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Article ; Online: Extensive pulmonary involvement in Kaposi sarcoma in a patient with human immunodeficiency virus-acquired immunodeficiency syndrome.

Silva, Sildomar Queiroz E / Frank, Carlos Henrique Michiles / Almeida, Taynná Vernalha Rocha

Revista da Sociedade Brasileira de Medicina Tropical

2020 Volume 54, Page(s) e20200192

MeSH term(s)	Acquired Immunodeficiency Syndrome/complications ; HIV ; HIV Infections/complications ; Humans ; Sarcoma, Kaposi/complications
Language	English
Publishing date	2020-11-13
Publishing country	Brazil
Document type	Case Reports ; Journal Article
ZDB-ID	1038126-0
ISSN	1678-9849 ; 0037-8682
ISSN (online)	1678-9849
ISSN	0037-8682
DOI	10.1590/0037-8682-0192-2020
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Article ; Online: Difference in clinical features of SARS-CoV-2 in pediatric patients before and after emergence of P.1.

Leung, Char / Khong, Ka-Wah / Chan, Kwok-Hung / Lacerda, Marcus Vinicius Guimarães / Frank, Carlos Henrique Michiles

Pediatric research

2022 Volume 93, Issue 1, Page(s) 176–182

Abstract: Background: The P.1 variant is a Variant of Concern announced by the WHO. The present work aimed to characterize the clinical features of pediatric patients with SARS-CoV-2 before and after the emergence of P.1.: Methods: This is a cohort study. Data ...

Abstract	Background: The P.1 variant is a Variant of Concern announced by the WHO. The present work aimed to characterize the clinical features of pediatric patients with SARS-CoV-2 before and after the emergence of P.1. Methods: This is a cohort study. Data of symptomatic patients younger than 18 years diagnosed with COVID-19 by PCR tests registered in Painel COVID-19 Amazonas were analyzed. Results: A total of 4080 symptomatic pediatric patients were identified in the database between March 2020 and July 2021, of which 1654 were categorized as pre-P.1 and 978 as P.1-dominant cases, based on the prevalence of P.1 of >90% in the North Region, Brazil. Lower case-fatality rate was observed in non-infants infected during the P.1-dominant period (0.9% vs. 2.2%). In general, patients infected during the P.1-dominant period had less fever (70.8% vs. 74.2%) and less lower respiratory tract symptoms (respiratory distress: 11.8% vs. 18.9%, dyspnea: 27.9% vs. 34.5%) yet higher prevalence of neurological symptoms, headache for example (42.8% vs. 5.9%). Conclusions: The prevalence of symptoms of COVID-19 can differ across different periods of variant dominance. Lower prevalence of fever during the P.1-dominant period may reduce the effectiveness of symptom-based screening in public premises where laboratory diagnostic tests are not available. Impact: The prevalence rate of symptoms of SARS-CoV-2 infection can differ among different variants. The present work documents the difference in the clinical features of SARS-CoV-2 in patients aged below 18 years before and after the emergence of P.1, the first study of its kind. Unlike previous studies that focus solely on hospitalized cases, the present work considers both mild and severe cases. While non-infants had a lower fatality rate, lower prevalence of fever associated with the emergence of P.1 may reduce the effectiveness of symptom-based screening in public premises where laboratory diagnostic tests are not available.
MeSH term(s)	Humans ; Child ; Aged ; SARS-CoV-2 ; COVID-19 ; Cohort Studies ; Fever
Language	English
Publishing date	2022-04-13
Publishing country	United States
Document type	Journal Article
ZDB-ID	4411-8
ISSN	1530-0447 ; 0031-3998
ISSN (online)	1530-0447
ISSN	0031-3998
DOI	10.1038/s41390-022-02046-3
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Article ; Online: Extensive pulmonary involvement in Kaposi sarcoma in a patient with human immunodeficiency virus-acquired immunodeficiency syndrome

Sildomar Queiroz e Silva / Carlos Henrique Michiles Frank / Taynná Vernalha Rocha Almeida

Revista da Sociedade Brasileira de Medicina Tropical, Vol

2020 Volume 54

Keywords	Arctic medicine. Tropical medicine ; RC955-962
Language	English
Publishing date	2020-11-01T00:00:00Z
Publisher	Sociedade Brasileira de Medicina Tropical (SBMT)
Document type	Article ; Online
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Article ; Online: Decrease in compulsory notifications registered by the Brazilian National Hospital Epidemiological Surveillance Network during the COVID-19 pandemic: a descriptive study, 2017-2020.

