Acute cor pulmonale due to lymphocytic interstitial pneumonia in a child with AIDS
Braz. j. infect. dis
; 16(3): 289-293, May-June 2012. ilus
Artículo
en Inglés
| LILACS
| ID: lil-638563
Biblioteca responsable:
BR1.1
ABSTRACT
BACKGROUND:
Acute cor pulmonale is a clinical syndrome with signs of right-sided heart failure resulting from sudden increase of pulmonary vascular resistance. CASE PRESENTATION A five-year-old male, infected by human immunodeficiency virus (HIV), was admitted at the division of infectious diseases of this hospital with cough, tachydyspnea, fever, and breathing difficulty. Computed tomography scan showed ground-glass opacities, cystic lesions, and bronchiectasis. The patient had nasal flaring, intercostal and subcostal retractions, and keeled chest. Abdomen was depressible; liver was 3 cm from the right-costal border, while spleen was 6 cm from the left-costal border. Echocardiogram examinations showed signs of acute cor pulmonale characterized by pulmonary hypertension and increased right-heart chamber dimensions. DIAGNOSTICSOUTCOME:
Acquired immunodeficiency syndrome (AIDS)-B3, lymphocytic interstitial pneumonia (LIP), and acute cor pulmonale. Regressions of pulmonary hypertension and of right-heart chamber were observed after 30 days of highly active antiretroviral therapy (HAART) and chloroquine therapy.CONCLUSION:
AIDS should be considered in children with recurrent pneumonia that is mostly associated with LIP rather than cystic fibrosis.
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
LILACS
Asunto principal:
Infecciones Oportunistas Relacionadas con el SIDA
/
Enfermedades Pulmonares Intersticiales
Límite:
Niño, preescolar
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Braz. j. infect. dis
Asunto de la revista:
Enfermedades Transmisibles
Año:
2012
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Hospital Estadual Infantil Nossa Senhora da Glória/BR
/
Universidade Federal do Espírito Santo/BR