Aortic dissection in pregnancy is a lethal cardiovascular complication in women with Marfan syndrome. The course of the treatment would be decided upon by the size of aortic root dilation. We report a case where the unawareness of the diagnosis of Marfan syndrome antenatally led to disastrous post partum consequences even after an uneventful childbirth.
Dermatoses of pregnancy are common, but rarely affect the feto-maternal outcome. Prurigogestationis is a pregnancy specific dermatological condition, which resolves spontaneously in the puerperium. We report a rare case in which it led to permanent disfiguration of the skin by transformation in to prurigonodularis.
IntroductionA million people every day worldwide contract a Sexually Transmitted Infection (STI). In Brazil, studies show that rural living presents adverse conditions and promotes life behaviours that favour the acquisition of such diseases. The objective of this investigation was to estimate the prevalence of symptomatic STIs and to analyse the risk behaviours for these infections among rural settlers from the southwest of Goiás, Central Brazil.MethodsThis is an observational, analytical and cross-sectional study. From May to June 2011, 395 individuals aged 12 years or older living in settlements in southwestern Goiás, Central Brazil, were recruited. All participants were interviewed by means of a structured questionnaire, containing questions about sociodemographic data and risk behaviours for STIs. The outcome variable was the clinical presentation of one of the following STI symptoms over the previous 12 months: vaginal discharge, urethral discharge, genital ulcers, pelvic inflammatory disease, and anogenital warts. The study was approved by the Research Ethics Committee of the Federal University of Goiás.ResultsOf the total, 51.6% were male, 39.5% were aged between 12 and 40 years, and 42.5% had 4 or fewer years of study. The majority were married (68.4%), from Goiás (79%), and were Catholic (51.9%). The prevalence for symptomatic STIs among the settlers was 20.5%. It was observed that being male (adjusted OR: 0.17, p=0.00), drinking alcohol (adjusted OR: 1.75, p=0.05), and life history in rural encampment. (adjusted OR: 2.78, p=0.00) were variables associated with STIs.ConclusionThe results support the need for effective strategies for prevention and control of STIs among the rural population, especially settlers, a population with significant potential in the chain of transmission of sexual infections. Health education and rapid testing for STIs should be implemented for individuals of rural encampment in Brazil.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.