المؤلفون: Talita Fernandes Araújo, Luís Pedro Ferreira de Assis, Paulo Ricardo de Lima

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

Relation: http://periodicos.unievangelica.edu.br/index.php/educacaoemsaude/article/view/2935/2318; https://doaj.org/toc/2358-9868

URL الوصول: https://doaj.org/article/7fdae9bdee7347838ab7ca03511c9851

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

Relation: http://www.ijo.in/article.asp?issn=0301-4738;year=2017;volume=65;issue=10;spage=1061;epage=1063;aulast=Matalia; https://doaj.org/toc/0301-4738; https://doaj.org/toc/1998-3689

URL الوصول: https://doaj.org/article/9c388092664b4b3ba48dbab9dacfd8e5

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

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::309799698b2153b86fa018b2da33567c
https://doi.org/10.25276/0235-4160-2020-1-62-70

المؤلفون: Daw, Nigel W.^Aff3

المساهمون: Blakemore, Colin, editor^Aff1, Daw, Nigel W.^Aff2

المصدر: Visual Development. :1-5

المؤلفون: Denis Plotnikov, Denize Atan, Jeremy A. Guggenheim, Olavi Pärssinen, Cathy Williams

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

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::657d598647a0266a5656fe5cb13463f3
https://doi.org/10.1016/j.jaapos.2021.07.015

المؤلفون: Alekseenko, S. V., Toporova, S. N.

المصدر: Neuroscience and Behavioral Physiology. July 2010 40(6):701-706

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

المساهمون: Castriota-Scanderbeg, Alessandro^Aff1, Dallapiccola, Bruno^{Aff2, Aff3}

المصدر: Abnormal Skeletal Phenotypes : From Simple Signs to Complex Diagnoses. :672-673

Degree: M.D.

المساهمون: Castriota-Scanderbeg, Alessandro^Aff1, Dallapiccola, Bruno^{Aff2, Aff3}

المصدر: Abnormal Skeletal Phenotypes : From Simple Signs to Complex Diagnoses. :630-631

Degree: M.D.

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

Relation: http://vestnik.szd.si/index.php/ZdravVest/article/view/2163; https://doaj.org/toc/1318-0347; https://doaj.org/toc/1581-0224

URL الوصول: https://doaj.org/article/b1069c2f99524a758fd6530ba977a364