Publications by authors named "Catarina Faria"

13 Publications

  • Page 1 of 1

Mitral Valve Subacute Endocarditis Caused by Abiotrophia Defectiva: A Case Report.

Clin Pract 2021 Mar 2;11(1):162-166. Epub 2021 Mar 2.

Internal Medicine, Hospital São Francisco Xavier-Centro Hospitalar Lisboa Ocidental, 1449-005 Lisbon, Portugal.

is a rare agent of endocarditis and subacute presentation may delay the diagnosis. We present the case of a 41-year-old male who was admitted to the hospital for further investigation regarding a consumptive syndrome with microcytic anaemia. Past medical history included new-onset mitral insufficiency followed by an ischaemic stroke due to small vessel disease. Thoraco-abdominal computed tomography revealed a splenic infarction. In the presence of two ischaemic events associated with mitral valve disease of unknown aetiology, we considered the possibility of subacute endocarditis. Blood cultures were positive for , and transoesophageal echocardiography confirmed the diagnosis. As a subacute presentation of endocarditis, the paucity of symptoms caused a five-month delay in diagnosis. New-onset valvular disease and a stroke in an otherwise healthy young patient should always prompt proper investigation. This case highlights several complications caused by septic emboli of undiagnosed and untreated endocarditis.
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http://dx.doi.org/10.3390/clinpract11010022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7930979PMC
March 2021

Drug-Induced Liver Injury Caused by Amoxicillin/Clavulanate.

Cureus 2020 Dec 23;12(12):e12234. Epub 2020 Dec 23.

Internal Medicine, Hospital São Francisco Xavier, Lisboa, PRT.

Drug-induced liver injury (DILI) has a relatively low incidence, and as it is a diagnosis of exclusion, it can become quite a challenge for the clinician. Amoxicillin/clavulanate continues to be one of the most prescribed antibiotics and only rarely causes liver injury. We report a case of DILI associated with this antibiotic to bring attention to a rare side effect of a very commonly prescribed drug. This is the case of a 71-year-old man, with no relevant past medical history, who presented to the Emergency Department due to jaundice in the previous two weeks, with no immediate identifiable cause. The patient was admitted to our Internal Medicine Ward, and after getting a detailed clinical history and excluding other common and severe causes of liver injury, the diagnosis was made that liver injury was due to amoxicillin/clavulanate intake, thus demonstrating the importance of an in-depth history.
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http://dx.doi.org/10.7759/cureus.12234DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7819498PMC
December 2020

Deep venous thrombosis of lower limbs in adolescents: a study in a tertiary hospital.

Int J Adolesc Med Health 2019 Feb 1;33(2). Epub 2019 Feb 1.

Unit of Adolescent Medicine, Department of Pediatrics, Hospital of Braga, Braga, Portugal.

Background: Venous thromboembolism (VTE) - which includes deep venous thrombosis (DVT) and pulmonary embolism (PE) - has been increasingly recognized in the pediatric population. The estimated incidence is 0.07-0.14 cases per 10,000 children. Most cases are associated with two or more risk factors. Medium and long-term complications include recurrence and post-thrombotic syndrome (PTS).

Objective: To characterize the adolescent population with the diagnosis of DVT of lower limbs in a tertiary hospital, regarding its clinical presentation, associated risk factors, treatment and outcome.

Methods: Retrospective analysis of adolescents with the diagnosis of DVT of lower limbs in our hospital for a period of 7 years.

Results: Eight patients were identified; seven were females; median age was 15 years. The main symptoms were local pain and edema. Left lower limb was affected in six patients. PE occurred in two cases. Positive family history of venous thromboembolism was found in five patients. Seven patients had at least two identifiable risk factors. Combined oral contraceptive pill use was the most common (seven patients). Factor V Leiden mutation was found in three patients and protein C deficiency in one. Iliac vein compression syndrome was diagnosed in one patient. The median time for discharge was 8 days. Election treatment was enoxaparin followed by warfarin, for a median period of 10.9 months. Three patients developed PTS.

Conclusions: Although uncommon, VTE is an emerging reality in adolescents, particularly in females using oral contraceptive pills. Appropriated prevention strategies and treatment are required as most orientations are extrapolated from adults.
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http://dx.doi.org/10.1515/ijamh-2018-0137DOI Listing
February 2019

Images in paediatrics: Rapunzel syndrome: the pathway for a prompt diagnosis.

