Publications by authors named "Luciana Andrea Avena Smeili"
Objectives: The rapid response team (RRT) assists hospitalized patients with sudden clinical deterioration. There is scarce evidence of diagnostic accuracy in this scenario, but it is possible that a considerable rate of misdiagnosis exists. Autopsy remains a valuable tool for assessing such question.
View Article and Find Full Text PDFBackground: Patients undergoing arterial vascular surgery are considered at increased risk for post-operative complications.
Objective: To assess the incidence and predictors of complications and death, as well as the performance of two models of risk stratification, in vascular surgery.
Methods: This study determined the incidence of cardiovascular complications and deaths within 30 days from surgery in adults.
Hemophagocytic lymphohistiocytosis (HLH) is an uncommon life-threatening disorder characterized by wide spread non-neoplastic proliferation and inappropriate activation of mature macrophages resulting in hypercytokinemia. This uncontrollable and ineffective systemic immune response causes fever, hepatosplenomegaly, cytopenias and subsequently multiorgan failure. The authors report a case of a 41-year-old male patient with a 30-day history of weight loss, fever, icterus, hepatomegaly, and cytopenias.
View Article and Find Full Text PDFArticle Synopsis
- - Schistosomiasis is a widespread parasitic disease that remains a public health concern, particularly difficult to diagnose in its acute form, leading to misdiagnoses, underreporting, and overlooking by healthcare professionals in endemic regions.
- - A case study highlights a young female patient in late puerperium suffering from significant symptoms like weight loss and abdominal pain, ultimately culminating in severe health deterioration and death.
- - The autopsy revealed findings consistent with acute schistosomiasis, indicating that even in individuals previously exposed, the disease can progress rapidly and has the potential for severe outcomes, such as hepatic and respiratory failure.
Acute erythroid leukemia (AEL) is a rare subtype of acute myeloid leukemia (AML), characterized by predominant erythroid proliferation. The 2008 World Health Organization (WHO) classification of AML defined two AEL subtypes: erythroleukaemia (EL), in which erythroid precursors account for 50% or more of all nucleated bone marrow cells and myeloblasts account for 20% or more of the nonerythroid cell population; and pure erythroid leukemia (PEL), in which erythroid precursors account for 80% or more of all nucleated bone marrow cells. We report the case of an elderly female patient with wasting syndrome and pancytopenia without evidence of blasts in peripheral blood.
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