Placentite hematogênica em mães chagásicas

Bittencourt, Achiléa Lisboa; Mota, Eduardo; Barbosa Júnior, Aryon de Almeida; Ferreira, Maura Raquel

doi:10.1590/S0037-86821986000400007

Resumos

Foram estudadas 135 placentas de mães chagásicas que não transmitiram sua infecção ao feto. Em apenas uma destas placentas, encontrou-separasitismo associado a discreta vilosite, crônica e focal. Em outras 24 placentas, observou-se apenas vilosite, na ausência de parasitismo, determinando uma freqüência de 17,9% de vilosite de causa ignorada. Comparou-se esta freqüência com a de um grupo controle, composto de placentas de mães não-chagásicas. A diferença observada foi, estatisticamente, não significante.

Doença de Chagas congênita; Placentite hematogênica; Vilosite de causa ignorada; Placentite chagásica

The authors studied 135 placentas of chagasic mothers who did not transmit their infection to the conceptus. In only one of these placentas they found rare parasites plus a focal and mild chronic villitis. In another 24 placentas they observed only villitis in the absence of parasitism determining a frequency of 17.9% of villitis of unknown etiology. A control group of placentas of non chagasic mothers was studied. The difference of frequency of villitis of unknown etiology in both groups was not statistically significant

Congenital American trypanosomiasis; Hematogenous placentitis; Villitis of unknown cause; Chagasic placentitis

ARTIGOS

Placentite hematogênica em mães chagásicas

Achiléa Lisboa Bittencourt^I; Eduardo Mota^II; Aryon de Almeida Barbosa Júnior^III; Maura Raquel Ferreira^IV

^IDepartamento de Anatomia Patológica e Medicina Legal da UFBa

^IIDepartamento de Medicina Preventiva da UFBa

^IIICentro de Pesquisas Gonçalo Moniz (FIOCRUZ/UFBa)

^IVEx-interna do Serviço de Anatomia Patológica do Hospital Professor Edgard Santos (UFBa)

^{Endereço para correspondência} Endereço para correspondência: Dra. Achiléa L. Bittencourt Hosp. Prof. Edgard Santos Serviço de Anatomia Patológica 40000 Salvador, Bahia - Brasil.

RESUMO

Foram estudadas 135 placentas de mães chagásicas que não transmitiram sua infecção ao feto. Em apenas uma destas placentas, encontrou-separasitismo associado a discreta vilosite, crônica e focal. Em outras 24 placentas, observou-se apenas vilosite, na ausência de parasitismo, determinando uma freqüência de 17,9% de vilosite de causa ignorada. Comparou-se esta freqüência com a de um grupo controle, composto de placentas de mães não-chagásicas. A diferença observada foi, estatisticamente, não significante.

Palavras-chave: Doença de Chagas congênita. Placentite hematogênica. Vilosite de causa ignorada. Placentite chagásica.

ABSTRACT

The authors studied 135 placentas of chagasic mothers who did not transmit their infection to the conceptus. In only one of these placentas they found rare parasites plus a focal and mild chronic villitis. In another 24 placentas they observed only villitis in the absence of parasitism determining a frequency of 17.9% of villitis of unknown etiology. A control group of placentas of non chagasic mothers was studied. The difference of frequency of villitis of unknown etiology in both groups was not statistically significant

Keywords: Congenital American trypanosomiasis. Hematogenous placentitis. Villitis of unknown cause. Chagasic placentitis.

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Recebido para publicação em 29/10/1985.

