André Real
6Publications
Publications 6
Newest
The numbers of multiple drug-resistant Gram-negative bacterial infections are rising worldwide. The threat is increased by the lack of new antibiotics, so clinicians are turning to older drugs previously abandoned due to their recognized toxicity, such as colistin. However, the need to avoid kidney toxicity from colistin has led to its topical use. We present the case of a patient with type I cardiorenal syndrome with cystitis due to multiple drug-resistant Pseudomonas aeruginosa who was success...
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Published on Jan 1, 2018in Galicia Clínica
Whipple´s disease is a rare, chronic bacterial illness with multisystemic involvement, caused by Tropheryma whipplei. Due to it´s multiform presentation and rarity it is often misdiagnosed. The standard method concerning diagnosis is the detection of PAS (periodic acid- Shiff) positive macrophages in affected tissues.Immunohistochemical staining and PCR (polymerase chain reaction) increase the sensitivity and specificity of conventional methods. Long term antibiotic therapy provides a favourable...
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Published on Jan 1, 2018in Galicia Clínica
André Real , Lara Adelino + 3 AuthorsCarlos Vasconcelos26
Estimated H-index: 26
Aproximadamente 70 a 90% dos doentes com Esclerose Sistemica apresentam envolvimento gastrointestinal e, em 10% dos casos, este envolvimento constitui a forma de apresentacao de Esclerose Sistemica. Todo o trato gastrointestinal pode estar afectado sendo o esofago o orgao mais frequentemente descrito1,2,3,4.
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Published on Jan 1, 2017in Galicia Clínica
O ressurgimento de microorganismos multirresistentes resultantes do desadequado uso de antibioticos obrigam a um maior exercicio na aplicabilidade de antibioticos face aos multiplos padroes de resistencias. O objetivo do trabalho foi analisar o consumo de antibioticos num hospital distrital, ao longo de 3 anos, e relaciona-lo com a microbiologia local e respectiva variabilidade durante os 3 anos. No periodo analisado, no Centro Hospitalar Medio Tejo (CHMT), assistiu-se a uma diminuicao da utiliz...
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