Manuel Ribeiro

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BACKGROUND Helicobacter pylori treatment failure is a growing problem in daily practice. AIM To determine the efficacy of the combination of rabeprazole, levofloxacin and furazolidone as a rescue therapy. METHODS Duodenal ulcer patients previously submitted, without success, to at least two H. pylori treatment regimens were included. Gastroscopy (urease(More)
Idiopathic varices of the entire colon are very rare. We report on a 64-year-old patient with massive lower gastrointestinal hemorrhage from an extensive ileocolonic varix. Diagnosis was established by colonoscopy. The patient underwent an emergency ileocolectomy with satisfactory results. This rare case shows the importance of colonoscopy in the evaluation(More)
To the Editor: Typical clinical features of Wernicke’s encephalopathy are caused by vitamin B1 deficiency and include confusion, ataxia, and ophthalmoplegia. Although it can occur in all malnourished patients, it is far more frequent in alcoholics. Brain MRI is a central diagnostic tool that usually discloses high signal lesions in T2-weighted imaging(More)
We report the case of a 17-year-old male on long-term steroid therapy for minimal lesion glomerulopathy who, after an upper respiratory infection, presented with Haemophilus influenzae type b meningitis. Twenty-four hours later he developed depression of consciousness which progressed to coma and left hemiparesis. Brain magnetic resonance imaging (MRI)(More)
Cerebral Magnetic Resonance imaging in acute postictal period is performed to exclude structural processes that can be responsible for the epileptic activity. Sometimes, the findings are the result of the epileptic activity, and not the cause reflecting the pathophysiologic changes during epileptic activity. In this paper we describe a patient with status(More)
Case Report A 42-year-old woman was seen for 6-month progressive behavioral disturbances. At that time she started being unusually aggressive and impatient, complaining of headaches, aching pain in the right leg, and head tremor. The behavioral changes worsened slowly, and she grew incapable of doing things she previously did, such as cooking, cleaning the(More)
Pyruvate dehydrogenase (PDH) deficiency is one of the most common causes of congenital lactic acidosis. Correlations between the genetic defect and neuroimaging findings are lacking. We present conventional and diffusion-weighted MRI findings in a 7-day-old male neonate with PDH deficiency due to a mosaicism for the R302H mutation in the PDHA1 gene. Corpus(More)
A 47-year-old woman was seen for progressive behavioural and cognitive disturbances slowly evolving over a 1-year period. Neuropsychological evaluation disclosed moderate to severe impairment of all cortical functions. Besides this no other clinical abnormality was found. MRI diffusion weighted imaging disclosed hyperintense cortical lesions in a(More)
CONTEXT Magnesium support to small bowel resection patients. OBJECTIVE Incidence and treatment of hypomagnesemia in patients with extensive small bowel resection. DESIGN Retrospective study. SETTING Metabolic Unit of the University Hospital Medical School of Ribeirão Preto, University of São Paulo, Brazil. PATIENTS Fifteen patients with extensive(More)