Emergências médicas em Medicina do Viajante
Palavras-chave:
Medicina do viajante, emergência médica, malária, dengue, arboviroses, vírus neurotrópicos, febres hemorrágicas, parasitoses, sistema nervoso central, medicina aeronáutica
Resumo
Neste artigo são focados os principais problemas em medicina do viajante que possam necessitar de uma atuação médica de emergência. Febre no viajante é o primeiro alerta. A geografia médica, a epidemiologia, e uma anamnese cuidadosa que inclua o conhecimento sobre o contacto anterior com outras doenças febris tropicais, são fundamentais na caracterização da doença e da sua gravidade. Malária, arbovírus e vírus causadores de febres hemorrágicas, e ainda infeções virais e parasitárias do sistema nervoso central por helmintas ou protozoários, são alguns exemplos de agentes infeciosos ou doenças tropicais que podem evoluir como emergências médicas. Pela sua especificidade, e pela pouca informação que os clínicos têm sobre medicina aeronáutica, estão também incluídas neste texto as importantes emergências médicas a bordo, e os riscos que representam para quem viaja de avião.
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Referências
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2.Helena H Askling et al. Management of imported malaria in Europe. Malaria
Journal 2012 11:328 doi:10.1186/1475 2875-11-328
3. Lurdes C Santos et al. Severe imported malaria in an intensive care unit: a review
of 59 cases. Malaria Journal 2012, 11:96. http://www.malariajournal.com/
content/11/1/96
4. Michael E Marks et al. Severe imported falciparum malaria among adults requiring
intensive care: a retrospective study at the hospital for tropical diseases,
London BMC Infectious Diseases 2013, 13:118
http://www.biomedcentral.com/1471-2334/13/118
5. Hafall JC et al. Cell biology and immunology of malaria Immunological Reviews
2011. Vol. 240: 297–316
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invasion of the human red blood cell. Cell Biol.2012 Vol. 198 No. 6 961–971
www.jcb.org/cgi/doi/10.1083/jcb.201206112
7. Tirtha Chakraborty. Dengue Fever and Other Hemorrhagic Viruses. Chelsea
House Publishers (15 Feb 2008). ISBN-10: 0791085066
8. Sousa CA, Clairouin M, Seixas G, Viveiros B, Novo MT, Silva AC, Escoval
MT, Economopoulou A. Ongoing outbreak of dengue type 1 in the Autonomous
Region of Madeira, Portugal: preliminary report. Euro Surveill.
2012;17(49):pii=20333. Available online: http://www.eurosurveillance.org/
ViewArticle.aspx?ArticleId=203338.
9. Miranda CH, Borges Mde C, Matsuno AK, et al. Evaluation of cardiac involvement
during dengue viral infection. Clin Infect Dis. 2013 Sep;57(6):812-9. doi:
10.1093/cid/cit403. Epub 2013 Jun 19Z.
10. Hubálek and J. HalouzkaWest Nile fever--a reemerging mosquito-borne viral
disease in Europe. Emerg Infect Dis. 1999 Sep-Oct; 5(5): 643–650.
11. Cummins, R.O.; Schubach, M.A. - Frequency and types of medical emergencies
among commercial air travelers. JAMA 1989; 261: 1295-9.
12. Dehart, Roy L. - Fundamentals of Aerospace Medicine, third edition, Lippincott
William & Wilkins, New York, (1996).
13. DeJohn, C.A.; Wolbrink, A.M.; Véronneau, S.J.; et al. - An evaluation of in-
-flight medical care in the U.S. – Aviat. Space Environ. Med. 2002; 73:580
14. Dowdall N. “Is there a doctor on the aircraft?” Top10 in-flight medical emergencies.
BMJ 2000; 321:1336
15. Normile, D. Surprising new dengue virus throws a spanner in disease control
efforts. Science, vol. 342, 25 october 2013.
