scholarly journals Cutaneous Nocardiosis Simulating Cutaneous Lymphatic Sporotrichosis

2017 ◽  
Vol 9 (2) ◽  
pp. 119-129 ◽  
Author(s):  
Pedro Secchin ◽  
Beatriz Moritz Trope ◽  
Larissa Araujo Fernandes ◽  
Glória Barreiros ◽  
Marcia Ramos-e-Silva

Sporotrichosis is the subcutaneous mycosis caused by several species of the Sporothrix genus. With worldwide occurrence, the State of Rio de Janeiro is presently undergoing a zoonotic sporotrichosis epidemic. The form of lymphocutaneous nocardiosis is rare, being caused especially by Nocardia brasiliensis. It appears as a nodular or ulcerated lesion, with multiple painful erythematous nodules or satellite pustules distributed along the lymphatic tract, similar to the lymphocutaneous variant of sporotrichosis. We present a 61-year-old man who, after an insect bite in the left leg, developed an ulcerated lesion associated with ascending lymphangitis, nonresponsive to previous antibiotic therapies. The patient was admitted for investigation, based on the main diagnostic hypothesis of lymphatic cutaneous sporotrichosis entailed by the highly suggestive morphology, associated with the epidemiologic information that he is a resident of the city of Rio de Janeiro. While culture results were being awaited, the patient was medicated with sulfamethoxazole-trimethoprim to cover CA-MRSA and evolved with total healing of the lesions. After hospital discharge, using an ulcer fragment, an Actinomyces sp. was cultivated and N. brasiliensis was identified by molecular biology. The objective of this report is to demonstrate a case of lymphocutaneous nocardiosis caused by N. brasiliensis after a probable insect bite. Despite the patient being a resident of the State of Rio de Janeiro (endemic region for sporotrichosis), it is highlighted that it is necessary to be aware of the differential diagnoses of an ulcerated lesion with lymphangitis, favoring an early diagnosis and appropriate treatment of the illness.

2018 ◽  
Vol 44 (2) ◽  
pp. 106-111 ◽  
Author(s):  
Maiara dos Santos Carneiro ◽  
Luciana de Souza Nunes ◽  
Simone Maria Martini De David ◽  
Claudia Fontoura Dias ◽  
Afonso Luís Barth ◽  
...  

ABSTRACT Objective: The incidence of lung disease caused by nontuberculous mycobacteria (NTM) has been increasing worldwide. In Brazil, there are few studies about nontuberculous mycobacterial lung disease (NTMLD), and its prevalence is yet to be known. Our objective was to determine the specific etiology of the disease in the state of Rio Grande do Sul, Brazil, as well as the frequency and diversity of NTM species in our sample of patients. Methods: This is a retrospective analysis of the medical records of patients diagnosed with NTMLD treated in a referral center located in the city of Porto Alegre, Brazil, between 2003 and 2013. Results: Our sample comprised 100 patients. The most prevalent NTM species were Mycobacterium avium complex (MAC), in 35% of the cases; M. kansasii, in 17%; and M. abscessus, in 12%. A total of 85 patients had received previous treatment for tuberculosis. Associated conditions included structural abnormalities in the lungs, such as bronchiectasis, in 23% of the cases; COPD, in 17%; and immunosuppressive conditions, such as AIDS, in 24%. Conclusions: MAC and M. kansasii were the most prevalent species involved in NTMLD in the state, similarly to what occurs in other regions of Brazil. Data on regional epidemiology of NTMLD, its specific etiology, and associated conditions are essential to establish appropriate treatment, since each species requires specific regimens. Most patients with NTMLD had received previous tuberculosis treatment, which might lead to development of resistance and late diagnosis.


2009 ◽  
Vol 18 (03) ◽  
pp. 34-40 ◽  
Author(s):  
M. C. F. S. de Bustamante ◽  
M. J. S. Pereira ◽  
A. de O. Schubach ◽  
A. H. da Fonseca

Author(s):  
Helcio R.B. Orlande ◽  
Marcelo Colaco ◽  
George S. Dulikravich ◽  
Luiz F.S. Ferreira

