Creutzfeldt-Jakob Disease in an Internal Medicine Ward: A Case Series

Doença de Creutzfeldt-Jakob numa Enfermaria de Medicina: Uma Série de Casos

Autores

  • Rita Serejo Portugal Serviço de Medicina 5A,Unidade Local de Saúde do Médio Tejo, Unidade de Torres Novas, Torres Novas, Portugal
  • Maria Helena F. Silva Serviço de Medicina 5A,Unidade Local de Saúde do Médio Tejo, Unidade de Torres Novas, Torres Novas, Portugal
  • André Matos Gonçalves Serviço de Medicina 5A,Unidade Local de Saúde do Médio Tejo, Unidade de Torres Novas, Torres Novas, Portugal
  • Ana Rita Sanches Serviço de Medicina 5A,Unidade Local de Saúde do Médio Tejo, Unidade de Torres Novas, Torres Novas, Portugal
  • Sónia Cunha Martins Serviço de Medicina 5A,Unidade Local de Saúde do Médio Tejo, Unidade de Torres Novas, Torres Novas, Portugal
  • Margarida Sousa carvalho Serviço de Medicina 5A,Unidade Local de Saúde do Médio Tejo, Unidade de Torres Novas, Torres Novas, Portugal

DOI:

https://doi.org/10.60591/crspmi.249

Palavras-chave:

Acitretin; Creutzfeldt-Jakob Syndrome/blood, Creutzfeldt-Jakob Syndrome/diagnosis, Creutzfeldt-Jakob Syndrome/diagnostic imaging, 14-3-3 Proteins

Resumo

Creuztfeldt-Jakob disease (CJD) is a rare and fatal prion neurogenerative disease that affects humans and other mammals, with a global prevalence of 1: million habitants. It occurs mainly between the ages of 50 and 70 and is characterized by rapidly progressive dementia. It is divided into 3 main forms: sporadic, genetic, and acquired. The definitive diagnosis is made through anatomopathological examination of the brain, although a highly probable diagnosis can be made through clinical criteria and complementary diagnostic tests.

We present three clinical cases of CJD diagnosed in a Hospital Unit. The average age was 61 years old, and all presented initial behavioral symptoms. The mortality rate was 100% with anatomopathological examination, which confirmed the diagnosis of sporadic Creutzfeldt-Jakob disease.

Rapidly progressive dementia with atypical signs/symptoms should be investigated. Although rare, the sporadic form has been increasing, meaning greater attention and recognition are needed.

 

 

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Referências

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The University of EdinBurgh [Homepage na Internet]. Criteria for diagnosis of sCJD; 2017. [consultado a 1 de março de 2022]. Disponível em: https://www.cjd.ed.ac.uk/sites/default/files/criteria_0.pdf.

CDC.gov [Homepage na Internet]. CDC’s Diagnostic Criteria for Creutzfeldt-Jakob Disease (CJD); 2018. [consultado a 1 de março de 2022]. Disponível em: https://www.cdc.gov/prions/cjd/diagnostic-criteria.html.

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Silva AM, Pires MM, Leite AJ, Honavar M, Mendes A, Correia M, et al. Estudo retrospectivo da doença de Creutzfeldt-Jakob diagnosticada no norte de Portugal entre 1993-2002: características demográficas, clínicas e neuropatológicas. Arq Neuropsiquiatr. 2003;61:950-6. doi: 10.1590/S0004-282X2003000600012

Blättler T. Implications of prion diseases for neurosurgery. Neurosurg Rev. 2002;25:195-203. doi: 10.1007/s101430100170.

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Publicado

14-11-2024

Como Citar

Serejo Portugal, R., F.Silva, M. H., Matos Gonçalves, A., Sanches, A. R., Cunha Martins, S., & Sousa carvalho, M. (2024). Creutzfeldt-Jakob Disease in an Internal Medicine Ward: A Case Series: Doença de Creutzfeldt-Jakob numa Enfermaria de Medicina: Uma Série de Casos. SPMI Case Reports, 2(XX). https://doi.org/10.60591/crspmi.249

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