Sallas, Janaína / Elidio, Guilherme Almeida / Costacurta, Giovana Ferreira / Frank, Carlos Henrique Michiles / Rohlfs, Daniela Buosi / Pacheco, Flávia Caselli / Guilhem, Dirce Bellezi

Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil

2022 Volume 31, Issue 1, Page(s) e2021303

Abstract: Objective: To describe compulsorily notifiable diseases, health conditions and public health events (DAEs as per the Brazilian acronym) registered by the National Hospital Epidemiological Surveillance Network (RENAVEH as per the Brazilian acronym), ... ...

Title translation	Decréscimo nas notificações compulsórias registradas pela Rede Nacional de Vigilância Epidemiológica Hospitalar do Brasil durante a pandemia da COVID-19: um estudo descritivo, 2017-2020.
Abstract	Objective: To describe compulsorily notifiable diseases, health conditions and public health events (DAEs as per the Brazilian acronym) registered by the National Hospital Epidemiological Surveillance Network (RENAVEH as per the Brazilian acronym), before and during the COVID-19 pandemic. Methods: This was a descriptive ecological study using records held on the Notifiable Health Conditions Information System (SINAN as per the Brazilian acronym) between Epidemiological Week (EW) 1 of 2017 (January 1st, 2017) and 52 of 2020 (December 26, 2020). Results: Between 2017 and 2020, RENAVEH notified 1,258,455 DAE form records, with only 225,081 (17.9%) notifications in 2020, representing a decrease of 146,340 records compared to 2019. The temporal analysis showed a decrease per EW of more than 1,000 notified records with effect from EW 12. Conclusion: There was a decrease in compulsorily notifiable DAEs registered by RENAVEH in Brazil taking the period analyzed as a whole, in particular in 2020.
MeSH term(s)	Brazil/epidemiology ; COVID-19 ; Disease Notification ; Hospitals ; Humans ; Pandemics
Language	Portuguese
Publishing date	2022-05-02
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2880588-4
ISSN	2237-9622 ; 1679-4974
ISSN (online)	2237-9622
ISSN	1679-4974
DOI	10.1590/S1679-49742022000100011
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Article ; Online: Microbiological profile of bloodstream infections and antimicrobial resistance patterns at a tertiary referral hospital in Amazon, Brazil.

Ferreira, Ewerton da Silva / Gómez, Aline Stephanie Pérez / Almeida, Taynná Vernalha Rocha / Frank, Carlos Henrique Michiles / Melo, Sabrina Araújo de / Marinho, Eveny Perlize Melo / Pinto, Sergio Damasceno / Feitoza, Pablo Vinicius Silveira / Monte, Rossicleia Lins / Bastos, Michele de Souza

Revista da Sociedade Brasileira de Medicina Tropical

2023 Volume 56, Page(s) e03822023

Abstract: Background: Bloodstream infections (BSI) are a global health issue, leading to high mortality and morbidity among hospitalized patients.: Methods: A retrospective, observational and descriptive study was conducted by reviewing blood culture records ... ...

Abstract	Background: Bloodstream infections (BSI) are a global health issue, leading to high mortality and morbidity among hospitalized patients. Methods: A retrospective, observational and descriptive study was conducted by reviewing blood culture records collected from patients with suspected BSI, between January 2017 and December 2019. Results: The most frequent antimicrobial resistant (AMR) pathogens were methicillin-resistantStaphylococcus aureus(MRSA) (40%), methicillin-resistantS. epidermidis (MRSE) (9.5%), and extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae (35.3%). Conclusions: Our findings underscore the importance of continued vigilance and advocate for the rational use of antimicrobial agents.
MeSH term(s)	Humans ; Anti-Bacterial Agents/pharmacology ; Anti-Infective Agents ; Bacteremia/microbiology ; beta-Lactamases ; Brazil ; Cross Infection/microbiology ; Drug Resistance, Bacterial ; Methicillin ; Methicillin-Resistant Staphylococcus aureus ; Retrospective Studies ; Sepsis/microbiology ; Tertiary Care Centers
Chemical Substances	Anti-Bacterial Agents ; Anti-Infective Agents ; beta-Lactamases (EC 3.5.2.6) ; Methicillin (Q91FH1328A)
Language	English
Publishing date	2023-09-22
Publishing country	Brazil
Document type	Journal Article ; Observational Study
ZDB-ID	1038126-0
ISSN	1678-9849 ; 0037-8682
ISSN (online)	1678-9849
ISSN	0037-8682
DOI	10.1590/0037-8682-0382-2023
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Article ; Online: Decréscimo nas notificações compulsórias registradas pela Rede Nacional de Vigilância Epidemiológica Hospitalar do Brasil durante a pandemia da COVID-19

