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Article ; Online: Human papillomavirus oral lesions in an antiretroviral therapy non-compliant HIV-infected woman.

Oliveira, Silvia Paula de / Dos Reis, Helena Lucia Barroso / Ferreira, Dennis de Carvalho / Boldrini, Neide Aparecida Tosato / Camisasca, Danielle Resende

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases

2019 Volume 86, Page(s) 131–132

Language	English
Publishing date	2019-07-09
Publishing country	Canada
Document type	Journal Article
ZDB-ID	1331197-9
ISSN	1878-3511 ; 1201-9712
ISSN (online)	1878-3511
ISSN	1201-9712
DOI	10.1016/j.ijid.2019.07.003
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Article ; Online: Sexually transmitted infections among women living with HIV in a Brazilian city.

Tosato Boldrini, Neide Aparecida / Bondi Volpini, Lays Paula / Freitas, Luciana Bueno / Spano, Liliana Cruz / Musso, Carlos / Silva Santos, Maria Carmen Lopes Ferreira / Barroso Dos Reis, Helena Lucia / Miranda, Angelica Espinosa

The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases

2021 Volume 25, Issue 1, Page(s) 101044

Abstract: Background: Clinical improvements following highly active antiretroviral therapy (HAART) may increase high-risk behaviors resulting in sexually transmitted infections (STI). Optimism related to the success of HAART in slowing disease progression, ... ...

Abstract	Background: Clinical improvements following highly active antiretroviral therapy (HAART) may increase high-risk behaviors resulting in sexually transmitted infections (STI). Optimism related to the success of HAART in slowing disease progression, reducing viral load, and improving health status might be important factors for increasing sexual risk behaviors such as less use of condoms. Objective: To determine the prevalence of Chlamydia trachomatis, Neisseria gonorrhoeae, syphilis, hepatitis B and C, high-risk HPV, and cervical cytological abnormalities among women living with HIV (WLHIV) who attended a Reference Center for STI/AIDS in Brazil. Methods: A cross-sectional study was conducted among 151 WLHIV attending an STI Clinic in Vitória city, Brazil. A structured questionnaire, including demographic, behavioral, and clinical information, was used for data collection. Serological tests for HIV, syphilis, hepatitis C and B, CD4 counts, and viral load determination were performed. Cervical samples were collected for cytology and real-time PCR for HPV,Chlamydia, and Neisseria gonorrhoeae. Results: In this study, 59% of women had at least one diagnosed STI at the time of the first clinic visit; 31% had clinical forms of anogenital HPV, 10% syphilis, 8%Neisseria gonorrhoeae, 5.0% trichomoniasis, 3% Chlamydia trachomatis, 1% hepatitis B, and 1% hepatitis C; 6.7% of the women presented with cervical cytological abnormalities. Furthermore, 46.3% of women had HR-HPV, and 17.6% had HPV 16/18. Only 5% of the women had a CD4 count <200 cells/mm Conclusion: A high prevalence of STI and HR-HPV infections were observed among HIV-infected women in this investigation. Prevention programs need to focus on counseling WLHIV and their regular partners with focused interventions such as couples counseling and education programs.
MeSH term(s)	Brazil/epidemiology ; Chlamydia Infections/epidemiology ; Cross-Sectional Studies ; Female ; Gonorrhea ; HIV Infections/complications ; HIV Infections/epidemiology ; Human papillomavirus 16 ; Human papillomavirus 18 ; Humans ; Prevalence ; Sexually Transmitted Diseases/epidemiology
Language	English
Publishing date	2021-01-06
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2041400-6
ISSN	1678-4391 ; 1413-8670
ISSN (online)	1678-4391
ISSN	1413-8670
DOI	10.1016/j.bjid.2020.101044
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Article ; Online: Placental growth disorders and perinatal adverse outcomes in Brazilian HIV-infected pregnant women.

