Publications by authors named "Carol Fernandes"
Article Synopsis
- A case study of a 41-year-old male with DD revealed that he developed hypothyroidism after starting acitretin, which is a rare side effect.
- Despite initially benefiting from the treatment, acitretin was discontinued due to side effects, highlighting the need for regular blood monitoring during its use.
Septic shock, hyperferritinemic syndrome, and multiple organ dysfunction without respiratory failure in a patient with disseminated histoplasmosis and advanced HIV disease.
Rev Inst Med Trop Sao Paulo
April 2023
Article Synopsis
- A 41-year-old man with recent HIV diagnosis presented with severe symptoms including fever, skin lesions, and confusion, leading to septic shock and multiorgan dysfunction due to AIDS-related disseminated histoplasmosis.
- Despite initial concerns, he received a timely diagnosis involving Histoplasma spp. and progressed to intensive care treatment that included antifungal therapy and necessary life support measures.
- Ultimately, after 32 days in the ICU and a comprehensive management plan, he improved and was discharged on oral medications, underscoring the importance of recognizing histoplasmosis in advanced HIV patients.
Article Synopsis
- Recent clinical research highlights proenkephalin (PENK) as a potential biomarker for early detection of acute kidney injury (AKI) in liver transplantation patients.
- In a study of 57 patients, PENK was notably elevated in those with severe AKI both preoperatively and 48 hours post-surgery, outperforming other biomarkers like cystatin-C and serum creatinine in terms of sensitivity and specificity.
- Findings suggest that incorporating PENK alongside other kidney function tests could improve the management and prevention of progression in AKI post-liver transplantation.
Here, we report a case of Acute promyelocytic leukemia (APL) with three way complex translocation involving chromosomes 4, 15, and 17. Although chromosome 4 is most commonly associated chromosome in three way translocation, present case is the first report with four novel co-existent findings of new break point region on chromosome 4, new cyclic mechanism with simultaneous breaks, presence of a co-existent tetrasomy 8 and FLT3 ITD positivity.; Comprehensive assessment highlight the utility of combining morphology, immunophenotyping, karyotyping, fluorescence in situ hybridization, and molecular studies for better characterization, optimal management of APL with a better understanding of the pathogenic mechanism and prognosis of the disease.
View Article and Find Full Text PDFBackground: Topical antifungal agents along with the steroids may provide not only rapid symptomatic relief but also clearance of disease causing fungi in inflamed cutaneous mycoses (ICM).
Aim: To assess the efficacy and safety of fixed dose combination (FDC) of Eberconazole nitrate 1% and Mometasone furoate 0.1% w/w cream, in subjects with ICM.
Actinomycosis is a chronic, progressive, suppurative infection, prevalent over the neck, thorax or abdomen. As it rarely occurs with few clinical symptoms, its diagnosis requires a high index of clinical suspicion. We report a case of primary cutaneous actinomycosis affecting the back.
View Article and Find Full Text PDFA case of non hereditary connective tissue naevus without any association with systemic complaints, in a 20-year old male is reported.
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