ABSTRACT
Even when there is not direct relation between psoriasis and AIDS, there have been reported impressive manifestations of psoriasis in AIDS diagnosis, difficulties in response to therapy, increase of serious forms of the disease, and clearing of lesions in terminal phase of AIDS. Two cases in which the two diseases are associated were presented. Both cases had outbreaking psoriasis guttata, one of them after being diagnosed with AIDS, in addition to have other dermatosis such as leukoplasia and ungual candidiasis; and the two patients also had scabies. Additionally, presentation of generalized lesions resistant to prescribed therapies was observed.
Subject(s)
Acquired Immunodeficiency Syndrome/diagnosis , HIV-1 , Psoriasis/diagnosis , Acquired Immunodeficiency Syndrome/complications , Adult , Humans , Male , Psoriasis/etiologyABSTRACT
It is reported this uncommon variety of scabies in Cuban patients that caused an epidemic in its areas of origin. It is stressed the severe prutitus observed among these patients, which is usually mild or is absent. It is recommended the dermatological isolation of these individuals and the adoption of prophylactic measures for the personnel being in direct contact with them.
Subject(s)
Disease Outbreaks , Scabies/epidemiology , Acquired Immunodeficiency Syndrome/complications , Adult , Aged , Aged, 80 and over , Cuba/epidemiology , Female , Humans , Immunocompromised Host , Institutionalization , Male , Scabies/prevention & control , Scabies/transmissionABSTRACT
A case of Stevens-Johnson syndrome and infection caused by the human immunodeficiency virus (HIV) diagnosed at the "Pedro Kourí" Institute of Tropical Medicine was reported. This retrospective study was conducted through a bibliographic review. It is a HIV seropositive female patient that during her disease presented dermatological alterations, such as vesicles and ampullas that corresponded to the Stevens-Johnson syndrome. The nursing role in the treatment of an immunodepressed patient and the correct application of the biosafety measures are explained in detail. The nursing personnel is considered as an inseparable part of the medical team in the attention to the HIV immunodepressed patient from the Stevens-Johnson syndrome.
Subject(s)
HIV Seropositivity/complications , Immunocompromised Host , Infection Control/methods , Stevens-Johnson Syndrome/complications , Stevens-Johnson Syndrome/nursing , Adult , Female , Humans , Retrospective StudiesABSTRACT
The clinical histories of 12 AIDS patients whose histoplasmosis diagnosis has been confirmed by histopathological studies were reviewed aimed at knowing the main clinical and microbiological aspects of the disseminated progressive histoplasmosis. In every case it appeared as a febrile and waste disease with an elevated hepatomegaly frequency and generalized adenopathies. More than 50% of the patients had anemia and an accelerated erythrocyte sedimentation. The chest X-ray showed pulmonary lesions in 50% of the patients, whereas, the abdominal ultrasound allowed to observe hepatomegaly and splenomegaly in 58.3 and 41.6% of the patients, respectively. A low sensitivity was found in the culture of different clinical specimens as well as in the antibody detection techniques. It is discussed the need to improve tha laboratory diagnosis methods, particularly those which make possible the antigen detection in a fast and specific way.
Subject(s)
AIDS-Related Opportunistic Infections/diagnosis , HIV-1 , Histoplasmosis/diagnosis , AIDS-Related Opportunistic Infections/microbiology , Adolescent , Adult , Antibodies, Fungal/blood , CD4 Lymphocyte Count , Disease Progression , Female , Histoplasma/immunology , Histoplasma/isolation & purification , Histoplasmosis/microbiology , Humans , Male , Retrospective StudiesABSTRACT
The case of a five-year-old mulatto girl with craniofacial dysmorphism, infected with AIDS virus, is presented. The girl had ocular hypertelorism; eyes slanted upwards; increase of the distance between the internal and external canthi; prominent triangular philtrum; thick lips; prominent forehead; flat nasal bridge; large parotid glands, which indicate that the infection must have transmitted during fetal life. These features were not observed in children infected with AIDS through other ways such as perinatal transmission, blood transfusions and breastfeeding.
Subject(s)
Abnormalities, Multiple , Acquired Immunodeficiency Syndrome/complications , Facial Bones/abnormalities , Skull/abnormalities , Child, Preschool , Female , HumansABSTRACT
The most important clinical and epidemiological aspects of the lymphogranuloma venereum as a sexually-transmitted disease are described. We present a summary of the clinical history of an HIV-positive patient who presented with a tumoral lesion in the inguinal region presumptive of lymphogranuloma venereum. The diagnostic value of the polymerase chain reaction (PCR) technique for the establishment of an accurate diagnosis is stressed the epidemiological importance of the report of this sexually-transmitted disease in an HIV-positive patient for the first time in Cuba is also pointed out. A good response was attained with Doxycycline.
Subject(s)
HIV Seropositivity/complications , Lymphogranuloma Venereum/complications , Adult , Cuba/epidemiology , Humans , Lymphogranuloma Venereum/epidemiology , MaleABSTRACT
The case of a Cuban child with AIDS acquired by perinatal transmission is reported. Thirteen days after birth, the child had chronic diarrhoeas affecting its pondostatural development. It was hospitalized many times due to recurrent respiratory processes, in one of which Pneumocystis carinii was detected. Oral candidiasis, cryptosporidiosis and intestinal amebiasis in faeces were also diagnosed. It died with generalized tonic-clonic convulsions and bradypnea. At autopsy, the direct death cause was endocranial hypertension due to unspecific sub-acute viral meningitis.
