Abscesso hepático por Tuberculose em paciente com HIV: um relato de caso / Liver abscess by Tuberculosis IN HIV patient: a case report

A tuberculose é uma doença infectocontagiosa causada pelo Mycobacterium tuberculosis, comum em países em desenvolvimento. Os acomentimentos pulmonares são as principais manifestações da doença, embora existam, também, manifestações extrapulmonares, as quais são mais comuns em pacientes imunocomprometidos, a exemplo dos pacientes coinfectados com o HIV. O abscesso hepático é a forma menos comum de lesão. Entretanto, quando analisadas as taxas de mortalidade e os resultados dos tratamentos, é uma das manifestações extrapulmonares com pior prognóstico. O caso relatado segue com o diagnóstico através dos sinais e sintomas clínicos, além da realização dos exames laboratoriais e de imagem, a fim de diagnosticar e indicar os tratamentos cirúrgico e medicamentoso para tratar a infecção e sua consequente manifestação

291 Internal Carotid Artery Aneurysms Treated with Fred, Silk, and Pipeline Stents: A Cross-Sectional Study

Objective Intracranial aneurysms (IAs) are present in ∼ 2 to 5% of the population. Several treatments have been used, including endovascular options such as flow diverter devices (FDDs). The present study retrospectively analyzed the effectiveness of three FDDs in the treatment of 291 aneurysms in the internal carotid artery. The devices analyzed were the flow-redirection endoluminal device (FRED), the SILK Embolization Device and the PIPELINE Embolization Device (PED). Method This is a cross-sectional study which evaluates the outcome of control arteriography. The O'Kelly-Marotta (OKM) Scale was used to assess the degree of filling and flow stasis in the aneurysm 12 months after surgery. Results Conjoining the result of the three devices, most aneurysms (87.9%) were from the classification C-D, that is, they presented complete or almost complete aneurysmal occlusion. However, 6.6% did not obtain aneurysm occlusion, so they were classified as belonging to group A. In group B, a subocclusion was presented in 5.5%. In addition, by analyzing individually the result of each device, there was a bigger proportion of those classified in the group A among those who used SILK and in the group C-D among those who used FRED. Regarding complications, 10 cases were found, corresponding to 4.23% of all 236 patients. Therefore, four of these patients had complications when treated with PED; this proportion is higher than expected concerning the other groups. Conclusion The three devices are safe choices. Particularly, the FRED was found to be the most effective in treating internal carotid artery aneurysms