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Background: The outbreaks of human rabies that occurred between 2004 and 2005 in the Brazilian Amazon highlight the importance of bats in the transmission of this zoonosis. Ten years after, this region is still considered to be a risk area. Methods: Serum and brain tissue samples were obtained from bats captured between 2013 and 2015. The sera were tested for the presence of rabies antibodies, using the rapid fluorescent focus inhibition test, and the brain tissue samples were tested for the presence of the rabies antigen by the direct immunofluorescence method and intracerebral inoculation in mice. Results: A total of 64% (148/230) of the serum samples were seropositive, although none of the brain samples were positive for rabies infection. The seroprevalence was significantly higher in the second year of the study (p<0.001). This figure was detected in all variables (sex, age, season) and in most of the bat species. Conclusions: Our results indicate the possible occurrence of a recent peak in infection by the rabies virus in these bat populations, which represents an important alert, given that attacks by hematophagous bats are a constant threat in the study area, contributing to the probability of the occurrence of new cases of rabies.

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BACKGROUND: In 2004 and 2005 a total of 38 cases of human rabies transmitted by the hematophagous bat Desmodus rotundus were registered in the Brazilian state of Pará; 23 (60.5%) cases occurred in the northeastern region. Because of this, a serological investigation for the antibodies of rabies virus was performed in municipalities of the northeastern state of Pará, in order to assess whether the virus was circulating among different bat species. METHODS: Bats were collected in 2009 with mist-nets during the rainy and dry seasons and blood samples were collected for the serological survey. RESULTS: A total of 307 serum samples were obtained representing 28 bat species. The number of seropositives was high (50.8%, 156/307) and was significantly higher during the rainy season (67.4%, 95/141). No significant difference in rates was found between male and female or adult and juvenile. Seropositive individuals were recorded in 24 species sampled, the most prominent being Artibeus planirostris, with 52.2% (24/46) positive individuals. CONCLUSION: The serological proportion reported in this paper in a large numbers of individuals indicates that the rabies virus circulates quite actively in the study region, but, because of the production of antibodies, the expression of the disease in these individuals is low.

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INTRODUCTION: The aim of this study was to compare the morphological features of processus vaginalis (PV) and hernia sacs obtained from boys with undescended testis and inguinal hernia, respectively, in order to investigate whether these structures have similar histology. MATERIAL AND METHODS: Samples of PV (n=61) and hernia sacs (n=68) obtained from boys operated for undescended testis (n=58) and inguinal hernia (n=64), respectively, were stained with hematoxylin-eosin for optical qualitative microscopy analysis. The histological structures of each group of samples were compared by a pathologist blinded to the specific pathology. RESULTS: The most prevalent histological findings were connective tissue, smooth muscle, mesothelium, nervous elements, striated muscle and mesonephric remnants with no statistical differences between the groups. The amount of smooth muscle was greater in the hernia sac group where it appeared as a layer. In contrast, the smooth muscle present in the form of sparse bundles around the connective tissue in the PV. CONCLUSIONS: Sacs obtained from boys with inguinal hernia and PV obtained from boys with undescended testis shares a similar histology except for the amount of smooth muscle when analyzed qualitatively by optical microscopy using hematoxylin-eosin stain.

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The authors report on a 6-year-old girl with biliary ascariasis after surgical treatment of a choledochal cyst and biliary-digestive tract reconstruction by Roux-en-Y hepaticojejunostomy. A precise diagnosis can be obtained by ultrasonography. Surgical treatment is required when clinical and endoscopic treatments fail. In countries in which this disease is endemic, biliary ascariasis should be considered in the differential diagnosis of cholangitis after surgery for hepaticojejunostomy.

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The authors report their experience with the use of a polyvinyl chloride (PVC) bag for blood-derivative transfer as a prosthesis for the creation of a silo for surgical treatment of gastroschisis (GS) in seven newborn infants. The bag is sterile, impermeable to micro-organisms, transparent, flexible, resistant, internally smooth, does not adhere to the bowel loops, readily available, and inexpensive, properties that make it an excellent alternative as a prosthesis for staged surgical treatment of congenital anomalies of the abdominal wall such as GS and omphalocele. The importance of a multidisciplinary team for the care of newborns with GS is also emphasized for a good postoperative outcome.

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Presentamos la experiencia del Servicio de Cirugía Pediátrica del Hospital de Clínicas de la universidadFederal de Minas Gerais en quistes colédoco,con 19 niños tratados en el período de 1984 a 1998,ocho eranmenores de 2 años de edad,7 de los cuales presentaban ictericia obstructiva y acolia.A partir de los dosaños solamente 3 de los 11 niños manifestaban la tríada sintomática de ictericia,dolor y masa abdominal.En 18 pacientes se realizó la estirpación de la vesícula,del quiste y una hepaticoyeyunostomía en Y de Roux.En dos de ellos con severa inflamación periquística,fue realizada la resección intramural del quistey en otro paciente,con inflamación periquística se realizó una quisteyeyunostomía en Y de Roux y colecistectomía '

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Presentamos la experiencia del Servicio de Cirugía Pediátrica del Hospital de Clínicas de la universidadFederal de Minas Gerais en quistes colédoco,con 19 niños tratados en el período de 1984 a 1998,ocho eranmenores de 2 años de edad,7 de los cuales presentaban ictericia obstructiva y acolia.A partir de los dosaños solamente 3 de los 11 niños manifestaban la tríada sintomática de ictericia,dolor y masa abdominal.En 18 pacientes se realizó la estirpación de la vesícula,del quiste y una hepaticoyeyunostomía en Y de Roux.En dos de ellos con severa inflamación periquística,fue realizada la resección intramural del quistey en otro paciente,con inflamación periquística se realizó una quisteyeyunostomía en Y de Roux y colecistectomía

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OBJECTIVE: To present the case of a child with neonatal primary hyperparathyroidism submitted to preoperative image studies that couldn't localize the parathyroid glands. METHODS: Report of clinical and laboratory evaluation of neonatal primary hyperparathyroidism in a two-and-a-half-monthold child submitted to preoperative cervical ultrasonography and parathyroid scintigraphy with Technetium-99m-Sestamibi, and subtotal parathyroidectomy at the age of four-and-a -half months. RESULTS: The preoperative images suggested an erroneous diagnosis of parathyroid adenoma. After surgery and pos-operative histopathological exams, hyperplasia of parathyroid glands was confirmed. After two years and a half the child has normal parathyroid function. CONCLUSIONS: The cervical ultrasonography and the parathyroid scintigraphy with Technetium-99m-Sestamibi were not useful for preoperative localization of hyperplasied parathyroid glands in the neonatal primary hyperparathyroidism in this case. The subtotal parathyroidectomy has been a successful method for the maintenance of normocalcemy in the patient.

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Os autores relatam cinco casos de interposicao do colo entre o figado e o diafragma (Sindrome de Chilaidite) em criancas. A distensao das alcas do colo por gas, devido a aerofagia e diarreia, foi um achado comum. O estudo radiologico do abdome em posicao vertical foi sempre necessario para o diagnostico definitivo. O diagnostico diferencial foi feito com pneumotorax, pneumoperitonio e abscesso subfrenico principalmente. O tratamento foi expectante em quatro pacientes e cirurgico em um

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Um caso de malformacao adenomatoide cistica pulmonar congenita, com expressivas manifestacoes clinicas nas primeiras horas de vida extra-uterina e relatado.Realizou-se o estudo clinicopatologico do caso, discutindo-se aspectos da etiopatogenia, conduta terapeutica e prognostico desta rara doenca pulmonar baseando-se em breve revisao da literatura

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