1. Altschuler G, McAdams. The role of the placenta in fetal and perinatal pathology. Highlights of an eight month's study. American Journal of Obstetrics and Gynecology 113:616-626, 1972.
2. Altschuler G. Placental villitis of unknown etiology: Harbinger of serious disease? a four month's experience of nine cases. Journal of Reprodutive Medicine 11:215- 222, 1973.
3. Altschuler G, Russel P. The human placental villitis: a review of chronic intrauterine infection. Current Topics on Pathology 60:63-112, 1975.
4. Bittencourt AL, Mota E, Ribeiro Filho R, Fernandes LG, Almeida PRC, Sherlock I, Maguire I, Piesman J, Todd CW. Incidence of congenital Chagas' disease in Bahia, Brazil. Journal ofTropical Pediatrics 31:242-248. 1985.
5. Driscoll SG. Histopathology of gestational rubella. American Journal Disease of Children 118:49-53,1969.
6. Homberger C, Chauhan P, Blankiwa. Lymphoplasmocytic placentitis, fetal infection and placental immunoglobulin synthesis. American Journal of Pathology 62:19a, 1971.
7. Klein JD, Remington JS, Marcy SM. An introduction to infections of the fetus and newborn infant. In: Remington JS, Klein JD (ed). Infectious Diseases of the Fetus and Newborn Infant. WB. Saunders, Philadelphia, 1-32 p, 1976.
8. Knox WF, Fox, H. Villitis of unknown aetiology: its incidence and significance in placentae from a British population. Placenta 5:395-402, 1984.
9. Labarrere C, Althabe O, Telenta M. Chronic villitis of unknown aetiology in placentae of idiopathic small for gestation age infants. Placenta 3:309-318, 1982.
10. Monif GR, Dische RM. Viral placentitis in congenital cytomegalo-virus infection. American Journal of Clinical Pathology 58:445-449, 1972.
11. Moya PR, Villagia L, Risco J. Enfermedad de Chagas congênita: hallazgos anatomopatologicos en placenta y cordon umbilical. Revista de la Faculdad de Ciências Médicas de la Universidad de Cordoba 37:21-27, 1979.
12. Omoy A, Segai S, Nishmi M, Simcha A, Polishuk WZ. Fetal and placental pathology in gestational rubella. American Journal of Obstetrics and Gynecology 116:949-956, 1973.
13. Russel P. Inflammatory lesions of the human placenta. III The histopathology of villitis of unknow n aetiology. Placenta 1:227-244, 1.980.

Endereço para correspondência:

Dra. Achiléa L. Bittencourt

Hosp. Prof. Edgard Santos

Serviço de Anatomia Patológica

40000

Salvador, Bahia - Brasil.

Datas de Publicação

Publicação nesta coleção
06 Jun 2013
Data do Fascículo
Dez 1986

Histórico

Aceito
29 Out 1985
Recebido
29 Out 1985

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Altschuler G, McAdams. The role of the placenta in fetal and perinatal pathology. Highlights of an eight month's study. American Journal of Obstetrics and Gynecology 113:616-626, 1972.

[2] 2. Altschuler G. Placental villitis of unknown etiology: Harbinger of serious disease? a four month's experience of nine cases. Journal of Reprodutive Medicine 11:215- 222, 1973.

[3] 3. Altschuler G, Russel P. The human placental villitis: a review of chronic intrauterine infection. Current Topics on Pathology 60:63-112, 1975.

[4] 4. Bittencourt AL, Mota E, Ribeiro Filho R, Fernandes LG, Almeida PRC, Sherlock I, Maguire I, Piesman J, Todd CW. Incidence of congenital Chagas' disease in Bahia, Brazil. Journal ofTropical Pediatrics 31:242-248. 1985.

[5] 5. Driscoll SG. Histopathology of gestational rubella. American Journal Disease of Children 118:49-53,1969.

[6] 6. Homberger C, Chauhan P, Blankiwa. Lymphoplasmocytic placentitis, fetal infection and placental immunoglobulin synthesis. American Journal of Pathology 62:19a, 1971.

[7] 7. Klein JD, Remington JS, Marcy SM. An introduction to infections of the fetus and newborn infant. In: Remington JS, Klein JD (ed). Infectious Diseases of the Fetus and Newborn Infant. WB. Saunders, Philadelphia, 1-32 p, 1976.

[8] 8. Knox WF, Fox, H. Villitis of unknown aetiology: its incidence and significance in placentae from a British population. Placenta 5:395-402, 1984.

[9] 9. Labarrere C, Althabe O, Telenta M. Chronic villitis of unknown aetiology in placentae of idiopathic small for gestation age infants. Placenta 3:309-318, 1982.

[10] 10. Monif GR, Dische RM. Viral placentitis in congenital cytomegalo-virus infection. American Journal of Clinical Pathology 58:445-449, 1972.

[11] 11. Moya PR, Villagia L, Risco J. Enfermedad de Chagas congênita: hallazgos anatomopatologicos en placenta y cordon umbilical. Revista de la Faculdad de Ciências Médicas de la Universidad de Cordoba 37:21-27, 1979.

[12] 12. Omoy A, Segai S, Nishmi M, Simcha A, Polishuk WZ. Fetal and placental pathology in gestational rubella. American Journal of Obstetrics and Gynecology 116:949-956, 1973.

[13] 13. Russel P. Inflammatory lesions of the human placenta. III The histopathology of villitis of unknow n aetiology. Placenta 1:227-244, 1.980.