Janaína Sallas / Guilherme Almeida Elidio / Giovana Ferreira Costacurta / Carlos Henrique Michiles Frank / Daniela Buosi Rohlfs / Flávia Caselli Pacheco / Dirce Bellezi Guilhem

Epidemiologia e Serviços de Saúde, Vol 31, Iss

um estudo descritivo, 2017-2020

2022 Volume 1

Abstract: Resumo Objetivo: Descrever as notificações compulsórias de doenças, agravos e eventos de saúde pública (DAEs) registradas pela Rede Nacional de Vigilância Epidemiológica Hospitalar (Renaveh) do Brasil antes e durante a pandemia de COVID-19. Métodos: ... ...

Abstract	Resumo Objetivo: Descrever as notificações compulsórias de doenças, agravos e eventos de saúde pública (DAEs) registradas pela Rede Nacional de Vigilância Epidemiológica Hospitalar (Renaveh) do Brasil antes e durante a pandemia de COVID-19. Métodos: Estudo ecológico descritivo, com registros do Sistema de Informação de Agravos de Notificação (Sinan) no período correspondente às Semanas Epidemiológicas (SEs) 1 de 2017 (1º de janeiro de 2017) a 52 de 2020 (26 de dezembro de 2020). Resultados: No período de 2017 a 2020, a Renaveh notificou 1.258.455 fichas de DAEs, das quais apenas 225.081 (17,9%) foram notificadas em 2020, representando um decréscimo de 146.340 registros em relação às notificações de 2019. Na análise temporal por SE, houve decréscimo maior que mil registros nas notificações a partir da SE 12. Conclusão: Houve decréscimo nas notificações compulsórias de DAEs registradas pela Renaveh em todo o período analisado, com destaque para o ano de 2020.
Keywords	COVID-19 ; Notificação de Doenças ; Epidemiologia Descritiva ; Sistema de Informação em Saúde ; Pesquisa sobre Serviços de Saúde ; Medicine ; R ; Public aspects of medicine ; RA1-1270
Language	English
Publishing date	2022-05-01T00:00:00Z
Publisher	Ministério da Saúde do Brasil
Document type	Article ; Online
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Article ; Online: Guillain-Barré Syndrome Associated with SARS-CoV-2 Infection in a Pediatric Patient.

Frank, Carlos Henrique Michiles / Almeida, Taynná Vernalha Rocha / Marques, Elyana Almeida / de Sousa Monteiro, Quezia / Feitoza, Pablo Vinícius Silveira / Borba, Mayla Gabriela Silva / Vasconcelos, Heline Lira / de Souza Bastos, Michele / Lacerda, Marcus Vinicius Guimarães

Journal of tropical pediatrics

2020 Volume 67, Issue 3

Abstract: We report the case of a 15-year-old male patient presenting frontal headaches with retro-orbital pain accompanied by fever evolving to weakness and pain of the lower limbs, which ascended to upper limbs. A COVID-19 rapid test (IgG and IgM) and ... ...

Abstract	We report the case of a 15-year-old male patient presenting frontal headaches with retro-orbital pain accompanied by fever evolving to weakness and pain of the lower limbs, which ascended to upper limbs. A COVID-19 rapid test (IgG and IgM) and nasopharyngeal swab polymerase chain reaction (PCR) was positive for SARS-CoV-2. The blood tests, cerebral spinal fluid (CSF) analysis and CSF aerobic culture revealed no abnormalities. PCR testing of the CSF was negative for the most prevalent etiologies as well as for SARS-CoV-2. Electroneurography study was compatible with the acute motor axonal neuropathy variant of Guillain-Barré syndrome. No cases involving young patients have been presented to date. Therefore, this is the first reported pediatric case of SARS-CoV-2 infection associated with GBS. Evidence reveals that SARS-CoV-2 infection is not limited to the respiratory tract. Neurotropism could explain this important neurologic manifestation of COVID-19 in children.
MeSH term(s)	Adolescent ; COVID-19 ; Child ; Guillain-Barre Syndrome/diagnosis ; Headache ; Humans ; Male ; Pain ; SARS-CoV-2
Keywords	covid19
Language	English
Publishing date	2020-07-09
Publishing country	England
Document type	Case Reports ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	800065-7
ISSN	1465-3664 ; 0449-3281 ; 0142-6338
ISSN (online)	1465-3664
ISSN	0449-3281 ; 0142-6338
DOI	10.1093/tropej/fmaa044
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Article ; Online: Hemorrhagic and thrombotic manifestations in the central nervous system in COVID-19: A large observational study in the Brazilian Amazon with a complete autopsy series.