16. Newman, David G. - An Analysis of In-flight Passenger Injuries and Medical
Conditions 1 January 1975 to 31 March 2006 - ATSB TRANSPORT SAFETY REPORT
- Aviation Research and Analysis Report - B2006/0171, Final (2006).
17. Rahim, Valani; Cornacchia, Marisa and Kube, Douglas - Flight Diversions
Due to Onboard Medical Emergencies on an International Commercial Airline
- Aviation, Space, and Environmental Medicine, Vol. 81, No. 11, November
2010.
18. Speizer, C.; Rennie, C. J.; Breton, H. - Prevalence of in-flight medical emergencies
on commercial airlines. Ann. Emerg. Med. 1989; 18:26.
19. Szmajer, M; Rodriguez, P.; Sauval, P.; et al. - Medical assistance during commercial
airline flights: analysis of 11 years experience of the Paris Emergency Medical
Service (SAMU) between 1989 and 1999. Resuscitation 2001; 50:147
20. Weinlich, M.; Nieuwkamp, N.; Stueben, U.; et al. - Telemedical assistance for
in-flight emergencies on intercontinental commercial aircraft. J. Telemed. Telecare
2009; 15:409
21. Leder, K., , Torresi, J., , Libman, M., e tal. GeoSentinel Surveillance of Illness
in Returned Travelers, 2007–2011. Annals of Internal Medicine. 2013
Mar;158(6):456-468
22. Robinson RD, Waugh CA, Todd CD, et al. Rat lungworm: an emerging zoonosis
in Jamaica. Hawaii J Med Public Health. 2013 Jun;72(6 Suppl 2):33.
23. Slom T, Johnson S. Eosinophilic Meningitis. Curr Infect Dis Rep. 2003
Aug;5(4):322-328.
24. Lorenzo-Morales J, Cabello-Vílchez AM, Martín-Navarro CM, et al. Is Balamuthia
mandrillaris a public health concern worldwide? Trends Parasitol. 2013
Oct;29(10):483-8. doi: 10.1016/j.pt.2013.07.009. Epub 2013 Aug 26.
25. Serrano-Luna J, Piña-Vázquez C, Reyes-López M, et al. Proteases from Entamoeba
spp. and Pathogenic Free-Living Amoebae as Virulence Factors. J Trop Med.
2013;2013:890603. doi: 10.1155/2013/890603. Epub 2013 Feb 7.
2.Helena H Askling et al. Management of imported malaria in Europe. Malaria
Journal 2012 11:328 doi:10.1186/1475 2875-11-328
3. Lurdes C Santos et al. Severe imported malaria in an intensive care unit: a review
of 59 cases. Malaria Journal 2012, 11:96. http://www.malariajournal.com/
content/11/1/96
4. Michael E Marks et al. Severe imported falciparum malaria among adults requiring
intensive care: a retrospective study at the hospital for tropical diseases,
London BMC Infectious Diseases 2013, 13:118
http://www.biomedcentral.com/1471-2334/13/118
5. Hafall JC et al. Cell biology and immunology of malaria Immunological Reviews
2011. Vol. 240: 297–316
6. Alan F. Cowman J et al. The cellular and molecular basis for malaria parasite
invasion of the human red blood cell. Cell Biol.2012 Vol. 198 No. 6 961–971
www.jcb.org/cgi/doi/10.1083/jcb.201206112
7. Tirtha Chakraborty. Dengue Fever and Other Hemorrhagic Viruses. Chelsea
House Publishers (15 Feb 2008). ISBN-10: 0791085066
8. Sousa CA, Clairouin M, Seixas G, Viveiros B, Novo MT, Silva AC, Escoval
MT, Economopoulou A. Ongoing outbreak of dengue type 1 in the Autonomous
Region of Madeira, Portugal: preliminary report. Euro Surveill.
2012;17(49):pii=20333. Available online: http://www.eurosurveillance.org/
ViewArticle.aspx?ArticleId=203338.
