Methods Review of medical records of self-referred individuals (Group 1) and patients diagnosed through the intervention program (Group 2), and presenting for the first time to Via Libre HIV Clinic. We compared the initial condition of both groups. Cases included in the analysis completed a baseline clinical and laboratory evaluation, and had a decision made by the treating physician regarding ...

A29 year old woman, who was an intermittent contact lens wearer, is referred from her local ophthalmologist with a diagnosis of microbial keratitis. There is a large central corneal ulcer with stromal white cell recruitment and low grade anterior chamber (AC) activity. The patient has no other eye problems and is in good health. Would you perform a corneal scraping? Which antibiotics would you ...

OBJECTIVE To investigate factors determining changes in initial antiretroviral therapy (ART) in patients attended to in an AIDS tertiary care hospital in Ceará, Brazil. METHODS This descriptive and exploratory study used the analysis of request to initiate or change treatment forms in the year of 2008, and the changes in therapy were followed through the first year of treatment. Data were ana...

In patients with symptomatic paroxysmal atrial fibrillation that has not responded to medication, catheter ablation is more effective than antiarrhythmic drug therapy for maintaining sinus rhythm. However, the safety and efficacy of cryoballoon as initial first-line have been established.

Peritoneal fluid eosinophilia can be caused by many factors. It has been noted in helminthic infection or allergic diseases and can occur especially at the initiation of continuous ambulatory peritoneal dialysis (CAPD). We show the case of a 53-year-old woman undergoing CAPD who was initially treated for bacterial peritonitis with antibiotics. Finally, she revealed an eosinophilic peritonitis m...

The aim of this study was to investigate the profiles of pathogens and patterns of antibiotic resistance of emphysematous pyelonephritis (EPN), offering recommendations for initial antibiotic treatment.Between January, 2001, and November, 2014, demographic data, presenting clinical features, management strategies, and treatment outcomes of 51 patients with EPN were retrospectively reviewed, ana...