Abstract：
INTRODUCTION:Meningococcal disease has a wide spectrum of clinical presentation. Occult bacteremia is not easily diagnosed and may have good prognostic. CLINIC REPORT:Three year-old African boy with fever, gonalgia and gait disorder with 24 hours of evolution. Observation was unremarkable. He presented leukocytosis (27,300/mL) with neutrophilia (21,000/mL) and elevated reactive C protein (10.8 mg/dl) with normal osteo-articular imagiologic exams. A blood culture was obtained and he was discharged with the probable diagnosis of hip synovitis. Two days later, he was asymptomatic without fever or blood infectious parameters although Neisseria meningitidis was identified in the blood culture. Ceftriaxone was given for seven days. Before starting this treatment a second blood culture was negative. There were no complications. DISCUSSION:Meningococcal disease may present with fever without toxic appearance--unsuspected meningococcal disease--causing difficulty in the diagnosis and delaying the treatment. Spontaneous resolution is rare and severe complications may occur.
journal_name
Acta Med Portjournal_title
Acta medica portuguesaauthors
Coelho R,Brito MJsubject
Has Abstractpub_date
2006-03-01 00:00:00pages
185-8issue
2eissn
0870-399Xissn
1646-0758journal_volume
19pub_type
杂志文章abstract：:Temporal arteritis is a chronic vasculitis of medium and large-size vessels and involves particularly extracranial branches of the aortic arch arteries. Authors report the case of a 73-year-old woman who presented to the hospital after looking for medical counselling three times because of unexplained fever, fatigue, ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2011-03-01 00:00:00
abstract：:Our study centred on the research of Pelvic Endometriosis prevalence, in 134 women, who were submitted to diagnostic or surgical laparoscopy in our department, from April 1991 to November 1994. According to the admission causes, the women were divided in four groups: Pelvic pain/infertility/Anexial tumours/Optional tu...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1997-10-01 00:00:00
abstract：:Idiopathic chronic eosinophilic pneumonia (ICEP) is a rare disorder of unknown cause, associated with intense and abnormal eosinophilic lung infiltration. Most cases occur in patients with prior history of atopy and asthma. It is characterized by subacute or chronic presentation, alveolar and blood eosinophilia and pe...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2010-11-01 00:00:00
abstract：:Treatment of breast cancer generally involves quadrantectomy and mastectomy followed by radiotherapy and chemotherapy depending on indication. The object of the present study was to verify the extent of movement of the shoulder after breast cancer treatment and the influence of the type of surgery (quadrantectomy and ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2009-09-01 00:00:00
abstract：:Two types of platelet alloantigens are considered: type I, which refers to platelet alloantigens shared by platelets and other cells; and type II, which comprises the platelet-specific alloantigens. The Human Platelet Alloantigens (HPA) System consists of five diallelic alloantigens and eleven low frequency antigens. ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2000-09-01 00:00:00
abstract：:Selected medical students for undergraduate medical courses in Portugal exhibit each year substantial deficiencies in chemistry. The group of students admitted to the Faculty of Medicine of Lisbon in 1989/1990 were selected by admission criteria apparently more restrictive than before. The aim of this study was to eva...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1991-01-01 00:00:00
abstract：:The diagnosis of cerebral cardioembolism requires, apart from evidence of an embolic cardiopathy, a cause-effect relation to be established between the potential cardioembolic source and the occurrence of ischemic stroke. There are several arguments in favour of this reaction, namely the neurologic aspects put forward...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：1997-08-01 00:00:00
abstract：INTRODUCTION:The determination of hand grip strength is an objective method of evaluation of upper members' integrity. It is also used as a general health indicator. Data about grip strength values in healthy children is useful in the research and diagnosis of diseases that interfere with grip force. The aim of this st...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2010-09-01 00:00:00
abstract：:Our study included 42 patients with obstructive sleep apnea (OSAS) confirmed by polysomnography. In these patients we investigated the clinical manifestations, the results of the laboratory examinations, including polysomnography, ORL observations and tests of pulmonary function, as well as the therapeutic results. Ou...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1994-12-01 00:00:00
abstract：INTRODUCTION:Metals are a common cause of allergic contact dermatitis. After the introduction of the EU Nickel Directive (1994/27/CE; 2004/96/EC) and, more recently, the Cement Directive (2003/53/EC) there has been a significant decrease in sensitization to metals mainly in the Nordic countries. The applicability of th...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2014-05-01 00:00:00
abstract：BACKGROUND:Renal transplantation is the treatment of choice for children with end stage renal disease with positive impact on survival and quality of life. However, some complications affect morbidity and mortality. This study examines the renal transplantation complications profile in pediatric patients (<18 y). MATE...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2013-09-01 00:00:00
abstract：INTRODUCTION:The use of adequate assessment tools in health care is crucial for the management of care. The lack of specific tools in Portugal for assessing the performance of children who use cochlear implants motivated the translation and adaptation of the EARS (Evaluation of Auditory Responses to Speech) test batter...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2014-01-01 00:00:00
abstract：:After defining U.I. as a symptom, sign and condition, the author claims, through epidemiological studies, that this reflects a major medical, social and economic problem. On the other hand the physiopathology of U.I. can be explained in a context of balance between the retention and emptying forces during the filling ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
abstract：:Duodenocaval fistula is a type of digestive fistula rarely described in the literature. It usually manifests by sepsis associated with gastrointestinal bleeding. The treatment is surgical and the prognosis usually not favorable. We describe the case of a woman admitted to our hospital with sepsis, having been diagnose...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2011-09-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to determine the safety and efficacy in the first sixteen patients operated by endoscopic third ventriculostomy for triventricular obstructive hydrocephalus in the Hospital of S. João-Porto. METHODS:Operated from December 1998 to December 1999, there were one adult, one teenager...
