{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T13:45:58Z","timestamp":1776433558867,"version":"3.51.2"},"reference-count":0,"publisher":"Ordem dos Medicos","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Port"],"abstract":"<jats:p>As dermo-hipodermites bacterianas agudas n\u00e3o necrotizantes s\u00e3o processos infeciosos que incluem a erisipela e a celulite infeciosa, e\u00a0s\u00e3o geralmente causadas por estreptococos \u03b2\u2013hemol\u00edticos do grupo A. Em mais de 80% dos casos situam-se nos membros inferiores\u00a0e s\u00e3o fatores predisponentes a exist\u00eancia de solu\u00e7\u00e3o de continuidade na pele, o linfedema cr\u00f3nico e a obesidade. O seu diagn\u00f3stico\u00a0\u00e9 essencialmente cl\u00ednico e o quadro t\u00edpico baseia-se na presen\u00e7a de placa inflamat\u00f3ria associada a febre, linfangite, adenopatia e\u00a0leucocitose. Os exames bacteriol\u00f3gicos t\u00eam baixa sensibilidade ou positividade tardia. Nos casos at\u00edpicos \u00e9 importante o diagn\u00f3stico\u00a0diferencial com a fasce\u00edte necrotizante e a trombose venosa profunda. A flucloxacilina ou a cefradina s\u00e3o os f\u00e1rmacos de primeira\u00a0linha. A recidiva constitui a complica\u00e7\u00e3o mais frequente, sendo fundamental o correto tratamento dos fatores de risco.<\/jats:p>","DOI":"10.20344\/amp.12642","type":"journal-article","created":{"date-parts":[[2021,3,2]],"date-time":"2021-03-02T15:19:52Z","timestamp":1614698392000},"page":"217-228","source":"Crossref","is-referenced-by-count":7,"title":["Dermo-Hipodermites Bacterianas Agudas N\u00e3o Necrotizantes: Erisipela e Celulite Infeciosa"],"prefix":"10.20344","volume":"34","author":[{"given":"Maria Alexandra","family":"Rodrigues","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00f3nica","family":"Caetano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel","family":"Amorim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuela","family":"Selores","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8464","published-online":{"date-parts":[[2021,3,1]]},"container-title":["Acta M\u00e9dica Portuguesa"],"original-title":[],"link":[{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/12642\/6274","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/12642\/6274","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,23]],"date-time":"2022-10-23T22:17:20Z","timestamp":1666563440000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/view\/12642"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,1]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,3,1]]}},"URL":"https:\/\/doi.org\/10.20344\/amp.12642","relation":{},"ISSN":["1646-0758","0870-399X"],"issn-type":[{"value":"1646-0758","type":"electronic"},{"value":"0870-399X","type":"print"}],"subject":[],"published":{"date-parts":[[2021,3,1]]}}}