Andrea D’Ávila Freitas

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An 18-year-old male student presented to the hospital complaining of abdominal pain, fever, and 4 kg weight loss in the preceding 2 months. Six weeks before the beginning of the symptoms , the patient reported a cliff fall when he was practicing longboard at Alto da Boa Vista, an urban forest area in Rio de Janeiro, Brazil. For almost 30 minutes he remained(More)
Drug interactions involving protease inhibitors are common. Protease inhibitors are well known inhibitors of the 3A4 isozyme of cytochrome P450. Select protease inhibitors, including co-formulated lopinavir/ritonavir, may induce glucuronidation or the activity of other CYP450 isozymes. We describe the case of a patient taking warfarin who experienced a(More)
Paracoccidioidomycosis (PCM) is a neglected systemic mycosis endemic to Latin America caused by dimorphic fungi of the genus Paracoccidioides. The acute juvenile PCM is a severe type of presentation that usually affects young vulnerable patients and rarely progresses to portal hypertension. Here, two cases of liver disease and portal hypertension as(More)
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