RESUMO
We present a case of a man 84 years-old, whose presentation feature was a cutaneous inespecific rash, and was diagnosed of T prolymphocytic leukaemia (T-PLL). In this review we analyze actual aspects concerning biology, diagnosis, classification, prognosis and treatment of this rare mature T cell leukaemia.
Assuntos
Eritema/etiologia , Leucemia Prolinfocítica/induzido quimicamente , Leucemia de Células T/diagnóstico , Idoso , Idoso de 80 Anos ou mais , Humanos , Leucemia Prolinfocítica/complicações , Leucemia de Células T/complicações , MasculinoAssuntos
Síndrome da Imunodeficiência Adquirida/complicações , Caquexia/etiologia , Infecções por HIV/complicações , Síndrome de Emaciação por Infecção pelo HIV/etiologia , Estado Nutricional , Síndrome da Imunodeficiência Adquirida/epidemiologia , Adulto , Anorexia/etiologia , Caquexia/prevenção & controle , Criança , Nutrição Enteral , Infecções por HIV/epidemiologia , Síndrome de Emaciação por Infecção pelo HIV/prevenção & controle , Humanos , Síndromes de Malabsorção/etiologia , Distúrbios Nutricionais/etiologia , Fenômenos Fisiológicos da Nutrição , Nutrição Parenteral , Espanha/epidemiologiaAssuntos
Cocaína/efeitos adversos , Tromboflebite/induzido quimicamente , Adulto , Humanos , MasculinoRESUMO
Although resistance to Listeria monocytogenes infection requires intact T cell-mediated immunity, only 20 patients with human immunodeficiency virus (HIV) infection and listeriosis (including one patient described herein) have been reported to date. Listeriosis developed before AIDS in five cases. Syndromes included meningitis in nine cases, bacteremia in nine, brain abscess in one, and endocarditis in one. Eighteen patients were treated with ampicillin, penicillin, or amoxicillin with or without aminoglycosides. Clinical and microbiologic responses were obtained in one patient with bacteremia treated with vancomycin and in one patient with meningitis treated with trimethoprim-sulfamethoxazole. Three of the nine patients with meningitis died, as did the patient with brain abscess. All nine patients with bacteremia and the patient with endocarditis survived. No case of relapse was documented. L. monocytogenes, although uncommon, should be considered in the differential diagnosis of febrile illness, meningitis, and brain abscess in patients with HIV infection.