Arch Dis Child 2020 03 3;105(3):298. Epub 2018 Dec 3.

Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal.

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http://dx.doi.org/10.1136/archdischild-2018-315910DOI Listing
March 2020

Risk behaviors in adolescence - a study in a Portuguese health unit.

Int J Adolesc Med Health 2018 Oct 24;33(1). Epub 2018 Oct 24.

Health Unit, ACES Cávado I, Braga, Portugal.

Introduction: Adolescence is a time of social and self-affirmation, search of autonomy and pleasure. An early sexual debut and substance use are still public health problems.

Objectives: To assess the prevalence of illicit drug use and sexual behavior of adolescents, ages 15- 17, followed in a Portuguese Family Health Unit.

Material And Methods: This was a cross sectional descriptive study of a random convenience sample. Data were obtained from an anonymous and confidential questionnaire, given to patients at adolescent consultation, between the months of May and July 2016. Statistical significance p < 0.05.

Results: This study involved a sample of 134 adolescents, 54.5% girls. It was revealed that 73.1% of adolescents have tried alcohol, from which 18.7% experienced intoxication at least once. Regarding tobacco, 35.1% have tried it, 23.4% are regular users. Regarding cannabinoids, 7.5% of adolescents stated to have tried them once, or to consume them regularly. Adolescents start to experiment with tobacco earlier than with alcohol (9 years old vs. 11 years old), with a mean age of 15 years old. Regarding sexual behavior, 23.8% are sexually active, from which 9.4% do not use any form of contraception. Smoking behavior was a predictor of the consumption of illicit drugs, and it was found a significantly statistic association between sexual activity and substance use, p = 0.04.

Discussion: By descending order, the alcohol, tobacco and illicit drugs consumption are still worrisome and can affect the life of adolescents. Primarily health care and pediatric consultation should provide strategies for prevention and promotion of a healthy lifestyle for adolescents.
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http://dx.doi.org/10.1515/ijamh-2018-0040DOI Listing
October 2018

[Hemothorax - a conservative approach in a patient with multiple comorbidities].

Rev Port Cir Cardiotorac Vasc 2018 Jan-Jun;25(1-2):83-86

Assistente Graduado Sénior Medicina Interna, Centro Hospitalar Leiria, Leiria, Portugal.

The authors present the case of an elderly woman with multiple comorbidities hospitalized with the diagnosis of community- acquired pneumonia with pleural effusion. However, there was a history of fall with chest trauma 1 week before, coinciding with the onset of symptoms. The patient had a massive hemothorax that could not be drained. There was a progressive worsening of the patient clinical status with sustained fever and arising of inflammatory parameters, despite broad-spectrum antibiotic therapy and antipyretics. The case was discussed in a multidisciplinary team, and the possibility of surgical intervention was rejected. As life-saving therapy, it was decided to perform fibrinolysis with tissue plasminogen activator, through the thoracic drain, which occurred successfully and without complications. The hemothorax was drained completely allowing recovery of the patient.
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July 2019

Infective endocarditis of the tricuspid valve.

Rev Bras Ter Intensiva 2018 Apr-Jun;30(2):249-250

Serviço de Medicina 2, Centro Hospitalar de Leiria - Leiria, Portugal.

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http://dx.doi.org/10.5935/0103-507X.20180026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6031419PMC
January 2019

Herpes zoster with cutaneous dissemination: a rare presentation of an uncommon pathology in children.

BMJ Case Rep 2018 Jun 12;2018. Epub 2018 Jun 12.

Department of Pediatrics, Hospital de Braga, Braga, Portugal.

Herpes zoster, caused by varicella zoster virus (VZV) reactivation, affects mainly the adult population, although it can occur in children. This happens when primary infection (varicella) has occurred at a very young age or in immunocompromised patients. Complications are rare in healthy individuals. They include VZV cutaneous dissemination, which affects 2%-10% of immunocompromised patients.We present a previously healthy child, with history of varicella during her first month of life, which presented at age 8 with a severe case of herpes zoster, complicated with cutaneous dissemination. Immunity study was unremarkable. Causes, management and follow-up are discussed.
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http://dx.doi.org/10.1136/bcr-2018-225355DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6011528PMC
June 2018

Odynophagia and neck pain after exercise.

BMJ Case Rep 2018 Apr 11;2018. Epub 2018 Apr 11.