Santana, Monique Freire / Frank, Carlos Henrique Michiles / Almeida, Taynná Vernalha Rocha / Jeronimo, Christiane Maria Prado / de Araújo Pinto, Rebecca Augusta / Martins, Yasmin Ferreira / de Farias, Maria Eduarda Leão / Dutra, Bruna Guimarães / Brito-Sousa, José Diego / Baía-da-Silva, Djane Clarys / Xavier, Mariana Simão / Lacerda, Marcus Vinicius Guimarães / Almeida Val, Fernando Fonseca / Monteiro, Gisely Cardoso / Sampaio, Vanderson de Souza / Monteiro, Wuelton Marcelo / Ferreira, Luiz Carlos de Lima

PloS one

2021 Volume 16, Issue 9, Page(s) e0255950

Abstract: SARS-CoV-2 affects mainly the lungs, however, other manifestations, including neurological manifestations, have also been described during the disease. Some of the neurological findings have involved intracerebral or subarachnoid hemorrhage, strokes, and ...

Abstract	SARS-CoV-2 affects mainly the lungs, however, other manifestations, including neurological manifestations, have also been described during the disease. Some of the neurological findings have involved intracerebral or subarachnoid hemorrhage, strokes, and other thrombotic/hemorrhagic conditions. Nevertheless, the gross pathology of hemorrhagic lesions in the central nervous system has not been previously described in Brazilian autopsy cases. This study aimed to describe gross and microscopic central nervous system (CNS) pathology findings from the autopsies and correlate them with the clinical and laboratory characteristics of forty-five patients with COVID-19 from Manaus, Amazonas, Brazil. Forty-four patients were autopsied of which thirty-eight of these (86.36%) were positive by RT-PCR for COVID-19, and six (13.3%) were positive by the serological rapid test. Clinical and radiological findings were compatible with the infection. The patients were classified in two groups: presence (those who had hemorrhagic and/or thrombotic manifestations in the CNS) and absence (those who did not present hemorrhagic and/or thrombotic manifestations in the CNS). For risk assessment, relative risk and respective confidence intervals were estimated. Macroscopic or microscopic hemorrhages were found in twenty-three cases (52,27%). The postmortem gross examination of the brain revealed a broad spectrum of hemorrhages, from spots to large and confluent areas and, under microscopy, we observed mainly perivascular discharge. The association analyses showed that the use of corticosteroid, anticoagulant and antibiotic had no statistical significance with a risk of nervous system hemorrhagic manifestations. However, it is possible to infer a statistical tendency that indicates that individuals with diabetes had a higher risk for the same outcome (RR = 1.320, 95% CI = 0.7375 to 2.416, p = 0.3743), which was not observed in relation to other comorbidities. It is unknown whether the new variants of the virus can cause different clinical manifestations, such as those observed or indeed others. As a result, more studies are necessary to define clinical and radiologic monitoring protocols and strategic interventions for patients at risk of adverse and fatal events, such as the extensive hemorrhaging described here. It is imperative that clinicians must be aware of comorbidities and the drugs used to treat patients with COVID-19 to prevent CNS hemorrhagic and thrombotic events.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Brazil/epidemiology ; COVID-19/epidemiology ; Central Nervous System/pathology ; Comorbidity ; Female ; Hemorrhage/epidemiology ; Humans ; Male ; Middle Aged ; Thrombosis/epidemiology ; Young Adult
Language	English
Publishing date	2021-09-10
Publishing country	United States
Document type	Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0255950
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Article ; Online: Hemorrhagic and thrombotic manifestations in the central nervous system in COVID-19