Dos Reis, Helena Lucia Barroso / Boldrini, Neide Aparecida Tosato / Rangel, Ana Fernanda Ribeiro / Barros, Vinicius Felipe / Merçon de Vargas, Paulo Roberto / Miranda, Angélica Espinosa

PloS one

2020 Volume 15, Issue 4, Page(s) e0231938

Abstract: Fetal and placental growth disorders are common in maternal human immunodeficiency virus (HIV) infection and can be attributed to both the infection and comorbidities not associated with HIV. We describe placental growth disorders and adverse ... ...

Abstract	Fetal and placental growth disorders are common in maternal human immunodeficiency virus (HIV) infection and can be attributed to both the infection and comorbidities not associated with HIV. We describe placental growth disorders and adverse reproductive outcomes in HIV-infected pregnant women whose delivery occurred between 2001-2014 in Vitoria, Brazil. Cases with gestational age (GA) ≥ than 22 weeks validated by ultrasonography, with placental and fetal weight dimensions at birth, were studied. Outcomes were summarized as proportions of small (SGA), appropriate (AGA), and large (LGA) for GA when the z-score values were below -1.28, between -1.28 and +1.28, or above +1.28, respectively. Of 187 fetal attachment requisitions, 122(65.2%) women and their newborns participated in the study. The median maternal age was 28 years and 81(66.4%) underwent ≥ 6 prenatal visits. A total of 81(66.4%) were diagnosed before current pregnancy; 68(55.7%) exhibited criteria for acquired immunodeficiency syndrome (AIDS); 64(52.4%) had detectable viral load; 25(20.5%) cases presented SGA placental weight and 6(4.9%) SGA placental thickness. SGA placental area was observed in 41(33.6%) cases, and among the SGA placental weight cases 12(48%) were also SGA fetal weight. Preterm birth (PTB) occurred in 15.6%(19/122) of cases; perinatal death in 4.1%(5/122) and HIV vertical transmission in 6 of 122 (4.9%). Women, ≥36 years old, were 5.7 times more likely to have PTB than those under 36. Also, patients with AIDS-defining criteria were 3.7 times more likely to have PTB. Prenatal care was inversely associated with PTB. Statistically significant associations were observed between AGA placental area and Protease Inhibitor usage and between SGA placental weight and SGA area. We found a prevalence of placental growth disorders in HIV-infected pregnant women and values higher than international reference values. The restriction of placental growth was a common disorder, possibly attributed to virus effects or a combination of antiretroviral regimens.
MeSH term(s)	Adolescent ; Adult ; Brazil ; Female ; HIV Infections/complications ; Humans ; Placenta Diseases/physiopathology ; Placenta Diseases/virology ; Pregnancy ; Pregnancy Complications, Infectious/physiopathology ; Pregnancy Complications, Infectious/virology ; Pregnancy Outcome ; Young Adult
Language	English
Publishing date	2020-04-30
Publishing country	United States
Document type	Journal Article
ISSN	1932-6203
ISSN (online)	1932-6203
DOI	10.1371/journal.pone.0231938
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Article ; Online: The challenge to diagnose a clinical case of inflammatory linear verrucous epidermal nevus: is there any ILVEN associated with human papillomavirus infection?

Godefroy, Phillipe / dos Reis, Helena Lucia Barroso / Ferreira, Dennis de Carvalho

Revista da Sociedade Brasileira de Medicina Tropical

2015 Volume 47, Issue 5, Page(s) 668

MeSH term(s)	Female ; Humans ; Male ; Nevus, Sebaceous of Jadassohn/pathology ; Young Adult
Language	English
Publishing date	2015-01-20
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	10.1590/0037-8682-0077-2014
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Zs.A 2726: Show issues

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Article ; Online: Severe coronavirus infection in pregnancy: challenging cases report.

Reis, Helena Lucia Barroso Dos / Boldrini, Neide Aparecida Tosato / Caldas, João Victor Jacomele / Paz, Ana Paula Calazans da / Ferrugini, Carolina Loyola Prest / Miranda, Angelica Espinosa

Revista do Instituto de Medicina Tropical de Sao Paulo

2020 Volume 62, Page(s) e49

Abstract: There are few data on the impact of COVID-19 in pregnancy, however, analyzing these data is important to guide the clinical practice, covering the early prevention, detection, patients' isolation, epidemiological investigation, diagnosis and early ... ...

