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A n a i s d o I HM T
nuseio de viajantes que apresentam situações de emergência
médica necessita uma estreita colaboração entre especialistas
das áreas da Urgência / Cuidados Intensivos, Infecciologia
/ MedicinaTropical e eventualmente Neurologia.Adicional-
mente o diagnóstico correcto destas situações requer acesso
a recursos laboratoriais adequados, principalmente na área
da Microbiologia e Parasitologia médicas, com frequência
disponíveis apenas em laboratórios de referência.
Esta partilha de saber sobre Emergências médicas noViajan-
te tenta contribuir para o conhecimento dos problemas rela-
cionados com as principais doenças tropicais importadas e a
sua gravidade, servindo como alerta para os profissionais de
saúde para a sua rápida suspeita, identificação, diagnóstico e
tratamento dos viajantes/migrantes/doentes.
Na base deste processo de identificação correcta destas situ-
ações clínicas estarão sempre o conhecimento da Geografia
Médica e a realização de uma anamnese detalhada e cuida-
dosa.
Bibliografia
1. Guidelines for the treatment of malaria,WHO -- 2nd edition, 2010
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 re-
view 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 re-
quiring intensive care: a retrospective study at the hospital for tropical diseases,
London BMC Infectious Diseases 2013, 13:118
http://www.biomedcentral.com/1471-2334/13/1185. 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.2012Vol. 198 No. 6 961–971
www.jcb.org/cgi/doi/10.1083/jcb.2012061127. 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, Esco-
val MT, Economopoulou A. Ongoing outbreak of dengue type 1 in the Au-
tonomous 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 involve-
ment 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 emergen-
cies among commercial air travelers. JAMA 1989; 261: 1295-9.
12. Dehart, Roy L. - Fundamentals of Aerospace Medicine, third edition, Lippin-
cottWilliam &Wilkins, NewYork, (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 emergen-
cies. 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 - ATSBTRANSPORT SAFETY RE-
PORT - 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 Airli-
ne - Aviation, Space, and Environmental Medicine, Vol. 81, No. 11, November
2010.
18. Speizer, C.; Rennie, C. J.; Breton, H. - Prevalence of in-flight medical emergen-
cies on commercial airlines.Ann. Emerg. Med. 1989; 18:26.
19. Szmajer, M; Rodriguez, P.; Sauval, P.;
et al
. - Medical assistance during commer-
cial 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 Ill-
ness 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 Bala-
muthia 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 Enta-
moeba spp. and Pathogenic Free-Living Amoebae asVirulence Factors. JTrop Med.
2013;2013:890603. doi: 10.1155/2013/890603. Epub 2013 Feb 7.