Monique Freire Santana / Carlos Henrique Michiles Frank / Taynná Vernalha Rocha Almeida / Christiane Maria Prado Jeronimo / Rebecca Augusta de Araújo Pinto / Yasmin Ferreira Martins / Maria Eduarda Leão de Farias / Bruna Guimarães Dutra / José Diego Brito-Sousa / Djane Clarys Baía-da-Silva / Mariana Simão Xavier / Marcus Vinicius Guimarães Lacerda / Fernando Fonseca Almeida Val / Gisely Cardoso Monteiro / Vanderson de Souza Sampaio / Wuelton Marcelo Monteiro / Luiz Carlos de Lima Ferreira

PLoS ONE, Vol 16, Iss 9, p e

A large observational study in the Brazilian Amazon with a complete autopsy series.

2021 Volume 0255950

Abstract	SARS-CoV-2 affects mainly the lungs, however, other manifestations, including neurological manifestations, have also been described during the disease. Some of the neurological findings have involved intracerebral or subarachnoid hemorrhage, strokes, and other thrombotic/hemorrhagic conditions. Nevertheless, the gross pathology of hemorrhagic lesions in the central nervous system has not been previously described in Brazilian autopsy cases. This study aimed to describe gross and microscopic central nervous system (CNS) pathology findings from the autopsies and correlate them with the clinical and laboratory characteristics of forty-five patients with COVID-19 from Manaus, Amazonas, Brazil. Forty-four patients were autopsied of which thirty-eight of these (86.36%) were positive by RT-PCR for COVID-19, and six (13.3%) were positive by the serological rapid test. Clinical and radiological findings were compatible with the infection. The patients were classified in two groups: presence (those who had hemorrhagic and/or thrombotic manifestations in the CNS) and absence (those who did not present hemorrhagic and/or thrombotic manifestations in the CNS). For risk assessment, relative risk and respective confidence intervals were estimated. Macroscopic or microscopic hemorrhages were found in twenty-three cases (52,27%). The postmortem gross examination of the brain revealed a broad spectrum of hemorrhages, from spots to large and confluent areas and, under microscopy, we observed mainly perivascular discharge. The association analyses showed that the use of corticosteroid, anticoagulant and antibiotic had no statistical significance with a risk of nervous system hemorrhagic manifestations. However, it is possible to infer a statistical tendency that indicates that individuals with diabetes had a higher risk for the same outcome (RR = 1.320, 95% CI = 0.7375 to 2.416, p = 0.3743), which was not observed in relation to other comorbidities. It is unknown whether the new variants of the virus can cause different clinical ...
Keywords	Medicine ; R ; Science ; Q
Subject code	610
Language	English
Publishing date	2021-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Guillain–Barré Syndrome Associated with SARS-CoV-2 Infection in a Pediatric Patient

Journal of Tropical Pediatrics ; ISSN 0142-6338 1465-3664

2020

Abstract: Abstract We report the case of a 15-year-old male patient presenting frontal headaches with retro-orbital pain accompanied by fever evolving to weakness and pain of the lower limbs, which ascended to upper limbs. A COVID-19 rapid test (IgG and IgM) and ... ...

Abstract	Abstract We report the case of a 15-year-old male patient presenting frontal headaches with retro-orbital pain accompanied by fever evolving to weakness and pain of the lower limbs, which ascended to upper limbs. A COVID-19 rapid test (IgG and IgM) and nasopharyngeal swab polymerase chain reaction (PCR) was positive for SARS-CoV-2. The blood tests, cerebral spinal fluid (CSF) analysis and CSF aerobic culture revealed no abnormalities. PCR testing of the CSF was negative for the most prevalent etiologies as well as for SARS-CoV-2. Electroneurography study was compatible with the acute motor axonal neuropathy variant of Guillain–Barré syndrome. No cases involving young patients have been presented to date. Therefore, this is the first reported pediatric case of SARS-CoV-2 infection associated with GBS. Evidence reveals that SARS-CoV-2 infection is not limited to the respiratory tract. Neurotropism could explain this important neurologic manifestation of COVID-19 in children.
Keywords	Pediatrics, Perinatology, and Child Health ; Infectious Diseases ; covid19
Language	English
Publisher	Oxford University Press (OUP)
Publishing country	uk
Document type	Article ; Online
DOI	10.1093/tropej/fmaa044
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