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Revista Clínica de la Escuela de Medicina de la Universidad de Costa Rica

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2019, Number 3

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Rev Clin Esc Med 2019; 9 (3)

Masculino de 38 años con diagnóstico reciente de infección por VIH y tuberculosis pulmonar, inició terapia antifímca y antiretroviral con posterior deterioro clínico y hemodinámico. En la autopsia se documentó tuberculosis y Kaposi diseminados

Flores MI, Castro MA, Monge SF, Quesada AC, Jiménez ME
Full text How to cite this article

Language: Spanish
References: 5
Page: 35-39
PDF size: 1046.10 Kb.


Key words:

HIV, disseminated tuberculosis, antimycobacterial therapy, antiretroviral therapy, immune reconstitution inflammatory syndrome.

ABSTRACT

We present the case of a 38-year-old male patient, homeless, drug-dependent condition, with no known medical history; whom, due to weight loss, hematemesis and bloody diarrhea studios, was diagnosed with acquired immunodeficiency syndrome with infection due to pulmonary tuberculosis; antimycobacterial therapy was started. After 15 days of initiation of antituberculosis therapy, antiretroviral therapy was initiated. The picture evolved with hemodynamic deterioration and the patient died. The autopsy showed findings compatible with disseminated tuberculosis.


REFERENCES

  1. Fauci A Braunwald E Kasper D et al. Harrison Principios de Medicina Interna. McGraw Hill Companies, Inc. New York – U.S.A. 20th Edition, 2018.

  2. Bell L Breen R Miller R, et al. Paradoxical reactions and immune reconstitution inflammatory syndrome in tuberculosis. International Journal of Infectoious Diseases 2015;32:39-45

  3. Nelson A Manabe Y Lucas B. Inmmune Reconstitution Inflamatory Syndrome (IRIS): What pathologists should know. Seminars in Diagnostic Pathology 2017;34(4):340-351

  4. Akinde O Obadofin O Adeyemo T, et al. Kaposi sarcoma among HIV infected patients in Lagos University Teaching Hospital, Nigeria: A 14-year retrospective clinicopathological study. Journal of Skin Cancer 2016:1-6

  5. Schneider J Dittmer D. Diagnosis and treatment of Kaposi Sarcoma. American Journal of Clinical Dermatology 2017;18(4):529-539




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C?MO CITAR (Vancouver)

Rev Clin Esc Med. 2019;9