{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:21:10Z","timestamp":1792290070068,"version":"4.4.0"},"reference-count":7,"publisher":"Ordem dos Medicos","issue":"2","license":[{"start":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T00:00:00Z","timestamp":1688083200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Port"],"abstract":"<jats:p>A escleroterapia com N-butil-2-cianoacrilato \u00e9 a abordagem endosc\u00f3pica de primeira linha nas hemorragias por varizes g\u00e1stricas ou ect\u00f3picas, podendo estar associada a complica\u00e7\u00f5es locais ou sist\u00e9micas. S\u00e3o frequentes situa\u00e7\u00f5es de bacteriemia transit\u00f3ria ap\u00f3s o procedimento, mas s\u00e3o raros os casos documentados de bacteriemias recorrentes. O caso relata uma doente de 47 anos com cirrose hep\u00e1tica submetida a esclerose de varizes duodenais com cianoacrilato ap\u00f3s hemorragia digestiva alta. Posteriormente, desenvolveu cinco epis\u00f3dios de bacteri\u00e9mia sem foco evidente. O diagn\u00f3stico definitivo de bacteriemias recorrentes com ponto de partida no cianoacrilato s\u00f3 foi poss\u00edvel ap\u00f3s estudo exaustivo para excluir outros focos infeciosos. Este caso evidencia uma complica\u00e7\u00e3o rara, numa topografia tamb\u00e9m incomum (varizes ect\u00f3picas) e com um elevado n\u00famero de epis\u00f3dios de bacteri\u00e9mia. Destaca-se a import\u00e2ncia de uma abordagem multidisciplinar para gerir esta doente, tendo em conta as comorbilidades, o elevado risco anest\u00e9sico e a agressividade cir\u00fargica para extra\u00e7\u00e3o do foco infecioso.<\/jats:p>","DOI":"10.20344\/amp.19444","type":"journal-article","created":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T11:04:47Z","timestamp":1688123087000},"page":"136-141","source":"Crossref","is-referenced-by-count":3,"title":["Bacteriemias Recorrentes ap\u00f3s Escleroterapia de Varizes Ect\u00f3picas Duodenais com Cianoacrilato"],"prefix":"10.20344","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7866-0274","authenticated-orcid":false,"given":"Teresa","family":"Martins Mendes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Fonseca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8788-6155","authenticated-orcid":false,"given":"Diana","family":"Pereira Anjos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"8464","published-online":{"date-parts":[[2023,6,30]]},"reference":[{"key":"3801","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2018.08.009"},{"key":"3802","doi-asserted-by":"publisher","DOI":"10.1067\/mge.2001.116566"},{"key":"3803","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v8.i11.729"},{"key":"3804","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-015-1679-6"},{"key":"3805","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1077564"},{"key":"3806","unstructured":"Martins A, Valente A, Palma R, Raimundo M, Alexandrino P, Carneiro de Moura M. Emboliza\u00e7\u00e3o pulmonar com cianoacrilato ap\u00f3s esclerose de varizes g\u00e1stricas. J Port Gastrenterol. 2006;13:291-2."},{"key":"3807","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-966556"}],"container-title":["Acta M\u00e9dica Portuguesa"],"original-title":[],"link":[{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/19444\/15171","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/19444\/15171","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T14:19:20Z","timestamp":1744899560000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/view\/19444"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,30]]},"references-count":7,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,2,2]]}},"URL":"https:\/\/doi.org\/10.20344\/amp.19444","relation":{},"ISSN":["1646-0758","0870-399X"],"issn-type":[{"value":"1646-0758","type":"electronic"},{"value":"0870-399X","type":"print"}],"subject":[],"published":{"date-parts":[[2023,6,30]]}}}