A5101454176- Viral Infections and Vectors
- Atrial Fibrillation Management and Outcomes
- Vector-borne infectious diseases
- Acute Myocardial Infarction Research
- Cerebrovascular and Carotid Artery Diseases
- Venous Thromboembolism Diagnosis and Management
- Otitis Media and Relapsing Polychondritis
- Mosquito-borne diseases and control
- Acute Ischemic Stroke Management
- Pericarditis and Cardiac Tamponade
- Heart Failure Treatment and Management
- COVID-19 and Mental Health
- Brucella: diagnosis, epidemiology, treatment
- Vascular Anomalies and Treatments
- Cardiac Valve Diseases and Treatments
- Parathyroid Disorders and Treatments
- Vector-Borne Animal Diseases
- Edible Oils Quality and Analysis
- Infection Control and Ventilation
- Eosinophilic Disorders and Syndromes
- Transplantation: Methods and Outcomes
- Retinal and Optic Conditions
- Cardiac pacing and defibrillation studies
- Inflammasome and immune disorders
- COVID-19 epidemiological studies
Hospital do Espírito Santo
2005-2022
Medicina
2019
University of Verona
2018
Sociedad Española de Medicina Interna
2001
Abstract Objective Behçet's disease ( BD ) is a chronic, relapsing, inflammatory vascular with no pathognomonic test. Low sensitivity of the currently applied International Study Group ISG clinical diagnostic criteria led to their reassessment. Methods An Team for Revision Criteria (from 27 countries) submitted data from 2556 clinically diagnosed patients and 1163 controls ‐mimicking diseases or presenting at least one major sign. These were randomly divided into training validation sets....
The pathophysiologic mechanisms that determine the severity of Mediterranean spotted fever (MSF) and host-related microbe-related risk factors for a fatal outcome are incompletely understood.
Stroke is the third leading cause of death in most Western countries. Cardioembolism might be responsible for 15% to 20% ischemic strokes. Although atrial fibrillation can diagnosed by electrocardiography, remaining causes cardioembolic stroke are echocardiography. Recent recommendations on management acute fail consider echocardiography as an essential test all patients.We conducted a prospective observational study, performing transthoracic patients admitted our hospital with stroke, sinus...
In Portugal, Mediterranean spotted fever (MSF) is caused by R. conorii Malish and Israeli (ISF) strains. It has been suggested that the ISF strain isolated from patients with MSF causes different clinical manifestations compared to those strain, namely absence of eschar greater severity. The aim this study was analyze presence or fatality in Portuguese infected either strain. Of 94 a diagnosis between 1994 2004, 47 were Eschars reported 20 (49%) 17 (39%) not statistically associated extent...
Background:The role of transesophageal echocardiography (TEE) in the evaluation acute stroke patients is still ill-defi ned.We conducted a prospective observational study to fi nd prevalence TEE ndings that indicate anticoagulation as benefi cial, ischemic without indication for based on clinical, electrocardiographic and transthoracic (TTE) ndings.Methods: We prospectively studied all referred our laboratory TTE TEE.Patients were excluded if diagnosis was not or they had an...
Venous thromboembolism (VTE) risk assessment is a cornerstone for the achievement of best practices and outcomes. Epidemiologic data related to venous thromboprophylaxis as considered by global ENDORSE study, (Epidemiologic International Day Evaluation Patients at Risk Thromboembolism in Acute Hospital Care Setting), enrolled 68,183 patients from 32 countries, which Portugal. Within ENDORSE, all participant countries analyzed determine their VTE evaluate suitability prophylaxis.European were...
Takotsubo cardiomyopathy is a condition characterized by transient left ventricular systolic and diastolic dysfunction, with possible direct causal role of catecholamine in its pathophysiology. We present case woman shock adrenal insufficiency whom developed after treatment norepinephrine. This confirms the pathophysiology cardiomyopathy. An 82-year-old presented asthenia, anorexia, nausea abdominal pain. The patient had been on chronic corticosteroid therapy until 3 months before, when she...
We report a case of 62-year-old female patient with 3-year history non-traumatic palpebral and periorbital purpura (figure 1) episodes syncope. She had no other alteration on clinical examination. Figure 1 Palpebral purpura. The laboratory study showed complete blood count, serum electrolytes, renal function, coagulation bilirubin within normal limits, alkaline phosphatase 171 IU/L (normal range 45–116), γ-glutamyltransferase 192 IU/L (12–43), alanine aminotransferase 50 IU/L (9–52)...
A responsividade a fluidos tem sido um tema quente há algum tempo. Embora tenha uma definição conceptual fácil (a resposta à expansão de volume com aumento do débito cardíaco), sua avaliação na prática assunto investigação, debate e alguma controvérsia nos últimos 15 ou 20 anos. O problema é que não sinónimo benefício da administração fluidos. E temos andado gastar tempo investigar formas prever eu realmente quero saber se o doente responsivo (não somos todos?), mas antes aquele específico...
Introdução: A elevação de troponina é frequente nos doentes internados. O seu significado e classificação (lesão miocárdica crónica versus aguda enfarte agudo miocárdio (EAM), quer tipo 1, 2) não se encontram esclarecidos. objectivo deste estudo foi avaliar o classificar as elevações em internados numa enfermaria Medicina Interna.
 Material Métodos: Estudo retrospectivo internados, num período dois anos, Interna, a quem foram pedidos, pelo menos, 2 doseamentos I, ao critério do médico...
Introdução: O S. de Churg-Strauss (SCS) é uma entidade clínica em que um quadro asma e eosinofilia coexiste com atingimento multissistémico. Caso-clínico: Um homem 63 anos, diagnóstico rinite alérgica desde os 55 inicia febre, artrite, polineuropatia hematúria. Verificou-se a existência marcada sinusopatia maxilar etmoidal bilateral. Iniciou corticoterapia, regressão completa do clínico laboratorial. Está actualmente assintomático, Prednisolona 5 mg/dia. Discussão: Revendo diagnósticos...
A pandemia SARS-CoV-2/COVID-19 tem provocado reacções antagónicas entre quem a considera uma infecção benigna e classifica como grave, pense que as medidas são excessivas ache insuficientes. Esta é frequentemente assintomática ou ligeira, só raramente grave crítica, com letalidade duas três vezes superior à da gripe sazonal. No entanto, o número absoluto de doentes necessidade internamento em enfermaria Unidade Cuidados Intensivos (UCI) muito variável região para região, podendo...