Browsing by Author "Santos, AS"
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- CAT-SCRATCH Disease: Still a ChallengePublication . Bota, S; Jacinto, S; Ferreira, C; Santos, AS; Varandas, L; Gouveia, C
- Combined Lung-Kidney Transplantation: First Case in PortugalPublication . Silva, D; Dantas, C; Santos, AS; Silva, C; Aires, I; Remédio, F; Carrelhas, S; Pena, A; Eurico Reis, J; Calvinho, P; Semedo, L; Cardoso, J; Nolasco, F; Fragata, JA significant dysfunction of another organ is usually considered an absolute contraindication for lung transplantation, unless multiorgan transplantation is indicated and practical, as is the case of combined lung-kidney transplantation. Few cases of combined lung-kidney transplantation have been described in the literature; however, it is known that, in certain cases, it is the only way to offer an opportunity to selected patients with renal and lung dysfunction. The authors are not aware of any previously published case of a patient receiving both extracorporeal membrane oxygenation and continuous venovenous hemodiafiltration as a bridge for combined kidney-lung transplantation. The authors present the first case of combined lung-kidney transplantation performed in Portugal.
- Intraventricular Colistin in Gram-Negative Ventriculoperitoneal Shunt Infection in Two Pediatric PatientsPublication . Santos, AS; Iraneta, A; Matos, M; Brito, MJ
- Q Fever Chronic Osteomyelitis in Two ChildrenPublication . Costa, B; Morais, A; Santos, AS; Tavares, D; Seves, G; Gouveia, CWe report 2 cases of chronic Q fever osteomyelitis in 10- and 5-year-old girls who presented with distal right femoral and left parasternal granulomatous osteomyelitis, respectively. Both were treated with ciprofloxacin and rifampin with good response. Q fever osteomyelitis is a challenging diagnosis in children, and the choice of antimicrobial treatment is difficult because of limited available data.
- Rickettsial Infection Caused by Accidental Conjunctival InoculationPublication . Brissos, J; de Sousa, R; Santos, AS; Gouveia, CThe most common transmission route of tick-borne Rickettsia is through tick bite; nevertheless, other transmission routes should also be considered. We report a case of rickettsial infection in a 15-year-old boy caused by accidental contamination of the conjunctiva through the infected fluid of a crushed engorged tick removed from a dog. Right eye pain, conjunctival hyperaemia with mucopurulent exudate, chemosis and eyelid oedema were the first signs and symptoms. Two days later, the boy developed fever, myalgia, headache, abdominal pain and was vomiting; physical examination showed multiple cervical adenopathies but no rash. He was treated with doxycycline (200 mg/day) for 7 days with progressive resolution of clinical signs. Rickettsial infection was confirmed by immunofluorescence assay with serological seroconversion in two consecutive samples. Rickettsia conorii or Rickettsia massiliae were the possible causal agents since they are the Rickettsia spp found in the Rhipicephalus sanguineus dog tick in Portugal.