Reação Dimorfa com comprometimento ósseo nas extremidades superiores, em paciente com endocardite-bacteriana

Detalhes bibliográficos
Autor(a) principal: FLEURY, Raul Negrão
Data de Publicação: 1978
Outros Autores: PERNAMBUCO, José Carlos de Almeida, OPROMOLLA, Diltor Vladimir de Araújo
Tipo de documento: Artigo
Idioma: por
Título da fonte: Hansenologia Internationalis (Online)
Texto Completo: https://periodicos.saude.sp.gov.br/hansenologia/article/view/36088
Resumo: A patient, 54 year old, with a diagnosis of dimorphous Hanseniasis, interned in the hospital for physical therapy, presents a systemic infectious involvement of sub-acute evolution associated with acute inflamatory manifestations in the upper limbs, with bone involvement. This involvement is characterized by periostitic lesions of the phalanges and metacarpus and by areas suggesting bone erosions. He died of toxic-infectious shock and congestive heart failure. The autopsy indicated bacterial endocarditis with thrombotic ulcerations and the involvement of skin, peripheral nerves, and bone tissue by tuberculoid granulomas with a positive (+) B.I. Cicatricial fibrosis, disorganization, and bone neoformations are also noted in the bone tissue, principally in sub-periosteal locations. The relationship between bacterialendocarditis and dimorphous hanseniasis reactivations are discussed.
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spelling Reação Dimorfa com comprometimento ósseo nas extremidades superiores, em paciente com endocardite-bacterianaA patient, 54 year old, with a diagnosis of dimorphous Hanseniasis, interned in the hospital for physical therapy, presents a systemic infectious involvement of sub-acute evolution associated with acute inflamatory manifestations in the upper limbs, with bone involvement. This involvement is characterized by periostitic lesions of the phalanges and metacarpus and by areas suggesting bone erosions. He died of toxic-infectious shock and congestive heart failure. The autopsy indicated bacterial endocarditis with thrombotic ulcerations and the involvement of skin, peripheral nerves, and bone tissue by tuberculoid granulomas with a positive (+) B.I. Cicatricial fibrosis, disorganization, and bone neoformations are also noted in the bone tissue, principally in sub-periosteal locations. The relationship between bacterialendocarditis and dimorphous hanseniasis reactivations are discussed.Um paciente de 54 anos, com o diagnóstico de Hanseníase dimorfa internado no Hospital para tratamento fisioterápico, apresenta quadro infeccioso sistémico de evolução subaguda, associado as manifestações inflamatórias agudas nas extremidades superiores com comprometimento ósseo. Este comprometimento caracterizou-se por lesões tipo periostite em falanges e metacarpos e áreas sugestivas de erosões ósseas. Falece em colapso tóxico-infeccioso e Insuficiência cardíaca congestiva. A autopsia evidencia Endocardite bacteriana trombo-ulcerativa e comprometimento de pele, nervos periféricos e tecido ósseo por granulomas tuberculóides onde a baciloscopia foi positiva (+). Ainda no tecido ósseo, principalmente em localização subperiosteal há fibrose cicatricial, desorganização e neoformação óssea. E discutida a relação entre o processo de Endocardite bacteriana e a reativação da hanseníase dimorfa.Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo1978-11-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresapplication/pdfhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/3608810.47878/hi.1978.v3.36088Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 3 No. 2 (1978); 232-239Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 3 n. 2 (1978); 232-2391982-5161reponame:Hansenologia Internationalis (Online)instname:Instituto Lauro de Souza Lima (ILSL)instacron:ILSLporhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/36088/34392https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFLEURY, Raul NegrãoPERNAMBUCO, José Carlos de AlmeidaOPROMOLLA, Diltor Vladimir de Araújo2023-11-29T16:37:17Zoai:ojs.periodicos.saude.sp.gov.br:article/36088Revistahttps://periodicos.saude.sp.gov.br/hansenologiaPRIhttps://periodicos.saude.sp.gov.br/hansenologia/oaihansen_int@ilsl.br || hansenologia.internationalis@gmail.com || periodicossp@saude.sp.gov.br1982-51610100-3283opendoar:2023-11-29T16:37:17Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL)false
