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Prions, or proteinaceous infectious particles, are the misshaped proteins responsible for causing transmissible spongiform encephalopathies, or prion diseases

Present as very rapidly progressive dementias. Central sleep apnoea (csa) is characterised by repetitive apnoeas or hypopnoeas with absent or diminished respiratory effort during sleep, occurring 5 or more times per hour Important to search for underlying disorders such as congestive heart failure (chf), renal failure, stroke, brainstem lesi. Rickettsial diseases are important to consider in acutely unwell patients who recall having been bitten by something and/or live in or have travelled to an endemic area

Patients usually present with a fever and may have a rash (usually maculopapular) or an eschar (the bite site of the ectopara. A raiva é uma doença de notificação compulsória em muitos países Prevenível por meio de assistência clínica imediata

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