢耐多药结核病流行病学监测：多维分析。

IF 1.8 4区医学

Revista da Sociedade Brasileira de Medicina Tropical Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI: 10.1590/0037-8682-0629-2023

Marcela Bhering, Afrânio Kritski

{"title":"Strengthening Multidrug-Resistant Tuberculosis Epidemiological Surveillance in Rio de Janeiro: a multidimensional analysis.","authors":"Marcela Bhering, Afrânio Kritski","doi":"10.1590/0037-8682-0629-2023","DOIUrl":"10.1590/0037-8682-0629-2023","url":null,"abstract":"This study aimed to reinforce the importance of the epidemiological surveillance of multidrug-resistant tuberculosis (MDR-TB) in Rio de Janeiro State (RJ). Here, we reviewed seven articles we published between 2018 and 2022. This study had two phases. The quantitative phase where frequency was used to describe patient characteristics and regressions were used to evaluate the relationship between treatment outcomes and covariates. The qualitative phase where content analysis of the narratives was performed. Secondary (electronic systems) and primary (semi-structured interviews) data were used. We analyzed 2,269 MDR-TB, 58.1% MDR-TB, and 18.6% extensively drug-resistant TB (XDR-TB) cases, of which 44.3% exhibited unfavorable outcomes. Among the 140 patients with XDR-TB, 29.3% had not undergone prior treatment for MDR-TB. The primary resistance rate in MDR-TB cases was 14.7%, revealing significant demographic and clinical disparities, particularly among women, Caucasians, and those with higher education levels. The number of cases increased from 7.69% in 2000 to 38.42% in 2018, showing an increasing trend (AAPC = 9.4; 95% CI 1.4-18.0, p < 0.001), with 25.4% underreporting. A qualitative study confirmed a high proportion of primary resistance (64.5%) and delayed diagnosis of MDR-TB. In RJ, the diagnostic and therapeutic cascade of MDR-TB must be improved using molecular tests to achieve an early diagnosis of resistance and immediate initiation of appropriate treatment, promote social protection for MDR/XDR-TB patients and their families, enhance TB contact tracing, establish and monitor hospital surveillance centers integrated with Primary Care, and unify various information systems through interoperability for better integration.","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"57 ","pages":"e00202"},"PeriodicalIF":1.8,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11290839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856340","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}

引用次数: 0

Detection of rabies virus in Callithrix penicillata (Geoffroy, 1812) in Montes Claros, Minas Gerais State, Brazil. 在巴西米纳斯吉拉斯州蒙特斯克拉罗斯的 Callithrix penicillata（Geoffroy，1812 年）体内检测到狂犬病病毒。

IF 1.8 4区医学

Revista da Sociedade Brasileira de Medicina Tropical Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI: 10.1590/0037-8682-0029-2024

Milton Formiga Souza Júnior, Thallyta Maria Vieira, Agna Soares da Silva Menezes, Maria Clara Lélis Ramos Cardoso, Dulce Pimenta Gonçalves, Vanessa Ferreira da Silva, Gilberto Ramalho Pereira, Ronnie Antunes de Assis

引用次数: 0

Trigeminal neuralgia due to Varicella-zoster virus reactivation. 水痘-带状疱疹病毒再激活引起的三叉神经痛。

IF 1.8 4区医学

Revista da Sociedade Brasileira de Medicina Tropical Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI: 10.1590/0037-8682-0118-2024

Denise Jourdan Oliveira, Diogo Goulart Corrêa, Sérgio Ferreira Alves Júnior

引用次数: 0

Actinomycosis mimicking malignancy. 模仿恶性肿瘤的放线菌病。

IF 1.8 4区医学

Revista da Sociedade Brasileira de Medicina Tropical Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI: 10.1590/0037-8682-0180-2024

Buğra Kerget, Alperen Aksakal, Sevilay Özmen

引用次数: 0

Malaria in areas under mining activity in the Amazon: A review. 亚马逊采矿活动地区的疟疾：综述。

IF 1.8 4区医学

Revista da Sociedade Brasileira de Medicina Tropical Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI: 10.1590/0037-8682-0551-2023

Pablo Sebastian Tavares Amaral, Klauss Kleydmann Sabino Garcia, Martha Cecilia Suárez-Mutis, Ronan Rocha Coelho, Allan Kardec Galardo, Felipe Murta, Gilberto Gilmar Moresco, André Machado Siqueira, Rodrigo Gurgel-Gonçalves

{"title":"Malaria in areas under mining activity in the Amazon: A review.","authors":"Pablo Sebastian Tavares Amaral, Klauss Kleydmann Sabino Garcia, Martha Cecilia Suárez-Mutis, Ronan Rocha Coelho, Allan Kardec Galardo, Felipe Murta, Gilberto Gilmar Moresco, André Machado Siqueira, Rodrigo Gurgel-Gonçalves","doi":"10.1590/0037-8682-0551-2023","DOIUrl":"10.1590/0037-8682-0551-2023","url":null,"abstract":"Deforestation and high human mobility due to mining activities have been key to the increase in malaria cases in the Americas. Here, we review the epidemiological and control aspects of malaria in the Amazon mining areas. Epidemiological evidence shows: 1) a positive correlation between illegal mining activity and malaria incidence, mostly in the Amazon region; 2) most Brazilian miners are males aged 15-29 years who move between states and even countries; 3) miners do not fear the disease and rely on medical care, diagnosis, and medication when they become ill; 4) illegal mining has emerged as the most reported anthropogenic activity within indigenous lands and is identified as a major cause of malaria outbreaks among indigenous people in the Amazon; and 5) because mining is largely illegal, most areas are not covered by any healthcare facilities or activities, leading to little assistance in the diagnosis and treatment of malaria. Our review identified five strategies for reducing the malaria incidence in areas with mining activities: 1) reviewing legislation to control deforestation and mining expansion, particularly in indigenous lands; 2) strengthening malaria surveillance by expanding the network of community health agents to support rapid diagnosis and treatment; 3) reinforcing vector control strategies, such as the use of insecticide-treated nets; 4) integrating deforestation alerts into the national malaria control program; and 5) implementing multi-sectoral activities and providing prompt assistance to indigenous populations. With this roadmap, we can expect a decrease in malaria incidence in the Amazonian mining areas in the future.","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"57 ","pages":"e002002024"},"PeriodicalIF":1.8,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11210384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141451402","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}

