Objetivo: Relatar um caso de Herpes zoster (HZ) seguido por paresia do zoster segmentar, uma complicação relacionada ao comprometimento da raiz e dano axonal, e discutir suas estratégias de gestão e prevenção. Detalhamento de Caso: Paciente de 80 anos, masculino, hipertenso, pré-diabético e portador de doença pulmonar obstrutiva crônica (DPOC), compareceu à consulta com queixa de dor nas pernas e à esquerda no quadril, sem outros sintomas. Suspeitou-se de artrose de quadril e joelhos, mas esse evoluiu no dia seguinte com lesões lombo-sacras e de membro inferior à esquerda com parestesia, sendo reavaliado e diagnosticado com Herpes Zoster e Neurite Pós-Herpética. Foram prescritos valaciclovir e pregabalina. Após 14 dias do início do quadro, houve perda importante da força do membro. Pensou-se em Radiculopatia por Herpes Zoster, uma complicação rara com duração de semanas a meses. Confirmou-se essa hipótese nos exames solicitados. Realizado o tratamento com fisioterapia e, após 10 semanas, houve melhora significativa da dor e alteração da força apenas aos grandes esforços. Considerações finais: A HZ apresenta complicações potencialmente graves e incapacitantes e, uma vez instalada, evidencia-se a necessidade de um diagnóstico e tratamento precoces. Nesse sentido, destaca-se a importância de um segmento multidisciplinar, como a instituição precoce da fisioterapia.

Purpose The aim of this narrative review is to sumarize data about the use and role of telemedicine in maternal fetal medicine (MFM). Methods We searched pubmed and scopus to find articles about telemedicine in MFM by using the terms telmedicine or telehealth and maternal fetal medicine. Results Telehealth has been widely used for several medical specialties. During the coronavirus disease 2019 (COVID-19) pandemic, telehealth has gained investment and further research. Even though telemedicine in MFM has not been frequently applied, from 2020 onwards it has increased in both implementation and acceptance worldwide. The need to screen the patients in overloaded centers in a pandemic scenario required telemedicine in MFM, which has exhibited consistently good results concerning health and budget. The aim of this study was to review the telehealth programs and research focused on MFM around the world. Few studies have been applied to MFM and even fewer in developing and undeveloped countries. The majority of studies were concentrated in the USA and in Europe. Conclusion Further research is needed, especially in non-developed countries, to comprehend the potential role of telemedicine in MFM for improving the life quality of the patients, health professionals, and to be cost-efficient.

Background: COVID-19 infection primarily affects the respiratory system despite of short and medium-term cognitive impairment has been increasingly reported. The Modified Telephone Interview for Cognitive Status (TICS-M), validated for cognitive screening after stroke, assesses domains such as orientation, attention/calculation, language, and immediate and delayed episodic memory. Thus, the TICS-M might be useful to remotely screen for cognitive impairment in individuals affected by COVID-19. Method:Cross-sectional multicenter study in Belo Horizonte, Brazil, with participants hospitalized with COVID-19 confirmed by RT-PCR or serology. All patients were aged 18+ years. Clinical and sociodemographic data were obtained through electronic medical records and/or interviews. Cognitive impairment screening was performed one year after hospital admission using the TICS-M, with a cutoff point of 14 out of 39.Result: Ninety-six patients were submitted to the test, of which 50 (52.1%) were women, 72 (75%) were self-declared non-white, 59 (64.15%) did not complete elementary school and the median age was 62 years (interquartile range 49-69). There was no significant association between lower TICS-M scores and sociodemographic data or previous medical history, except for higher educational level that appears to be a protective factor to lower scores on TICS-M (OR 0.089, 95% CI:0,01-0,7, p 0.008), which is demonstrated in Table 1. There was also no association between the scores and the clinical course during hospitalization as displayed in Table 2. Furthermore, length of hospital stay (p = 0.232) and length of stay in Intensive Care Unit (p = 0.565) did not impact the scores. Conclusion:In this study, 15% of the sample had cognitive impairment one year after hospitalization for COVID-19 according to TICS-M. The absence of an association between known risk factors for cognitive deficits and worse scores on the TICS-M might have been influenced by the fact that only 13.5% of our sample did not have comorbidities. Lower education level was the only factor associated with worse scores, which indicates a possible need to adapt the test or the cutoff point for different educational levels.