Evolution model is based on that used by Hernandez et al., which considers the following groups: Susceptible, Incubating, Asymptomatic, Symptomatic, Hospitalized, Recovered and Accumulated deaths. Evolution model considers the possibility of infections from asymptomatic, symptomatic and hospitalized individuals. Evolution model considers the possibility that individuals who have recovered from the disease become symptomatic again. Observation model accounts for underreport of cases and deaths. Observation model accounts for delays in reporting cases and deaths. Model parameters were initially estimated with the Markov Chain Monte Carlo (MCMC) method, by using the data of the city of Rio de Janeiro from February 28, 2020 to April 29, 2020. These estimations were used as initial input values for the solution of the state estimation problem for the city of Rio de Janeiro. Algorithm of Liu & West for the Particle Filter was used for the solution of the state estimation problem because it allows the simultaneous estimation of state variables and model parameters. State estimation problem was solved with the data of the city of Rio de Janeiro, from February 28, 2020 to May 05, 2020. Monte Carlo simulations were run for 20 future days, considering uncertainties in the model parameters and state variables. Initial conditions were given by the state variables and corresponding distributions estimated with the particle filter on May 05, 2020. Distributions of the model parameters were also given by the estimations obtained for this date. Data of the city of Rio de Janeiro, from May 06, 2020 to May 15, 2020, were used for the validation of the solution of the state estimation problem. The present model, with the parameters obtained with the Particle Filter, accurately fits the number of reported cases and the number of reported deaths, for 10 days ahead of the period used for the solution of the state estimation problem. The Ratio of Infected Individuals per Reported Cases was around 15 on May 05, 2020. The Indexes of Under-Reported Cases and Deaths were around 12 and 2, respectively, on May 05, 2020. The Effective Reproduction Number was around 1.6 on February 28, 2020 and dropped to around 0.9 on May 05, 2020. However, uncertainties related to this parameter are large and the effective reproduction number is between 0.3 and 1.5, at the 95% credibility level. The particle filter must be used to periodically update the estimation of state variables and model parameters, so that future predictions can be made. Day 0 is February 28, 2020.


2007 ◽  
Vol 39 (3) ◽  
pp. 535-565 ◽  
Author(s):  
AMY CHAZKEL

AbstractAt the beginning of Brazil's First Republic (1889–1930), the clandestine lottery called the jogo do bicho or ‘animal game’, which still exists today, gained enormous popularity in Rio de Janeiro, the city of its origin, and soon in the whole of Brazil. Reconstructing the spread and persecution of the jogo do bicho during its first decades reveals the social process of urbanisation evident in the daily, often informal and quasi-legal, interactions between the state and popular commerce in Latin America. The ambivalent official stance and public sentiment that developed toward this lottery suggest that ‘law and order’ concerns in themselves do not explain the criminalisation of vernacular practices.


2020 ◽  
Vol 6 ◽  
Author(s):  
Edson Vinicius Pontes Bastos

Objective: Verify the relation between the variables in the Fleuriet model and the electoral result given by the exchange or maintenance of the party of the prefectures under analysis. Methodology: Through logistic regression it is possible to explain or predict the probability of the occurrence of the event under analysis, such event discussed here refers to the exchange of the party, which is a dummy variable that assumes a value of 1 when there is an exchange and zero otherwise, the method of estimation used to obtain the coefficients was based on maximum likelihood. Results: The relationship between the variables of the Fleuriet model and the electoral result given by the exchange or maintenance of the party in the prefectures of the group under analysis. Limitation or implication of the research: It is noteworthy that such research does not allow generalizations, being a study with reduced scope considering only the city halls of the State of Rio de Janeiro that have financial information disclosed. Originality: showing that city halls with better financial situation tend not to change the party, which was observed in the group under analysis considering the election event in 2020.