Abstract	There are few data on the impact of COVID-19 in pregnancy, however, analyzing these data is important to guide the clinical practice, covering the early prevention, detection, patients' isolation, epidemiological investigation, diagnosis and early treatment. This is a report of three cases of COVID-19 confirmed by real-time reverse transcription - polymerase chain reaction (RT-PCR) of nasopharyngeal secretions collected in swabs from pregnant women in the city of Vitoria, Espirito Santo State, Brazil. In the three cases, all the patients presented with fever, one had shortness of breath, one had diarrhea, two of them reported abdominal pain and two of them had cough. The three patients progressed with a severe clinical evolution of COVID-19. The permanence in the intensive care unit (ICU) was more than 10 days. Two of them recovered and one remained in the ICU with irreversible refractory shock, multiple organ failure and died. The mode of delivery was individualized and based on the obstetric indication and severity of the maternal infection, and the cesarean section was indicated in the two severe maternal COVID-19 cases that evolved favorably. These newborns were premature and tested negative for COVID-19 by RT-PCR.
MeSH term(s)	Adult ; Betacoronavirus ; Brazil ; COVID-19 ; Cesarean Section ; Coronavirus Infections ; Female ; Humans ; Infant, Newborn ; Intensive Care Units ; Pandemics ; Pneumonia, Viral ; Pregnancy ; Pregnancy Complications, Infectious/virology ; SARS-CoV-2
Keywords	covid19
Language	English
Publishing date	2020-07-13
Publishing country	Brazil
Document type	Case Reports ; Journal Article
ZDB-ID	128928-7
ISSN	1678-9946 ; 0036-4665
ISSN (online)	1678-9946
ISSN	0036-4665
DOI	10.1590/s1678-9946202062049
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Article ; Online: Hypertrophic genital herpes in an HIV-infected female patient: Imiquimod as an alternative treatment.

Barroso Dos Reis, Helena Lucia / Tosato Boldrini, Neide Aparecida / da Silva Campos, Luisa Cardoso / Campos, Letícia Goulart / Salume Costa, Franco Luis / Jacomele Caldas, João Victor / Pedras Almeida, Susana Lamara / Miranda, Angelica Espinosa

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases

2020 Volume 95, Page(s) 153–156

Abstract: Herpes Simplex Virus (HSV) is the leading cause of genital ulcers worldwide. In Human Immunodeficiency Virus (HIV) co-infected individuals, rare hypertrophic pseudo-tumoral forms have been described as simulating squamous cell carcinoma or other viral ... ...

Abstract	Herpes Simplex Virus (HSV) is the leading cause of genital ulcers worldwide. In Human Immunodeficiency Virus (HIV) co-infected individuals, rare hypertrophic pseudo-tumoral forms have been described as simulating squamous cell carcinoma or other viral infections such as those caused by Varicella zoster, Molluscum contagiosum and HPV induced lesions. Here, we report a case of hypertrophic genital herpes in an HIV-infected patient effectively treated with surgery and topical 5% imiquimod after the recurrence of lesions. A 45-year-old woman, HIV-positive for 17 years and on regular antiretroviral therapy, presented with a painful 2cm vulvar sessile lesion, a 1cm ulcerated lesion on the clitoral hood, and a slightly elevated lesion in the middle third of the tongue. Excisional biopsy and surgical removal of lesion were performed for histopathological exam. Histopathology of genital lesions showed evidence of chronic lymphoplasmacytic inflammation, intense ulcerated plasmacytosis, and squamous cells displaying HSV cytopathogenic effect. After three months, the patient presented with a new ulcerated perineal lesion. Histopathology showed evidence of chronic ulcerative-vegetative herpetic dermatitis. Consequently, topical 5% imiquimod was administered with successful results. Relapsing character and atypical genital disease evolution with an exophytic pseudotumoral injury have been noted in patients co-infected with HIV and HSV, necessitating anatomopathological recognition for diagnostic confirmation and exclusion of malignancy. Local immunotherapy should be considered as treatment approach.
MeSH term(s)	Antiviral Agents/therapeutic use ; Coinfection ; Female ; HIV Infections/complications ; Herpes Genitalis/complications ; Herpes Genitalis/diagnosis ; Herpes Genitalis/drug therapy ; Herpes Genitalis/pathology ; Humans ; Hypertrophy ; Imiquimod/therapeutic use ; Middle Aged ; Ulcer/pathology ; Vulva/pathology
Chemical Substances	Antiviral Agents ; Imiquimod (P1QW714R7M)
Language	English
Publishing date	2020-04-18
Publishing country	Canada
Document type	Case Reports ; Journal Article
ZDB-ID	1331197-9
ISSN	1878-3511 ; 1201-9712
ISSN (online)	1878-3511
ISSN	1201-9712
DOI	10.1016/j.ijid.2020.04.025
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Zs.A 4516: Show issues

