The authors studied 12 patients with AIDS and abdominal mycobacteriosis hospitalized in the Hospital Ipiranga (São Paulo, Brazil), from June 1989 to January 1992. Diagnosis was confirmed by the histopathological examination of organ specimens collected during laparotomy, which, in most cases, was carried out due to an emergency situation. Observations included perforation of the ileum, seropurulent fluid involved and bloked by viscera, epiploon, and fibrin. Hepatoesplenomegaly was present in all patients and generalized granulomatous peritonitis was observed in more than 50%. A patient died in the immediate post-op period, four after an average period of 55 days in the hospital. A patient evolved with stercoral fistula and asked to be discharged. Six patients were discharged after an average hospitalization period of 27 days. The authors stress that in developing regions where tuberculosis incidence is high, a patient with AIDS and a painful and irritative abdominal picture should always lead to the hypothesis of mycobacteriosis.

Two quite dyspneic HIV positive patients were admitted to the Emergency Room; they presented clinical signs and images suggesting pericardial effusion. The analysis of an initial liquid puncture did not show any specificity and the patients did not exhibit any clinical improvement. Both patients were submitted to a subxiphoid pericardial window, all the effusion liquid was drained, and a biopsy of the pericardium tissue was completed, revealing a granulomatous process. Immediately after the onset of specific treatment, the patients showed a good evolution. Such findings draw attention to a high possibility of pericardial suffusion in AIDS patients being tuberculosis, particular if one considers the high prevalence of this disease in Brazil. The results also showed that the opening of a subxiphoid pericardial window and the specific triple scheme was a procedure that led to good therapeutic evolution in these patients. (J Pneumol J Pneumol J Pneumol J Pneumol 2003;29(2):98-100)

In this paper, we study the relationship between the mapping class group of an infinite-type surface and the simultaneous flip graph, a variant of the flip graph for infinite-type surfaces defined by Fossas and Parlier [8]. We show that the extended mapping class group is isomorphic to a proper subgroup of the automorphism group of the flip graph, unlike in the finite-type case. This shows that Ivanov's metaconjecture, which states that any "sufficiently rich" object associated to a finite-type surface has the extended mapping class group as its automorphism group, does not extend to simultaneous flip graphs of infinite-type surfaces.

In this paper, we study the relationship between the mapping class group of an infinite-type surface and the simultaneous flip graph, a variant of the flip graph for infinite-type surfaces defined by Fossas and Parlier [6]. We show that the extended mapping class group is isomorphic to a proper subgroup of the automorphism group of the flip graph, unlike in the finite-type case. This shows that Ivanov's metaconjecture, which states that any “sufficiently rich" object associated to a finite-type surface has the extended mapping class group as its automorphism group, does not extend to simultaneous flip graphs of infinite-type surfaces.