journal_title：Acta medica portuguesa
pub_type： 临床试验,杂志文章
doi：
更新日期：2002-09-01 00:00:00
abstract：:Pleural mesothelioma is a disease associated with exposure to asbestos. Although rare, it is the most common malignant pleural neoplasm. It is difficult to diagnose and it has a poor prognosis. We report the case of a 62-year-old male patient with a history of prolonged occupational exposure to asbestos, with dyspnea ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.11406
更新日期：2020-02-03 00:00:00
abstract：INTRODUCTION:Deep brain stimulation (DBS) is effective in advanced Parkinson's disease (PD), improving motor symptoms, fluctuations and quality of life. However, adverse psychiatric outcomes have been reported, albeit variably and in an unstandardized fashion. We aimed to summarize the published evidence on the outcome...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,meta分析,评审
doi：10.20344/amp.4928
更新日期：2014-05-01 00:00:00
abstract：:In an attempt to discern the paradigms underlying our medical practice (more specifically paediatrics) over the last 30 years, it was found that these are rather similar to the ones prevailing at the beginning of this period--all wrong-doings were attributed to outside forces which had to be neutralized; the obsession...
journal_title：Acta medica portuguesa
pub_type： 历史文章,杂志文章
doi：
更新日期：2000-07-01 00:00:00
abstract：UNLABELLED:In Portugal, there have been many studies on the prevalence of overweight and obesity in children and adolescents. However, because many of the studies are not submitted to publication in scientific journals, these results remain unknown. OBJECTIVE:To obtain recent data on the prevalence of overweight and o...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2011-03-01 00:00:00
abstract：INTRODUCTION:Progressive multifocal leukoencephalopathy is a demyelinating disease of the central nervous system caused by John Cunningham virus, mostly associated with immunodeficiency conditions, such as the human immunodeficiency virus infection. Progressive multifocal leukoencephalopathy can have multiple clinical ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：10.20344/amp.5950
更新日期：2015-05-01 00:00:00
abstract：INTRODUCTION:Clinically isolated syndrome may be the first manifestation of multiple sclerosis, a chronic demyelinating disease of the central nervous system, and it is defined by a single clinical episode suggestive of demyelination. However, patients with this syndrome, even with long term follow up, may not develop ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：10.20344/amp.7650
更新日期：2016-11-01 00:00:00
abstract：:Considering the geographical asymmetric distribution of viral hepatitis A, B and E, having a much higher prevalence in the less developed world, travellers from developed countries are exposed to a considerable and often underestimated risk of hepatitis infection. In fact a significant percentage of viral hepatitis oc...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2007-11-01 00:00:00
abstract：UNLABELLED:Tobacco smoking is the cause of more than half million deaths/year in the European Union (EU). Monitoring smoking prevalence is an important tool to evaluate the epidemic and its evolution and to assess the effectiveness of preventive measures. The comparison between countries may help us identify good contr...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2009-07-01 00:00:00
abstract：:Blood samples collected from 1017 individuals incarcerated in the prisons of Caxias, Linhó and Tires, during 1990, were tested for anti-HIV. Rates of seropositivity were interpreted in the view of statistical data issued from the Council of Europe. ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1991-11-01 00:00:00
abstract：:Spontaneous ileopsoas hematoma is a rare and potentially lethal complication of liver cirrhosis, with exceptional mention in medical literature. In this article we present a clinical case diagnosed in a patient with alcoholic liver cirrhosis. ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2012-01-01 00:00:00
abstract：:Nowadays, the digestive system, must be considered as an actual endocrinous gland. The authors, after pointing out the pharmacological and immunomodulating actions of endogenous somatostatine, briefly describe a new synthetic octapeptid, somatostatine-analogue, with similar pharmacological effects (octreotide). Finall...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：1993-01-01 00:00:00
abstract：INTRODUCTION:Peritoneal dialysis is the dialytic method of choice in chronic end-stage renal disease in children. This study main purpose was to characterize the long-term survival of a pediatric population who began peritoneal dialysis within the first two years of life. MATERIAL AND METHODS:A descriptive and retrosp...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.6913
更新日期：2016-09-01 00:00:00
abstract：:Behçet's disease is a chronic inflammatory, multisystemic disease of unknown aetiology. Central nervous system involvement occurs in a variable proportion of cases (4 to 49%) and is due to intracranial hypertension secondary to dural sinus thrombosis, inflammatory parenquimal lesions or recurrent meningoencephalitis. ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2006-11-01 00:00:00
abstract：INTRODUCTION:Visceral leishmaniasis is an endemic disseminated infection, considered to be the third most frequent opportunistic parasitic infection in Europe. It is especially prevalent in patients co-infected with human immunodeficiency virus, in whom it poses a great therapeutic challenge due to increased risk of re...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.8291
更新日期：2017-06-30 00:00:00
abstract：:An opinion article of health care programmes questioning the effects and benefits of their management. The AA, based on their experience in management/administration, present suggestions to identify, quantify and analyse a problem in health care. After characterising a health care problem, the AA point out the fundame...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1995-03-01 00:00:00