dc.title.none.fl_str_mv Reação Dimorfa com comprometimento ósseo nas extremidades superiores, em paciente com endocardite-bacteriana
title Reação Dimorfa com comprometimento ósseo nas extremidades superiores, em paciente com endocardite-bacteriana
spellingShingle Reação Dimorfa com comprometimento ósseo nas extremidades superiores, em paciente com endocardite-bacteriana
FLEURY, Raul Negrão
title_short Reação Dimorfa com comprometimento ósseo nas extremidades superiores, em paciente com endocardite-bacteriana
title_full Reação Dimorfa com comprometimento ósseo nas extremidades superiores, em paciente com endocardite-bacteriana
title_fullStr Reação Dimorfa com comprometimento ósseo nas extremidades superiores, em paciente com endocardite-bacteriana
title_full_unstemmed Reação Dimorfa com comprometimento ósseo nas extremidades superiores, em paciente com endocardite-bacteriana
title_sort Reação Dimorfa com comprometimento ósseo nas extremidades superiores, em paciente com endocardite-bacteriana
author FLEURY, Raul Negrão
author_facet FLEURY, Raul Negrão
PERNAMBUCO, José Carlos de Almeida
OPROMOLLA, Diltor Vladimir de Araújo
author_role author
author2 PERNAMBUCO, José Carlos de Almeida
OPROMOLLA, Diltor Vladimir de Araújo
author2_role author
author
dc.contributor.author.fl_str_mv FLEURY, Raul Negrão
PERNAMBUCO, José Carlos de Almeida
OPROMOLLA, Diltor Vladimir de Araújo
description A patient, 54 year old, with a diagnosis of dimorphous Hanseniasis, interned in the hospital for physical therapy, presents a systemic infectious involvement of sub-acute evolution associated with acute inflamatory manifestations in the upper limbs, with bone involvement. This involvement is characterized by periostitic lesions of the phalanges and metacarpus and by areas suggesting bone erosions. He died of toxic-infectious shock and congestive heart failure. The autopsy indicated bacterial endocarditis with thrombotic ulcerations and the involvement of skin, peripheral nerves, and bone tissue by tuberculoid granulomas with a positive (+) B.I. Cicatricial fibrosis, disorganization, and bone neoformations are also noted in the bone tissue, principally in sub-periosteal locations. The relationship between bacterialendocarditis and dimorphous hanseniasis reactivations are discussed.
publishDate 1978
dc.date.none.fl_str_mv 1978-11-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.saude.sp.gov.br/hansenologia/article/view/36088
10.47878/hi.1978.v3.36088
url https://periodicos.saude.sp.gov.br/hansenologia/article/view/36088
identifier_str_mv 10.47878/hi.1978.v3.36088
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://periodicos.saude.sp.gov.br/hansenologia/article/view/36088/34392
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo
publisher.none.fl_str_mv Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo
dc.source.none.fl_str_mv Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 3 No. 2 (1978); 232-239
Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 3 n. 2 (1978); 232-239
1982-5161
reponame:Hansenologia Internationalis (Online)
instname:Instituto Lauro de Souza Lima (ILSL)
instacron:ILSL
instname_str Instituto Lauro de Souza Lima (ILSL)
instacron_str ILSL
institution ILSL
reponame_str Hansenologia Internationalis (Online)
collection Hansenologia Internationalis (Online)
repository.name.fl_str_mv Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL)
repository.mail.fl_str_mv hansen_int@ilsl.br || hansenologia.internationalis@gmail.com || periodicossp@saude.sp.gov.br
_version_ 1796797580514951168

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