CEREBRAL TOXOPLASMOSIS IN THE COURSE OF HIV INFECTION - CASE STUDY.

OBJECTIVE: Aim: To the aim of our study is to draw attention to the need to take into account HIV infection and its complications, such as CNS toxoplasmosis, in the differential diagnosis of people presenting with impaired consciousness. We analyzed our patient's medical records and available statistical data on HIV infection, as well as literature on nervous system involvement in the course of AIDS. PATIENTS AND METHODS: Materials and Methods: In our paper, we present the case of a 43-year-old male who was admitted to a neurological ward due to impaired consciousness. Diagnostic imaging and laboratory tests were conducted, and patient was diagnosed with toxoplasmosis in the course of AIDS. CONCLUSION: Conclusions: HIV infection is a global public health problem. In the absence or ineffectiveness of treatment, it leads to profound immunodeficiency and, consequently, opportunistic infections. One of them is the reactivation of the latent Toxoplasma gondii infection. It is the most common cause of extensive cerebral lesions in patients infected with the HIV virus. In these cases, MRI reveals numerous scattered ring-enhancing lesions. The symptoms are non-specific: headaches, impaired consciousness, convulsions, behavioral changes, and focal neurological deficits. The onset of neurological symptoms may be the first clinically relevant manifestation of AIDS. It is key to diagnose such patients as soon as possible and treat them accordingly.

[Assessment of the relationship of depressive disorders in men with lumbosacral pain syndrome]. / Ocena zaleinosci wystepowania zaburzen depresyjnych u mezczyzn z zespolem bólowym okolicy ledzwiowo-krzyzowej.

UNLABELLED: Coincidence of pain in various somatic diseases of depression was confirmed in many epidemiological studies. Lumbosacral pain can be classified as one of the most aggravating National Health budget. THE AIM OF THIS STUDY: To assess the relationship between the presence of pain, depression, and emotional functioning of male patients. MATERIAL AND METHODS: 56 men with lumbosecral pain syndrome took part in this study. Some of them were diagnosed as depressive disorders patients. In this study we used scales to measure the degree of pain and depression and Emotional Control Questionnaire to determine subjects emotional functioning. RESULTS: This paper presents the relationship between the occurrence of lumbosacral pain syndrome and depressive disorders. The results confirm the existence of a relationship between the severity of pain and depression and emotional disorders. CONCLUSIONS: The study shows that there is a correlation between the intensity of lumbosacral pain in male patients and the incidence of depressive and emotional disorders. Men with back pain syndrome and depressive disorders during pain increase period have less emotional excitability and rationally motivated behavior. Men with back pain syndrome without depressive disorders during pain increase period have a greater control of emotional expression, and less control of the situation emotiogenic situation.

[Doctors' alcohol problems]. / Problemy alkoholowe w srodowisku lekarskim.

An overusing and an addiction to alcoholic drinks are important problems in a medical society. The studies made in the United States had documented that about 8-12% doctors were addicted to alcohol. In many cases the doctors are able to keep their problem as a secret and their activity is satisfied up to the moment when a decrease is noticed. Some factors--such as a high level of stress--predispose doctors to alcoholic problems especially surgeons. Alcohol problems should be identified as early as possible, and therapy ought to be given as well. There is no reason to hide the problem.