9. Miranda CH, Borges Mde C, Matsuno AK, et al. Evaluation of cardiac involvement
during dengue viral infection. Clin Infect Dis. 2013 Sep;57(6):812-9. doi:
10.1093/cid/cit403. Epub 2013 Jun 19Z.
10. Hubálek and J. HalouzkaWest Nile fever--a reemerging mosquito-borne viral
disease in Europe. Emerg Infect Dis. 1999 Sep-Oct; 5(5): 643–650.
11. Cummins, R.O.; Schubach, M.A. - Frequency and types of medical emergencies
among commercial air travelers. JAMA 1989; 261: 1295-9.
12. Dehart, Roy L. - Fundamentals of Aerospace Medicine, third edition, Lippincott
William & Wilkins, New York, (1996).
13. DeJohn, C.A.; Wolbrink, A.M.; Véronneau, S.J.; et al. - An evaluation of in-
-flight medical care in the U.S. – Aviat. Space Environ. Med. 2002; 73:580
14. Dowdall N. “Is there a doctor on the aircraft?” Top10 in-flight medical emergencies.
BMJ 2000; 321:1336
15. Normile, D. Surprising new dengue virus throws a spanner in disease control
efforts. Science, vol. 342, 25 october 2013.
16. Newman, David G. - An Analysis of In-flight Passenger Injuries and Medical
Conditions 1 January 1975 to 31 March 2006 - ATSB TRANSPORT SAFETY REPORT
- Aviation Research and Analysis Report - B2006/0171, Final (2006).
17. Rahim, Valani; Cornacchia, Marisa and Kube, Douglas - Flight Diversions
Due to Onboard Medical Emergencies on an International Commercial Airline
- Aviation, Space, and Environmental Medicine, Vol. 81, No. 11, November
2010.
18. Speizer, C.; Rennie, C. J.; Breton, H. - Prevalence of in-flight medical emergencies
on commercial airlines. Ann. Emerg. Med. 1989; 18:26.
19. Szmajer, M; Rodriguez, P.; Sauval, P.; et al. - Medical assistance during commercial
airline flights: analysis of 11 years experience of the Paris Emergency Medical
Service (SAMU) between 1989 and 1999. Resuscitation 2001; 50:147
20. Weinlich, M.; Nieuwkamp, N.; Stueben, U.; et al. - Telemedical assistance for
in-flight emergencies on intercontinental commercial aircraft. J. Telemed. Telecare
2009; 15:409
21. Leder, K., , Torresi, J., , Libman, M., e tal. GeoSentinel Surveillance of Illness
in Returned Travelers, 2007–2011. Annals of Internal Medicine. 2013
Mar;158(6):456-468
22. Robinson RD, Waugh CA, Todd CD, et al. Rat lungworm: an emerging zoonosis
in Jamaica. Hawaii J Med Public Health. 2013 Jun;72(6 Suppl 2):33.
23. Slom T, Johnson S. Eosinophilic Meningitis. Curr Infect Dis Rep. 2003
Aug;5(4):322-328.
24. Lorenzo-Morales J, Cabello-Vílchez AM, Martín-Navarro CM, et al. Is Balamuthia
mandrillaris a public health concern worldwide? Trends Parasitol. 2013
Oct;29(10):483-8. doi: 10.1016/j.pt.2013.07.009. Epub 2013 Aug 26.
25. Serrano-Luna J, Piña-Vázquez C, Reyes-López M, et al. Proteases from Entamoeba
spp. and Pathogenic Free-Living Amoebae as Virulence Factors. J Trop Med.
2013;2013:890603. doi: 10.1155/2013/890603. Epub 2013 Feb 7.
Publicado
2018-09-08
Como Citar
1.
Marques N, Abreu C, Costa Ribeiro J, Seixas J, Atouguia J. Emergências médicas em Medicina do Viajante. ihmt [Internet]. 8Set.2018 [citado 5Nov.2024];12:71-5. Available from: https://anaisihmt.com/index.php/ihmt/article/view/194
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