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Bibliographic Details
Main Author:	Tânia Maria Cavalcante Maia
Format:	Artículo científico
Language:	pt
Published:	Universidade de Fortaleza 2006
Subjects:	Salud Estrongiloidíase Strongyloides stercoralis Síndromes de imunodeficiência
Online Access:	https://www.redalyc.org/articulo.oa?id=40819209
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Hiperinfestação por strongyloides stercoralis Tânia Maria Cavalcante Maia Paulo Roberto Leitão de Vasconcelos Simony Fauth Renato Motta Salud Estrongiloidíase Strongyloides stercoralis Síndromes de imunodeficiência A estrongiloidíase é uma helmintíase predominantemente intestinal causada pelo Strongyloidesstercoralis, sendo o homem seu hospedeiro definitivo, além da principal fonte de infecção.Este trabalho objetivou relatar um caso de identificação laboratorial de larva de Strongyloidesstercolaris no líquido ascítico de um paciente do sexo masculino, 49 anos, agricultor,etilista há mais de 30 anos, encaminhado ao Hospital Universitário Walter Cantídio, porestar evoluindo com episódios de icterícia associada a aumento do volume abdominaldiagnosticado como ascite, vômito, diarréia pastosa e diminuição do volume urinário. Nointernamento, foi iniciada medicação profilática para Peritonite Bacteriana Espontânea(PBE), bem como reposição de vitaminas, hidratação venosa e diuréticos, sem sucessoterapêutico. A partir de achados no líquido ascítico de presença de larvas de Strongyloidesstercolaris em atividade, o quadro foi interpretado como estrongiloidíase disseminadaem paciente imunocomprometido por hepatopatia avançada e alcoólica. O paciente evoluiucom quadro de choque caracterizado por hipotensão e hipotermia, tendo chegado a fazeruso de drogas vasoativas de forma não responsiva. O quadro evoluiu para óbito. Os autoreschamam a atenção para a importância do diagnóstico e tratamento precoce da estrongiloidíase,principalmente em pacientes imunodeprimidos. 2006 artículo científico 1806-1222 https://www.redalyc.org/articulo.oa?id=40819209 pt http://www.redalyc.org/revista.oa?id=408 Revista Brasileira em Promoção da Saúde application/pdf Universidade de Fortaleza Revista Brasileira em Promoção da Saúde (Brasil) Num.2 Vol.19

if (filemtime($filename) + $maxlifetime < time()) { unlink($filename); $count++; } } return $count; } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ protected function saveSession($sessId, $data): bool { $sessFile = $this->path . '/sess_' . $sessId; if ($handle = fopen($sessFile, 'w')) { $return = false; // Lock the file for exclusive access to avoid issues with multiple // processes writing session simultaneously: if (flock($handle, LOCK_EX)) { $return = fwrite($handle, $data); // Make sure that there's no trailing data by truncating the file to // the correct length: ftruncate($handle, strlen($data)); fflush($handle); flock($handle, LOCK_UN); } fclose($handle); if ($return !== false) { return true; } } // If we got this far, something went wrong with the file output... // It is tempting to throw an exception here, but this code is called // outside of the context of exception handling, so all we can do is // echo a message.

// Anecdotal testing Today and Yesterday seems to indicate destroy() // is called by the garbage collector and everything is good. // Something to keep in mind though. return 0; } /** * Write function that is called when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ public function write($sessId, $data): bool { if ($this->writesDisabled) { return true; } return $this->saveSession($sessId, $data); } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ abstract protected function saveSession($sessId, $data): bool; }

* * @return void */ public function writeClose() { // The assumption is that we're using PHP's ext/session. // session_write_close() will actually overwrite $_SESSION with an // empty array on completion -- which leads to a mismatch between what // is in the storage object and $_SESSION. To get around this, we // temporarily reset $_SESSION to an array, and then re-link it to // the storage object. // // Additionally, while you _can_ write to $_SESSION following a // session_write_close() operation, no changes made to it will be // flushed to the session handler. As such, we now mark the storage // object isImmutable. $storage = $this->getStorage(); if (! $storage->isImmutable()) { $_SESSION = $storage->toArray(true); session_write_close(); $storage->fromArray($_SESSION); $storage->markImmutable(); } } /** * Attempt to set the session name * * If the session has already been started, or if the name provided fails * validation, an exception will be raised. * * @param string $name * @return SessionManager * @throws Exception\InvalidArgumentException */ public function setName($name) { if ($this->sessionExists()) { throw new Exception\InvalidArgumentException( 'Cannot set session name after a session has already started'

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