Neuropathy is a frequent complication of diabetes mellitus (DM), increasing with the duration disease, poor glycemic control and advanced age. Acute presentation neuropathy in setting newly diagnosed type 1 DM rare holds diagnostic challenge.A 10-year-old girl, presented at emergency service complaints polydipsia, polyuria, asthenia weight lost over last 15 days, accompanied by difficulties flexing right foot, during previous week. The patient denied any pain, paresthesias, or altered...

Despite its importance, there are some barriers to patient compliance in preventive therapy (PT) of tuberculosis (TB). The purpose this study was evaluate the appointments, PT and follow-up a pediatric population after TB exposure, followed single outpatient center, subsequent identification determinants. Retrospective analysis all patients who underwent Gaia center from January 2015 June 2016. Patients were divided into two groups: compliant non-compliant, according adherence screening,...

The authors present a case report of antituberculosis drug-induced liver injury that offered diagnostic challenges (namely, the possibility autoimmune hepatitis) and treatment difficulties.

We present a case report of meningoradiculopathy associated with human herpesvirus 7, long-term motor neurologic sequelae. It is important to consider 7 as potential pathogen severe disease and sequelae in immunocompetent children, especially older patients presenting signs.

Objectives: To evaluate the quality of sleep and estimate prevalence disorders in children from two to 10 years old at a health center metropolitan area Porto. Study type: Cross-sectional study. Setting: Child consultations primary care urban Grande Porto ACeS VII – Gaia. Participants: Children aged 2 enrolled PortoVII Methods: The Children's Sleep Habits Questionnaire (CSHQ-PT) translated validated for use Portuguese, questionnaire on individual, social, family issues, were applied between...

Introducao: A doenca de Kawasaki refrataria a imunoglobulina endovenosa ocorre em 10% 20% dos casos, condicionando maior risco anomalias das arterias coronarias. O objetivo deste estudo foi determinar fatores preditivos endovenosa.Metodos: Estudo retrospetivo analitico doentes com que realizaram num hospital do norte Portugal, entre 2006-2016. Os foram divididos dois grupos consoante resposta endovenosa, e nao refrataria.Resultados: Foram incluidos 23 doentes, 73,9% sexo masculino, mediana...

Distonia temprana poco frecuente (DYT16) en una niña portuguesa.

Introdução: A doença de Kawasaki refratária à imunoglobulina endovenosa ocorre em 10% a 20% dos casos, condicionando maior risco anomalias das artérias coronárias. O objetivo deste estudo foi determinar fatores preditivos endovenosa.

Pulmonary tuberculoma is a rare but challenging entity for paediatricians, regarding diagnosis and management. Treatment course still up discussion since tuberculomas may persist after treatment. The authors report two paediatric cases, both recently treated latent tuberculosis infection, admitted investigation of solid pulmonary nodule. In cases the thoracic CT scan showed nodular subpleural lesion biopsy revealed epithelioid cells with areas necrosis calcification. was confirmed in one...

Pelizaeus-Merzbacher disease (PMD) is an X-linked leukodystrophy of the central nervous system characterized by a developmental arrest in myelin formation. It classified into five phenotypes, with different severity. The most common clinical features are nystagmus, spasticity, tremor, ataxia, and hypotonia. A 11-month-old child was referred to Neuropediatric Unit due hypotonia, delay. Brain magnetic resonance imaging showed signs diffuse hypomyelination (absence T2 low signal supratentorial...

A síndrome induzida por fármacos com eosinofilia e sintomas sistémicos é uma forma rara de hipersensibilidade a desfecho potencialmente fatal. Descreve-se o caso clínico adolescente sob tratamento para tuberculose ativa, que iniciou quadro vómitos, diarreia, astenia exantema maculopapular pruriginoso à sexta semana tratamento. Ao sexto dia doença, febre elevada agravamento do exantema. Apresentava linfócitos atípicos circulantes hepatite, sendo suspenso antituberculosos. investigação...

Allergic contact dermatitis (ACD) is a delayed hypersensitivity reaction. ACD’s incidence increases with age and rarely presents in the first year of life. Diagnosis ACD suspected based on detailed history physical examination confirmed patch testing. Avoidance allergen(s) involved essential for symptom control. The authors present case associated multiple allergens manifesting life which resolved avoidance measures.

Assessing newborn infants at risk for early-onset sepsis (EOS) is a common clinical task conducted by pediatricians. A change in the internal protocol managing neonates was implemented 2016. Unlike previous protocol, which determined laboratory testing asymptomatic newborns presence of one factor (RF) sepsis; new advocates screening least two RF. The purpose this study to characterize increased EOS before and after implementation diagnostic/treatment protocol.Retrospective analysis with RF...

AbstractEl desarrollo físico del hábitat en el municipio de Villavicencio se ha fundado diseño hecho arquitectónico basado lineamientos y criterios teóricos diseño, normas otros documentos legales generados para regular urbano la edificación acuerdo a su ubicación. Sin embargo, parte las inversiones estos desarrollos obvian un aspecto importante como lo es seguridad sustentabilidad éstas tiempo con respecto afectaciones que pueden generar: fenómenos naturales, antrópicos sociales, los cuales...