引用次数: 0

Detection of musculoskeletal inflammatory lesions in patients with chronic chikungunya infection using 3T whole-body magnetic resonance imaging. 利用 3T 全身磁共振成像检测慢性基孔肯雅病毒感染者的肌肉骨骼炎症病变。

IF 2 4区医学

Revista da Sociedade Brasileira de Medicina Tropical Pub Date : 2024-05-27 eCollection Date: 2024-01-01 DOI: 10.1590/0037-8682-0090-2024

Aline Serfaty, Silvana Mendonça, Clarissa Canella, Edson Marchiori

{"title":"Detection of musculoskeletal inflammatory lesions in patients with chronic chikungunya infection using 3T whole-body magnetic resonance imaging.","authors":"Aline Serfaty, Silvana Mendonça, Clarissa Canella, Edson Marchiori","doi":"10.1590/0037-8682-0090-2024","DOIUrl":"10.1590/0037-8682-0090-2024","url":null,"abstract":"Background: Musculoskeletal inflammatory lesions in chronic Chikungunya virus (CHIKV) infection have not been thoroughly assessed using whole-body magnetic resonance imaging (WBMRI). This study aimed to determine the prevalence of these lesions in such patients.Methods: From September 2018 to February 2019, patients with positive Chikungunya-specific serology (Immunoglobulin M/Immunoglobulin G anti-CHIKV), with a history of polyarthralgia for > 6 months prior to MRI with no pre-existing rheumatic disorders, underwent 3T WBMRI and localized MRI. The evaluation focused on musculoskeletal inflammatory lesions correlated with chronic CHIKV infection. Pain levels were assessed using a visual analogue scale on the same day as WBMRI.Results: The study included 86 patients of whom 26 met the inclusion criteria. All patients reported pain and most (92.3%) categorized it as moderate or severe. The most common finding across joints was effusion, particularly in the tibiotalar joint (57.7%) and bursitis, with the retrocalcaneal bursa most affected (48.0%). Tenosynovitis was prevalent in the flexor compartment of the hands (44.2%), while Kager fat pad and soleus edema were also observed. Bone marrow edema-like signals were frequently seen in the sacroiliac joints (19.2%). Most WBMRI findings were classified as mild.Conclusions: This study represents the first utilization of 3T WBMRI to assess musculoskeletal inflammatory disorders in chronic CHIKV infection. The aim was to identify the most affected joints and prevalent lesions, providing valuable insights for future research and clinical management of this condition regarding understanding disease pathophysiology, developing targeted treatment strategies, and using advanced imaging techniques in the assessment of musculoskeletal manifestations.","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"57 ","pages":"e004062024"},"PeriodicalIF":2.0,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11136507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161825","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}

引用次数: 0

Evaluation of commercial immunodiffusion reagents for detecting serum anti-Paracoccidioides antibodies. 评估用于检测血清抗原球孢子虫抗体的商用免疫扩散试剂。

IF 2 4区医学

Revista da Sociedade Brasileira de Medicina Tropical Pub Date : 2024-05-27 eCollection Date: 2024-01-01 DOI: 10.1590/0037-8682-0094-2024

Regielly Caroline Raimundo Cognialli, Diego H Caceres, Flávio de Queiroz Telles

引用次数: 0

Catastrophic Floods in Rio Grande do Sul, Brazil: The Need for Public Health Responses to Potential Infectious Disease Outbreaks. 巴西南里奥格兰德州的灾难性洪灾：公共卫生应对潜在传染病爆发的必要性。

IF 2 4区医学

Revista da Sociedade Brasileira de Medicina Tropical Pub Date : 2024-05-27 eCollection Date: 2024-01-01 DOI: 10.1590/0037-8682-0162-2024

Paulo Ricardo Martins-Filho, Julio Croda, Adriano Antunes de Souza Araújo, Dalmo Correia, Lucindo José Quintans-Júnior

引用次数: 0

Miliary Tuberculosis with Extrapulmonary Tissue Involvement. 肺外组织受累的胆汁性结核病

IF 1.8 4区医学

Revista da Sociedade Brasileira de Medicina Tropical Pub Date : 2024-05-27 eCollection Date: 2024-01-01 DOI: 10.1590/0037-8682-0101-2024

Kemal Buğra Memiş, Bircan Beyza Korkmaz, Sonay Aydın

引用次数: 0

COVID-19 with neck cellulitis: an under recognized acute presentation. COVID-19 颈部蜂窝织炎：一种未得到充分认识的急性表现。

IF 1.8 4区医学

Revista da Sociedade Brasileira de Medicina Tropical Pub Date : 2024-05-20 eCollection Date: 2024-01-01 DOI: 10.1590/0037-8682-0091-2024

Sravani Mannuru, Márcio Luís Duarte, Leonardo Furtado Freitas

引用次数: 0