RESUMO
Acute retroviral syndrome developed in an inmate in a detention center after he had intercourse with 2 HIV-infected inmates. Correctional facilities house a disproportionate number of HIV-infected persons, and most do not provide inmates with condoms. Correctional healthcare providers should be familiar with primary HIV infection and acute retroviral syndrome.
Assuntos
Infecções por HIV/transmissão , Prisioneiros , Prisões , Fármacos Anti-HIV/uso terapêutico , Contagem de Linfócito CD4 , Infecções por HIV/tratamento farmacológico , Homossexualidade Masculina , Humanos , Masculino , RNA Viral/sangueRESUMO
Five cases of Lassa fever have been imported from West Africa to the United States since 1969. We report symptoms of the patient with the second imported case and the symptoms and long-term follow-up on the patient with the third case. Vertigo in this patient has persisted for 30 years.
Assuntos
Febre Lassa/patologia , Adulto , Feminino , Técnica Indireta de Fluorescência para Anticorpo/métodos , Seguimentos , Perda Auditiva Neurossensorial/etiologia , Humanos , Febre Lassa/complicações , Febre Lassa/diagnóstico , Febre Lassa/epidemiologia , Vírus Lassa/isolamento & purificação , Nigéria , Serra Leoa , Estados Unidos , Vertigem/etiologiaRESUMO
The proper implementation of combination antiretroviral treatment regimens is fundamental to successful therapeutic outcomes for patients with HIV/AIDS. Unfortunately, some patients are still being prescribed contraindicated antiretroviral regimens that include: 1. stavudine plus zidovudine; 2. Invirase plus two nucleoside analog reverse transcriptase inhibitors (NRTIS); 3. zalcitabine plus didanosine; 4. zalcitabine plus stavudine; and, 5. zalcitabine plus lamivudine. Inappropriate regimens such as these either have limited effectiveness or potential severe toxicity.