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1دورية أكاديمية
المصدر: Revista Educação em Saúde, Vol 1, Pp 99-102 (2018)
مصطلحات موضوعية: Spotted fever, Rickettsia rickettsii., Rickettsiosis., Luís Pedro de Assis¹, Paulo Ricardo de Lima¹.1-Universidade Federal de Goiás, Goiânia -GO-Brasil.ResumoObjetivo:Relatar caso raro de encefalite por Rickettsiasem exantema. Relato do Caso:Paciente sexo masculino de 44 anos, trabalhador rural, apresentou quadro de febre diária, mialgia e astenia progredindo com amaurose de olho esquerdo, ataxia, flutuação mental, paraparesia de membros inferiores e estrabismo divergente à esquerda. Concerniu-se em tratamento empírico com ceftriaxone e dixiclina para Brucelose, Rickettsia e Lyme. Exame laboratorial positivou para Rickettsia rickettsii. Discussão: A febre maculosa é uma doença infecciosa febril aguda, causada pela Rickettsia rickettsii. É adquirida pela picada do carrapato infectado, do gênero Amblyomma. Apresenta um curso clínico variável. O início dos sintomas costuma ser abrupto e inespecíficos. Manifestações neurológicas estão presentes em cerca de 40% dos casos. A reação de imunofluorescência indireta é o padrão-ouro para o diagnóstico. Os fármacos de melhor eficácia para o tratamento são: doxiciclina e o cloranfenicol. No Brasil, as taxas de mortalidade giram em torno de 20 a 30%. Considerações finais: A suspeição clínica e início precoce de antibioticoterapia dirigida são fundamentais para prevenir manifestações mais severas e permitir o sucesso terapêutico.Palavras-chave:Febre maculosa. Rickettsia rickettsii.Rickettsioses. Zoonoses.AbstractObjective:: To report a rare case of Rickettsia encephalitis without exanthema. Case report:A 44-year-old male patient, a rural worker, presented daily fever, myalgia and asthenia progressing with left eye amaurosis, mental fluctuation, paraparesis of the lower limbs, and divergent strabismus on the left. He was treated empirically with Ceftriaxone and dixiclin for Brucellosis, Rickettsia and Lyme. Positive laboratory test for Rickettsia rickettsii. Discussion: Macular Fever is an acute febrile infectious disease caused by Rickettsia rickettsii. It is acquired by the bite of the infected tick, of the genus Amblyomma. It presents a variable clinical course. The onset of symptoms is usually abrupt and nonspecific. Neurological manifestations are present in about 40% of the cases. The indirect immunofluorescence reaction is the gold standard for diagnosis. The drugs most effective for the treatment are: doxycycline and chloramphenicol. In Brazil, mortality rates are around 20-30%. Comments:Clinical suspicion and early initiation of targeted antibiotic therapy are critical to prevent more severe manifestations and to allow therapeutic success.Keyword:Spotted fever. Rickettsia rickettsii. Rickettsiosis., Zoonosis, Education, Medicine (General), R5-920
وصف الملف: electronic resource
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2دورية أكاديمية
المؤلفون: Jyoti Himanshu Matalia, Pratibha Panmand, Pooja Ghalla
المصدر: Indian Journal of Ophthalmology, Vol 65, Iss 10, Pp 1061-1063 (2017)
مصطلحات موضوعية: Congenital fibrosis of extraocular muscles, congenital fibrosis of extraocular muscles type 2, divergent strabismus fixus, exotropic strabismus fixus, Ophthalmology, RE1-994
وصف الملف: electronic resource
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3
المؤلفون: S. I. Rychkova, V. G. Likhvantseva
المصدر: Офтальмохирургия, Vol 0, Iss 1, Pp 62-70 (2020)
مصطلحات موضوعية: Orthodontics, Ophthalmology, genetic structures, strabismus, correspondence of retinas, deviation value, Divergent strabismus, Bagolini test, sense organs, Convergent strabismus, RE1-994, Strabismus, Concomitant strabismus, eye diseases, Mathematics
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4كتاب إلكتروني
المؤلفون: Daw, Nigel W.Aff3
المساهمون: Blakemore, Colin, editorAff1, Daw, Nigel W.Aff2
المصدر: Visual Development. :1-5
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5
المصدر: Journal of American Association for Pediatric Ophthalmology and Strabismus. 26:12.e1-12.e6
مصطلحات موضوعية: medicine.medical_specialty, Esotropia, Polymorphism, Genetic, genetic structures, business.industry, Divergent strabismus, eye diseases, Strabismus, Ophthalmology, Polymorphism (computer science), Internal medicine, Pediatrics, Perinatology and Child Health, Cohort, Convergent concomitant strabismus, Attributable risk, Exotropia, Humans, Medicine, sense organs, Convergent strabismus, business, Finland, Genetic association
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6دورية أكاديمية
المؤلفون: Alekseenko, S. V., Toporova, S. N.
المصدر: Neuroscience and Behavioral Physiology. July 2010 40(6):701-706
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7
المؤلفون: Luana Antunes Maranha Gatto, Zeferino Demartini, Gelson Luis Koppe, Rafaella do Rosario Tacla, Adriel Barro
المصدر: Brazilian Neurosurgery, Vol 37, Iss 03, Pp 217-222 (2018)
مصطلحات موضوعية: medicine.medical_specialty, lcsh:Surgery, lcsh:Medicine, Aneurysm, medicine, cardiovascular diseases, Angiodysplasia, Endovascular treatment, child, intracranial aneurysms, medicine.diagnostic_test, endovascular procedure, business.industry, carotid artery diseases, lcsh:R, Divergent strabismus, Treatment options, lcsh:RD1-811, medicine.disease, dissecting aneurysm, Surgery, medicine.anatomical_structure, Angiography, cardiovascular system, Neurology (clinical), therapeutic embolization, business, Perfusion, Artery
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c5744595d822c03874dce71222b50a5b
https://doi.org/10.1055/s-0038-1668495 -
8كتاب إلكتروني
المساهمون: Castriota-Scanderbeg, AlessandroAff1, Dallapiccola, BrunoAff2, Aff3
المصدر: Abnormal Skeletal Phenotypes : From Simple Signs to Complex Diagnoses. :672-673
Degree: M.D.
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9كتاب إلكتروني
المساهمون: Castriota-Scanderbeg, AlessandroAff1, Dallapiccola, BrunoAff2, Aff3
المصدر: Abnormal Skeletal Phenotypes : From Simple Signs to Complex Diagnoses. :630-631
Degree: M.D.
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10دورية أكاديمية
المؤلفون: Dragica Kosec, Ivana Gardaševič
المصدر: Zdravniški Vestnik, Vol 74, Iss 10 (2005)
مصطلحات موضوعية: strabismus, extraocular muscles, binocular vision, convergent strabismus, divergent strabismus, Medicine
وصف الملف: electronic resource