CCS - DINF - Artigos publicados em periódicos

URI Permanente para esta coleçãohttps://repositorio.ufrn.br/handle/1/50

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Bundle interdisciplinar para Unidade de Terapia Intensiva COVID-19: uma revisão de literatura
(Research, Society And Development, 2023) Machado, Flávia Christiane de Azevedo; Oliveira, Suelen Ferreira de; Dantas, Dândara Nayara Azevedo; Alves, Manoella do Monte; Dantas, Anna Livia de Medeiros; Rodrigues, Arthur Senna Monteiro de Medeiros; Martins, Ana Clara Braz; https://orcid.org/0000-0003-1587-2664
Objetivo: identificar as variáveis importantes para compor uma avaliação interdisciplinar da pessoa com COVID-19 grave e assim elaborar um bundle. Metodologia: Este é um estudo qualitativo do tipo revisão integrativa. Realizou-se as buscas nas seguintes bases de dados: Science Direct, Scientific Electronic Library Online, Literatura Latino Americana e do Caribe em Ciências da Saúde, Scopus e Web of Science. Como critérios para inclusão, foram selecionados estudos que abordassem o tema do estudo e que estivessem disponíveis para leitura na íntegra. Foram excluídos aqueles que se apresentassem duplicados. Resultados: Foram selecionados nove artigos para leitura na íntegra. Os estudos serviram como base para a criação do instrumento de avaliação a pessoa com COVID-19 grave, onde as variáveis foram incluídas mediante informações extraídas da revisão como: necessidades calóricas, mobilidade estimulada e higiene oral. Conclusão: Acredita-se que a inserção de um instrumento como estena prática clínica possa colaborar com a coleção de informações importantes para discussão interdisciplinar de forma contínua e atualizada
Chronic cavitary pneumonia by Rhodococcus equi in a highly prevalent tuberculosis country: a diagnosis challenge
(Universidade de São Paulo, 2018-11-14) Vechi, Hareton Teixeira; Oliveira, Eduardo Teodoro Gurgel de; Freitas, Marise Reis de; Rossi, Flávia; Britto, Maria Helena Marques Fonseca de; Alves, Manoella do Monte
Rhodococcus equi is a facultative aerobic, intracellular, non-motile, non-spore-forming, Gram-positive, weakly acid-fast coccobacillus belonging to the group of nocardioform actinomycetes. R. equi infections are rare opportunistic illnesses in patients with Acquired Immunodeficiency Syndrome (AIDS), associated with a high mortality rate. The most common clinical presentation of R. equi infections is a chronic cavitary pneumonia. Due to its acid-fastness, R. equi can be mistaken for others acid-fast organisms, as Mycobacterium tuberculosis. In turn, R. equi is also a gram-positive pleomorphic bacteria and can be mistaken for diphtheroids or Micrococcus organisms, being accidentally disregarded as oral contaminants in sputum cultures. Therefore, in Brazil, a highly prevalent tuberculosis (TB) country, pulmonary infections caused by R. equi may mimic pulmonary TB and represent a diagnostic challenge. Here, we report on a case of chronic cavitary pneumonia by R. equi in a Human Immunodeficiency Virus (HIV)-infected patient, focusing on diagnostic aspects.
Late acute pulmonary embolism after mild Coronavirus Disease 2019 (COVID-19): a case series
(Universidade de São Paulo, 2020-08) Vechi, Hareton Teixeira; Maia, Lucas Rodrigues; Alves, Manoella do Monte
In late 2019, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerged as the cause of a cluster of pneumonia cases in China, and the corresponding disease was designated as Coronavirus Disease 2019 (COVID-19), spreading quickly around the world resulting in a pandemic. COVID-19 is associated with a set of coagulation abnormalities that increase the risk of thromboembolic events, especially in patients with severe/critical disease. We describe a series of five cases of mild COVID-19, treated in an outpatient clinic, which, after an apparent clinical improvement, developed acute pulmonary embolism (APE) between the third and the fourth week after the onset of symptoms, when they are mostly related to acute illness disappearance. Thromboembolic events are also a potential complication of mild COVID-19 and can manifest later in the disease course. This finding raises discussion about the prevention of thromboembolic events in selected group of patients with mild COVID-19.
Mycobacterium marinum infection simulating chromomycosis: a case report
(Universidade de São Paulo (USP), 2020) Bezerra, Guilherme Holanda; Honório, Monica Larissa Padilha; Costa, Vivianne Lira da Camara; Vechi, Hareton Teixeira; Alves, Manoella do Monte; Britto, Maria Helena Marques Fonseca de; Rocha, Keyla Borges Ferreira; Carvalho, Luciana Distásio de
Skins infections caused by Mycobacterium marinum occur only rarely. We report one case of chronic and extensive M. marinum cutaneous infection simulating chromoblastomycosis and review the pertinent literature. A 52-year-old farmer reported a 32-year chronic skin problem on his right lower limb, resulting from contact with cacti. It consisted of skin lesion presenting with dyschromic atrophic center plate and verrucous borders with hematic crusts, extending from the knee anteriorly to the inferior third of the right leg. Mycobacterium marinum infection was detected by histopathological examination of a skin fragment, culture for mycobacteria and genetic mapping of the culture material. The patient was successfully treated with Ethambutol, Rifampicin and Trimethoprim-Sulfamethoxazole. The clinical and histopathological findings of M. marinum infection is nonspecific showing clinical polymorphism and bacilli are rarely evident on histopathological examination. Given these difficulties, it is essential to perform tissue culture in a suspicious case and it is important keep this infection in mind in patients with long-lasting indolent verrucous lesions and a history of exposure to sea water, freshwater, aquaria or fish

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