Pediatric Department, Hospital de Braga, Braga, Portugal.

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http://dx.doi.org/10.1136/bcr-2018-224581DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5898280PMC
April 2018

Teenage pregnancy - a study in São Tomé and Príncipe.

Int J Adolesc Med Health 2017 Aug 22;32(1). Epub 2017 Aug 22.

Unit of Adolescent Medicine, Pediatrics Department of Hospital de Braga, Braga, Portugal.

Introduction The increasing number of pregnant teenagers in São Tomé and Príncipe (STP) represents a serious public health issue. The aim of this study was to characterize the population of pregnant adolescents followed in a health facility dedicated to maternal health in STP. Methods A cross-sectional survey was conducted among pregnant teenagers that attended the Mother and Child Protection Center during the first quarter of 2017. The survey contained questions on sociodemographic characteristics, sexual and risk behaviors, family, partners and health support. Results The mean age of the 51 pregnant teenagers included was 16.37 ± 0.8 years. Eight girls reported that they had planned to fall pregnant. Teenagers whose pregnancy was unplanned usually present with a previous family history of adolescent pregnancy. About 59% of girls engaged in sexual activity before 16 years of age with a mean number of sexual partners of 1.84 ± 0.88. In this study, 51% of the girls do not use any contraceptive method, usually because their partner refuses to do so. The preferred contraceptive method are condoms. Information on contraception is given mainly at school. Pregnant girls' first medical consultation was at a mean gestational age of 6 weeks. Abortion was considered by 51% of girls after pregnancy was confirmed. Conclusion Teenage pregnancy imposes health problems for the mother and child and contributes to educational and socioeconomic disadvantages. The collaboration of healthcare providers, teachers and parents is needed to enhance sexual health education. This is the first study in STP on teenage pregnancy; although the sample is small, the authors believe that the results are representative of the general population.
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http://dx.doi.org/10.1515/ijamh-2017-0088DOI Listing
August 2017

Purpura is Not Always Caused by the Anticoagulant.

Eur J Case Rep Intern Med 2017 27;4(3):000536. Epub 2017 Apr 27.

Department of Internal Medicine 2, Hospital de Leiria, Leiria, Portugal.

Pigmented purpuric dermatosis is a chronic benign skin disorder of unknown aetiology. Although there are several other potential cofactors, drugs are the most frequent cause. This paper describes the case of a 71-year-old woman who was admitted in the emergency department with skin lesions on the lower extremities, characteristics of Schamberg's disease. After a medical study and treatment, it was concluded that the lesions were caused by amlodipine administration. To the authors' knowledge, only one previous case describing an association between this disease and amlodipine administration has been reported in the medical literature.

Learning Points: Schamberg's disease is the most common form of pigmented purpuric dermatosis.The condition can be caused by amlodipine administration.This is a rare but benign skin disorder.
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http://dx.doi.org/10.12890/2017_000536DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346870PMC
April 2017

Significance of subjective memory complaints in the clinical setting.

J Geriatr Psychiatry Neurol 2014 Dec 24;27(4):259-65. Epub 2014 Apr 24.

Dementia Clinics, Institute of Molecular Medicine and Faculty of Medicine, University of Lisbon, Portugal Laboratory of Neurosciences, Institute of Molecular Medicine and Faculty of Medicine, University of Lisbon, Portugal.

Objective: The clinical significance of subjective memory complaints in the elderly participants, particularly regarding liability of subsequent progression to dementia, has been controversial. In the present study, we tested the hypothesis that severity or type of subjective memory complaints reported by patients in a clinical setting may predict future conversion to dementia.

Methods: A cohort of nondemented patients with cognitive complaints, followed up for at least 2 years or until conversion to dementia, underwent a neuropsychological evaluation and detailed assessment of memory difficulties with the Subjective Memory Complaints (SMC) Scale.

Results: At baseline, patients who converted to dementia (36.8%) had less years of formal education and generally a worse performance in the neuropsychological assessment. There were no differences in the total SMC score between nonconverters (9.5 ± 4.2) and converters (8.9 ± 4.0, a nonsignificant difference), but nonconverters scored higher in several items of the scale.

Conclusion: For patients with cognitive complaints observed in a memory clinic setting, the severity of subjective memory complaints is not useful to predict future conversion to dementia.
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http://dx.doi.org/10.1177/0891988714532018DOI Listing
December 2014
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