Eccrine hidrocystoma is a benign cystic tumor of the eccrine sweat gland duct. It occurs mainly on the face and more common in elderly women with male:female ratio of 1:8. It is characterized by a chronic course and seasonal variability with aggravation in summer season. It presents as an asymptomatic, flesh colored translucent facial papules. Here we present a case of a 50 year old male with m...

We present the case of a 21-year-old man with advanced refractory Parkinson's disease treated with Duodopa continuous infusion. With this therapy, the patient had a spectacular recovery but after six months, he experienced an aggravation of his symptoms. A failure of his pumping system was suspected but we discovered that the jejunal tube was blocked due to a knot around a bezoar. This is the f...

The behavior of the Schistosoma mansoni infection in patients with AIDS has not been explored. The case of a young woman with schistosomiasis mansoni, AIDS, and cytomegalovirus disease is reported. The authors suggest that the helminth was not a bystander in this case, or rather, by interfering with the host’s immune response, it set the stage for the development and/or aggravation of the viral...

A 55 year old woman in thyrotoxic crisis developed atrial fibrillation, atrioventricular block, and sinoatrial block in rapid succession. All of these abnormalities resolved completely after antithyroid treatment. This course of events illustrates the profound effect of thyroid hormones on cardiac function. In view of the potential aggravation of atrioventricular conduction disturbance by beta ...

Seizure aggravation by antiepileptic drugs (AEDs) is increasingly recognized as a common problem, particularly in idiopathic generalized epilepsy (IGE). Benzodiazepines (BZDs) are one type of the main AEDs, especially in the treatment of status epilepticus. Paradoxical worsening of seizures associated with BZD is uncommon and most reports are among pediatric patients [1–3]. We report the case o...

Animal studies suggest that diabetes may lead to a marked depression in ventilatory control mechanisms. It has been hypothesized that in the setting of OSA and MS, there probably exists feedforward relationship between the two which leads to further aggravation of both disorders. It has been proposed that the OSA may be one of the manifestations of MS. Though several human studies suggest that ...

Introduction: Oral lichen planus (OLP) is an autoimmune disease with uncertain etiopathogenecity and no definitive treatment. Considering the recurrent nature of OLP, finding an adjunctive treatment to minimize the risk of chronicity and recurrence of OLP and to decrease the adverse effects of corticosteroids can be promising. This study aimed to assess the efficacy of a mixture of hyaluronic a...

Aphasic status epilepticus (ASE) is a rare disorder characterized by recurrent aphasia without impairment of other cognitive functions. A 76-year-old woman with chronic kidney disease developed ASE after neglecting peritoneal dialysis. Magnetic resonance imaging failed to demonstrate an appropriate lesion. Electroencephalography demonstrated ictal discharges in the left frontotemporal leads. AS...

A case of sick sinus syndrome aggravated by carbamazepine prescribed for epilepsy is described. A 70 year old woman with previously stable psychomotor epilepsy experienced syncope of increased frequency after her anticonvulsant was changed to carbamazepine. ECG monitoring confirmed a severe sick sinus syndrome which improved on carbamazepine withdrawal. Failure to distinguish carbamazepine-indu...

Introduction / objectives The Surgical Site Infection (SSI) is one of the chief aggravation related to health care in Brazil, occupying the third position among all infections with a prevalence of 14% to 16% of those found in hospitalized patients. This is a prospective, qualitative and descriptive study whose aim was to implement preventive measures to control SSI at a Public Hospital, Ponta G...