Syndrome in question

Neurofibromatosis is extremely variable in its presentation. Segmental neurofibromatosis (SNF), which corresponds to NF-type 5 in the Riccardi classification, is a rare disorder. It may go unrecognized if few lesions are observed. We present a case of segmental neurofibromatosis in a 28 year-old patient who presented with multiple papules and nodules distributed in dermatomal fashion on the trunk. The histopathological examination of the lesions revealed a non-encapsulated, well-circumscribed spindle cell neoplasm, which was consistent with neurofibromas.info:eu-repo/semantics/publishedVersio

Doença de Crohn vulvoperineal responsiva ao metronidazole

Crohn's disease is a multisystem chronic granulomatous inflammatory disease that primarily affects the gastrointestinal tract. In the majority of the cases, the cutaneous manifestations follow the intestinal disease, but occasionally dermatological lesions are the inaugural event and may constitute the only sign of the disease. Vulvoperineal involvement is rare, may precede bowel symptoms by months to years and may go unrecognized. Due to the paucity of reports of Crohn's disease at this location and in the absence of randomized trials, there are no standard treatments for the cutaneous disease. We describe the case of a 47 year-old woman with vulvoperineal Crohn's disease without digestive involvement, that was successfully managed with metronidazole

Tunga Penetrans: Painful Lesions on the Feet—The First Imported Case from Guinea-Bissau

Tungiasis is an endemic disease in certain poor areas around the world. Imported infestations in travelers are becoming more frequent and can lead to considerable morbidity. We report a case of a 50 year-old-man who returned from a trip to Guinea-Bissau with an infection caused by Tunga penetrans

Exuberant cutaneous ulcers on the buttocks caused by multi-resistant

Cutaneous infection develops because of environmental and local factors, host immunity, and organism adherence and virulence. The authors report a case of exuberant cutaneous ulcers on the buttocks of a diabetic patient. Microbiologic examination allowed the identification of Klebsiella pneumoniae and complete resolution was achieved with the appropriate antibioti

Tumors of skin appendages – A 10-year review

Introdução: Os tumores dos anexos cutâneos representam um grupo heterogéneo de neoplasias benignas e malignas com diferentes diferenciações morfológicas. Material e Métodos: Foi efectuado o estudo retrospectivo dos tumores dos anexos cutâneos diagnosticados na consulta externa do Serviço de Dermatologia do Centro Hospitalar do Porto, EPE-HSA entre 2000 a 2009. Resultados: Foram diagnosticados 404 tumores dos anexos cutâneos. Apenas 3% dos tumores eram malignos. A maioria apresentou uma diferenciação (62,6 %) folicular. Discussão: A revisão da literatura mostrou uma escassez de dados relativos a estudos retrospectivos dos tumores dos anexos cutâneos. Mais estudos são necessários para uma melhor caracterização epidemiológica destas entidades

Pellagra as the initial presentation of Crohn disease

Pellagra is a nutritional disease caused by the deficiency of niacin. We describe a case of pellagra as the initial presentation of Crohn disease, which has been rarely described in the literature

Penile Kaposi sarcoma: A case of complete resolution with highly active antiretroviral therapy alone

Kaposi sarcoma remains an important cause of morbidity in HIV-infected patients. Regardless of the recent pharmacological progress, treatment of this malignancy is still disappointing. We report the case of a patient with Kaposi sarcoma in an unusual localization, the penis, which completely resolved with highly active antiretroviral therapy alon

Search for microorganisms in antiseptic, disinfectant and detergent dispensers of a local health care unit from Northeast Portugal

Introduction: Health care associated infections (HCAI) are among the main causes of mortality worldwide, and of the increase of internment time and related costs. Many HCAI acquired in hospitals result from improper disinfection practices of medical devices and surfaces of the hospital environment, as also insufficient asepsis of health professional’s skin [1,2]. Objectives: The main objectives of the present work were to verify the presence of microorganisms in antiseptic, disinfectant and detergent dispensers from different services of Bragança’s Local Health Care Unit, and to determine their resistance profiles. Materials and Methods: 151 Samples were collected from antiseptic (alcoholic solution, povidone-iodine and chlorhexidine), disinfectant (70% alcohol) and detergent (dermatological soap) dispensers, and futher plated in Columbia CNA + 5% sheep blood and MacConkey agar. The identification and the bacterial antibiogram were performed using Vitek 2. Results and Discussion: Among the 151 samples plated, 25 exhibited contamination, corresponding to a contamination percentage of 17%. The most frequently identified and isolated microorganisms were Staphylococcus hominis, Sphingomonas paucimobilis and Staphylococcus epidermidis with a percentage of 20%, 20% and 16%, respectively. Micrococcus luteus/lylae, Rhizobium radiobacter, Staphylococcus capitis, Pseudomonas luteola, Staphylococcus warneri, Staphylococcus vitulinus, Kocuria kristinae and other gram-positive bacillus were identified with less prevalence. The dermatological soap was the product with the highest contamination percentage and it was in the Medicine services that more contaminated products were found, while Surgery services showed the lowest contamination. Some of the isolated bacteria showed important resistance profiles, such as Staphylococcus hominis and Staphylococcus epidermidis, namely to betalactams (oxacillin and amoxicillin/clavulanic acid) and quinolones (levofloxacin). Conclusion: Although the main isolated microorganisms belong to a group of commensal bacteria that do not cause problems to a person with a normal immunity system, these are responsible for HCAI. Therefore, it is essential to develop protocols for handling and packaging all the solutions in order to decrease the contamination level and, consequently, the HCAI