- Infective Endocarditis Diagnosis and Management
- Heart Failure Treatment and Management
- Diabetes and associated disorders
- Diabetes Management and Research
- Cardiac pacing and defibrillation studies
- Maternal and Neonatal Healthcare
- Pancreatic function and diabetes
- Cardiac Valve Diseases and Treatments
- Cardiac Structural Anomalies and Repair
- Cardiovascular Function and Risk Factors
- Hematological disorders and diagnostics
- Antimicrobial Resistance in Staphylococcus
- Vascular anomalies and interventions
- Neonatal Respiratory Health Research
- Kidney Stones and Urolithiasis Treatments
- Whipple's Disease and Interleukins
- Infections and bacterial resistance
- Cardiomyopathy and Myosin Studies
- Child Nutrition and Water Access
- Erythrocyte Function and Pathophysiology
- Cardiac Arrhythmias and Treatments
- Neutropenia and Cancer Infections
- Systemic Lupus Erythematosus Research
- Infectious Diseases and Mycology
- Bacterial Identification and Susceptibility Testing
Hospital de São João
2018-2022
Tunisia Polytechnic School
2016
City Clinical Hospital
2016
Oslo University Hospital
2016
Southern Medical University
2016
Nanfang Hospital
2016
Royal Brompton Hospital
2016
Medical University of Warsaw
2016
Hospitais da Universidade de Coimbra
2000
Ralstonia mannitolilytica (R. mannitolilytica.) is an emerging aerobic Gram-negative bacteria causing infection among immunocompromised patients. R. mannitolilytica, has been described in hospital outbreaks, mainly as bloodstream infection, but also meningitis, hemoperitoneum and post renal transplant infection. We describe the first reported case of infective endocarditis.
Aims: To evaluate and compare neonatal morbidity between late-preterm infants (LPTI) early term (ETI).Methods: Retrospective cross-sectional study, including live births at a regional referral maternity hospital in Portugal, the years 2014 2015, with gestational age 340/7 386/7 weeks. LPTI (340/7-366/7 weeks) were considered as cases ETI (370/7-386/7 controls. Neonates congenital malformations, lack of prenatal care hospitalization for social/maternal reasons excluded. We evaluated compared...
Secondary hypertension is the most frequent form of in children. Renovascular disease accounts for 5–10% all childhood and should be suspected presence severe found difficult to manage with medical therapy. Uncontrolled can lead target organ damage. We describe case a 13-month-old baby boy failure thrive, recent muscular weakness lower extremities irritability. Hypertension was detected he admitted paediatric intensive care unit refractory hypertensive emergency, despite multiple...
Introduction: Ankyloblepharon-ectodermal defects-cleft lip/palate (AEC) syndrome/Hay-Wells syndrome, is a rare disease, with autosomal dominant transmission, caused by mutations in the TP63 gene, which encodes developmental transcription factor embryonic ectoderm. 70% of cases occur sporadically no previous family history. It presents at birth and diagnosis based upon identification distinctive signs child's phenotype. Molecular genetic tests confirm if gene mutation detected. Case report:...
Objectives The prognostic significance of transient use inotropes has been sufficiently studied in recent heart failure (HF) populations. We hypothesised that risk stratification these patients could contribute to patient selection for advanced therapies. Methods analysed a prospective cohort adult admitted with decompensated HF and ejection fraction (left ventricular (LVEF)) less than 50%. explored the outcomes requiring inotropic therapy during hospital admission after discharge. Results...
Whipple's disease is a rare multisystemic infectious that can mimic lymphoproliferative disorders and must be considered in the differential diagnosis of febrile syndromes. The authors describe case 55-year-old man who presented to Emergency Department with dyspnoea abdominal pain. He had 2-month history fever, night sweats, asthenia unintentional weight loss. Upon clinical examination he bilateral inguinal lymphadenopathy. Blood tests showed iron-deficit anaemia high C-reactive protein....
We present the case of a 75-year-old diabetic female with no history chronic kidney disease, treated metformin, that complained vomiting and abdominal pain in last month; at admission she had acute injury severe lactic acidosis. She evolved quickly to vasoplegic shock, immediately started treatment vasopressors continuous renal replacement therapy (RRT). Lactic acidosis solved hemodynamic status recovered, but dysfunction persisted. After etiologic study was diagnosed multiple myeloma....
Acute heart failure - Epidemiology, prognosis, outcome 1395 quently in hemodynamic profile C (41.4% vs 29.9%, P=0.028) and had lower rate (74.3±20.7bpmvs 86.5±25.5bpm,P<0.001), arterial pressure (mean sBP 92.7±62.8vs 103.2 mmHg, mean dBP 62.8±14.8 vs. 67.2±16.2mmHg, P<0.001) higher BNP levels (2050±1572pg/mL 1330±1274pg/mL, P=0.034); echocardiography indicated that Chagas patients LV ejection fraction (26.6±8.5% 30.8±11.5%,P<0.001), larger diastolic diameter (68.9±8.6mmvs...
A 74-year-old female with diabetes mellitus type 2 was admitted to the emergency department due fever, severe pain and oedema in her left forearm, two days of evolution, after she has done gardening, but no clear history trauma.
A 54-year-old Caucasian male presented to the emergency department complaining of odynophagia, fever and malaise. Blood test showed pancytopenia with severe neutropenia (50 neutrophils/microliter), mild elevation cholestasis enzymes high C-reactive protein. Abdominal ultrasonography hepatosplenomegaly signs portal hypertension. He was a non-smoker no alcohol or recreational drug use without recent travels. had previous history recurrent arthralgias positive title for rheumatoid factor but...
We present the case of a 20-year-old male hospitalized with severe neutropenia and thrombocytopenia.After exclusion other etiologies, it was concluded to be autoimmune etiology.The prompt sustained response both cell lines corticosteroids, reinforced this diagnosis.This illustrates very rare association primary thrombocytopenia.The lack serological marker makes diagnosis delayed resource-consuming.