RESUMO
Two HIV infected patients not receiving Highly Active Antiretroviral Treatment (HAART) presented with epidemic Kaposi's sarcoma of the oral cavity. One patient initially refused HAART, but when the lesion became large enough to be noticeable he agreed to HAART associated with excision of the intraoral lesion by CO2 laser. The other patient developed KS and progressed to AIDS at two years after ceasing HAART due to adverse effects; he was referred to hospital for renewed administration of HAART. In both cases, the lesions observed in the oral cavity were the first clinical manifestation of AIDS. These reports underline the close relationship between the use of HAART and the control of KS lesions, highlighting the important role of the dentist in the identification and early diagnosis of these oral lesions.
Assuntos
Terapia Antirretroviral de Alta Atividade , Infecções por HIV/complicações , Infecções por HIV/tratamento farmacológico , Neoplasias Bucais/etiologia , Neoplasias Bucais/prevenção & controle , Sarcoma de Kaposi/etiologia , Sarcoma de Kaposi/prevenção & controle , Adulto , Humanos , Masculino , Adulto JovemRESUMO
AIDS: A study presented at the 39th Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC) demonstrates that Kaposi's sarcoma herpesvirus (KSHV) can be transmitted via saliva in deep oral kissing. Results of multivariate analysis showed that KSHV positivity was associated with deep oral kissing with HIV-positive persons, the use of amyl nitrates during sex, and sex with a person who has KSHV.^ieng
Assuntos
Infecções Oportunistas Relacionadas com a AIDS/prevenção & controle , Infecções Oportunistas Relacionadas com a AIDS/transmissão , Antibacterianos/administração & dosagem , Claritromicina/administração & dosagem , Infecção por Mycobacterium avium-intracellulare/prevenção & controle , Saliva/virologia , Sarcoma de Kaposi/prevenção & controle , Homossexualidade Masculina , Humanos , Masculino , Nitratos/efeitos adversos , Sêmen/virologiaRESUMO
AIDS: HIV positive individuals can protect themselves and their partners from sexually transmitted diseases (STDs) while maintaining a healthy expression of sexuality. However, they must employ safer sex practices, as research has proven that seropositive individuals can be reinfected by strains of HIV other than the one that caused their positive HIV tests. The same protective measures apply to both seropositive and seronegative individuals. STDs, such as gonorrhea, syphilis, and chancroid, have been known to be cofactors in HIV transmission and progression. Therefore, HIV-infected individuals must work to avoid these diseases through the practice of safer sex which greatly reduces the risks of infection. Studies show that an HIV-positive individual is more at risk of contracting most infections from an HIV negative sexual partner than the reverse, with the exception of HIV infection itself. The wisest course of action is to always use some form of protection, such as condoms, dental dams, or latex gloves.^ieng