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Article ; Online: Genital Kaposi sarcoma in a HIV and syphilis co-infected patient: case presentation.

Barroso Dos Reis, Helena Lucia / de Carvalho Ferreira, Dennis / Tosato Boldrini, Neide Aparecida / Galvão, Carolina / Jacomele Caldas, João Victor / Santos Neves, Marize Freitas / Godefroy, Philippe

BMC infectious diseases

2019 Volume 19, Issue 1, Page(s) 1095

Abstract: Background: Kaposi sarcoma, as an epidemiological factor, is associated with acquired immunodeficiency syndrome (AIDS) and it is related to human herpes virus (HHV-8), as well as a higher prevalence in males and non-genital involvement. Vulvar ... ...

Abstract	Background: Kaposi sarcoma, as an epidemiological factor, is associated with acquired immunodeficiency syndrome (AIDS) and it is related to human herpes virus (HHV-8), as well as a higher prevalence in males and non-genital involvement. Vulvar localization is quite infrequent; therefore it may be considered in the differential diagnosis of genital lesions, especially in HIV patients. Case presentation: We describe the atypical presentation of a female HIV patient with multiple comorbidities, with the clinical manifestation of Kaposi sarcoma (KS) in a vulvar region that was initially diagnosed as a syphilitic gumma. The patient underwent a biopsy of the lesion, and histopathology revealed a Kaposi sarcoma. Discussion: This case reinforces that the pathogenesis of Kaposi sarcoma is still unclear and that probably multiple factors, regarding both the virus and the patient characteristics may lead to carcinogenesis. Conclusion: It is imperative to seek more excellent knowledge about this disease, to facilitate the diagnosis, to warrant the appropriate treatment and to improve the prognosis of the patient, especially the genital lesions.
MeSH term(s)	Acquired Immunodeficiency Syndrome/complications ; Acquired Immunodeficiency Syndrome/diagnosis ; Acquired Immunodeficiency Syndrome/drug therapy ; Adult ; Anti-Bacterial Agents/therapeutic use ; Anti-Retroviral Agents/therapeutic use ; Brazil ; Coinfection/diagnosis ; Coinfection/drug therapy ; Diagnosis, Differential ; Female ; Genitalia, Female/pathology ; Humans ; Penicillin G/therapeutic use ; Prognosis ; Sarcoma, Kaposi/complications ; Sarcoma, Kaposi/diagnosis ; Sarcoma, Kaposi/drug therapy ; Sarcoma, Kaposi/virology ; Syphilis/complications ; Syphilis/diagnosis ; Syphilis/drug therapy ; Treatment Outcome
Chemical Substances	Anti-Bacterial Agents ; Anti-Retroviral Agents ; Penicillin G (Q42T66VG0C)
Language	English
Publishing date	2019-12-30
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1471-2334
ISSN (online)	1471-2334
DOI	10.1186/s12879-019-4714-8
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Article ; Online: Severe coronavirus infection in pregnancy

Helena Lucia Barroso dos Reis / Neide Aparecida Tosato Boldrini / João Victor Jacomele Caldas / Ana Paula Calazans da Paz / Carolina Loyola Prest Ferrugini / Angelica Espinosa Miranda

Revista do Instituto de Medicina Tropical de São Paulo, Vol

challenging cases report

2020 Volume 62

Abstract: ABSTRACT There are few data on the impact of COVID-19 in pregnancy, however, analyzing these data is important to guide the clinical practice, covering the early prevention, detection, patients’ isolation, epidemiological investigation, diagnosis and ... ...