1985 ◽  
Vol 9 ◽  
pp. 74-87
Author(s):  
Maria Do Carmo Corrêa Galvão

Starting out from the conception that agrarian space is a subspace created by rural activities within a totality which includes the city with its multiple varied interactions, the present study focuses on the agrarian space of the state of Rio de Janeiro as affected by the urban-industrial economy. It identifies is as a traditional agrarian space in which the effects of urban growth are making themselves felt in spatially differentiated and structurally contradictory forms. The internal disparities are seen in the context of the social, economic and political formation of the state, from which emerge, as agents of considerable importance and on different scales, the coffee economy which conditioned the settlement and appropriation of the territory and, on the other hand, the functions of Rio de Janeiro as a port, a centre of political power and a national metropolis. With a background of dairy-farming, replacing coffee-growing in almost the whole of the state, and single-crop sugarcane cultivation in the Baixada Campista, the agrarian space of the state of Rio de Janeiro illustrates overall limitations and problems of the state's economy, within a framework of immobility or feeble growth. This formally stationary framework has been passing through changes in organization and structure which have reflected, during the past thirty years, different ways in which the state of Rio de Janeiro has shared in the overall process of the country's development reflecting, at one and the same time, capitalist expansion in the rural sector and its articulations with various political actions aimed directly or not at that sector. As a result of their extent and their social and economic implications, a number of important variables are referred to in this study as indicators of changes. They are variables referring to land use, recorded in the Censures from 1950 to 1980, and others characteristic of the modes of production, brought up in the course of field surveys. The expansion and modernization of cattle-raising in specifically defined areas in the state, the widespread fall-off in permanent cultivation and the increase in temporarily cultiva>;ted areas reflect new options for producers in connection with less expensive and more profitable activities. The strengthening of sugarcane cultivation, the extension of silviculture, especially since 1970, and the resurgence of coffee-growing display the effects of agricultural policies based on subsidized credit. Of the various forms of innovatibn in the state rural area which are focused on in this study, none shows the direct interference of Rio de Janeiro as a consumer market. Not even cattle-raising practised on the enterprise model on the periphery closest to the city is fundamentally directed towards Rio's consumer market, except for dairy production of the beef cattle produced there, only 10% or so are earmarked for this market. In the coastal lowlands of the Lake Region, specialization in the production of cows and bulls for breeding purposes, which is being consolidated in conjunction with the pastoral areas of Minas Gerais, Espirito Santo, Goias and Mato Grosso, offers the most obvious prood of the alienation of the producing area from the immediate market of Greater Rio. The geographical distribution and configuration of the dynamic segments and the stagnant pockets in the state point to another feature of its agrarian framework. The great motor-way axes which bring Rio de Janeiro into contact with the other metropolises in the Southeast or with the Northeast via the coastal highway are today the great lines along which the modernization of rural activities and new social relations of production are being diffused, so creating a new agrarian framework which has little or nothing to do with the previous one or with the great metropolitan market. From the above-mentioned frame of reference, it is quite clear that the agrarian space of the state of Rio de Janeiro is being transformed under the action of forces superior to market ones, forces which transcend the system of internal relations of the state itself, embodying the process of capital enrichment of the rural areas and a new spatial structuring linked to the projection of Rio de Janeiro on a national scale, more than to its local or regional action.


2020 ◽  
Vol 848 ◽  
pp. 119-126
Author(s):  
Carlos Cesar Peiter ◽  
Maria Martha Gameiro

The Santo Antonio de Padua natural stone cluster in the state of Rio de Janeiro is considered one of the most successful small mining initiatives in Brazil, having seen the creation of around 150 small- and medium-sized companies operating quarries and stone saw mills. Initially used as corral flooring material, the natural stone was later used in large urban projects such as the Porto Maravilha, a project supported by the city of Rio de Janeiro to modernize the city port before the 2016 Olympic Games. Such a step forward was made possible by a multistakeholder approach that brought together local stone business representatives, government agencies, non-governmental institutions, and other authorities that supported a regional development plan stablishing natural stone production as a priority. This paper describes historical events associated with the development of the Padua stone cluster that may offer practical examples for similar initiatives worldwide.


2010 ◽  
Vol 1 (1) ◽  
pp. 165-187 ◽  
Author(s):  
Sven Peterke

AbstractIn Rio de Janeiro so-called drug factions hold control over most of the shanty towns. The State has reacted by 'militarising' its police operations. The result is a humanitarian tragedy that has already cost the lives of thousands of Brazilian citizens. Many of those affected by the violence are of the opinion that the city has become the battlefield of a 'war'. This article addresses the issue of whether the legal concept of armed conflict could and should be applied to such situations.


2018 ◽  
Vol 14 (3) ◽  
Author(s):  
Carly Barboza Machado

Abstract This article looks to explore the analytic consequences of thinking about the urban peripheries of Rio de Janeiro not from the perspective of the city itself, capital of the State, but from the Baixada Fluminense, a cluster of cities in its Metropolitan Region. To do so, I suggest an analysis of the ‘pacification apparatus’: a set of discourses, practices and imaginations linked to the pacification policy as a public security project, but transcending the latter by articulating state, religious, cultural and media actors. The empirical material discussed in this article concerns the case of a partnership between a UPP in the city of Rio and a church from Baixada Fluminense. The conclusions reached suggest that Baixada Fluminense, despite its intrinsic relationship with the capital of Rio de Janeiro and its public problems, has its own processes, formulates specific territorial regimes, and influences the processes that take place in the Rio metropolis by producing borders with it, and through it.


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