Abstract	ABSTRACT There are few data on the impact of COVID-19 in pregnancy, however, analyzing these data is important to guide the clinical practice, covering the early prevention, detection, patients’ isolation, epidemiological investigation, diagnosis and early treatment. This is a report of three cases of COVID-19 confirmed by real-time reverse transcription – polymerase chain reaction (RT-PCR) of nasopharyngeal secretions collected in swabs from pregnant women in the city of Vitoria, Espirito Santo State, Brazil. In the three cases, all the patients presented with fever, one had shortness of breath, one had diarrhea, two of them reported abdominal pain and two of them had cough. The three patients progressed with a severe clinical evolution of COVID-19. The permanence in the intensive care unit (ICU) was more than 10 days. Two of them recovered and one remained in the ICU with irreversible refractory shock, multiple organ failure and died. The mode of delivery was individualized and based on the obstetric indication and severity of the maternal infection, and the cesarean section was indicated in the two severe maternal COVID-19 cases that evolved favorably. These newborns were premature and tested negative for COVID-19 by RT-PCR.
Keywords	COVID-19 ; SARS-CoV-2 ; Pregnancy ; Infectious disease transmission ; Severe acute respiratory syndrome ; Arctic medicine. Tropical medicine ; RC955-962
Subject code	610
Language	English
Publishing date	2020-07-01T00:00:00Z
Publisher	Universidade de São Paulo
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Book ; Online: Severe coronavirus infection in pregnancy

Reis, Helena Lucia Barroso dos / Boldrini, Neide Aparecida Tosato / Caldas, João Victor Jacomele / Paz, Ana Paula Calazans da / Ferrugini, Carolina Loyola Prest / Miranda, Angelica Espinosa

Revista do Instituto de Medicina Tropical de São Paulo v.62 2020

challenging cases report

2020

Abstract	ABSTRACT There are few data on the impact of COVID-19 in pregnancy, however, analyzing these data is important to guide the clinical practice, covering the early prevention, detection, patients’ isolation, epidemiological investigation, diagnosis and early treatment. This is a report of three cases of COVID-19 confirmed by real-time reverse transcription – polymerase chain reaction (RT-PCR) of nasopharyngeal secretions collected in swabs from pregnant women in the city of Vitoria, Espirito Santo State, Brazil. In the three cases, all the patients presented with fever, one had shortness of breath, one had diarrhea, two of them reported abdominal pain and two of them had cough. The three patients progressed with a severe clinical evolution of COVID-19. The permanence in the intensive care unit (ICU) was more than 10 days. Two of them recovered and one remained in the ICU with irreversible refractory shock, multiple organ failure and died. The mode of delivery was individualized and based on the obstetric indication and severity of the maternal infection, and the cesarean section was indicated in the two severe maternal COVID-19 cases that evolved favorably. These newborns were premature and tested negative for COVID-19 by RT-PCR.
Keywords	COVID-19 ; SARS-CoV-2 ; Pregnancy ; Infectious disease transmission ; Severe acute respiratory syndrome ; covid19
Subject code	610
Language	English
Publishing date	2020-01-01
Publisher	Instituto de Medicina Tropical
Publishing country	br
Document type	Book ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Diagnosis and management of acute puerperal bartholinitis caused by Escherichia coli

Helena Lucia Barroso dos Reis / Carla Renata Petillo de Pinho / Dennis de Carvalho Ferreira

Revista da Sociedade Brasileira de Medicina Tropical, Vol 47, Iss 6, Pp 814-

2014 Volume 814

Keywords	Medicine (General) ; R5-920 ; Medicine ; R
Language	Portuguese
Publishing date	2014-12-01T00:00:00Z
Publisher	Sociedade Brasileira de Medicina Tropical - SBMT
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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