Histoplasmose como causa de perfuracao intestinal em paciente com sindrome da imunodeficiencia adquirida



Document title: Histoplasmose como causa de perfuracao intestinal em paciente com sindrome da imunodeficiencia adquirida
Journal: Revista do Colegio Brasileiro de Cirurgioes
Database: PERIÓDICA
System number: 000141421
ISSN: 0100-6991
Authors: 1


Institutions: 1Universidade Federal do Para, Hospital Universitario, Belem, Para. Brasil
Year:
Season: May-Jun
Volumen: 25
Number: 3
Pages: 209-210
Country: Brasil
Language: Portugués
Document type: Artículo
Approach: Caso clínico
English abstract Thirty-four years old patient, female, husband died of AIDS (Acquired Immunodeficiency Síndrome). She's confined to Hospital Universitário João de Barros Barreto, with a positive tesT for AIDS, fever, 10 kg/month of weight loss, diarrhea with gummy faeces, productive cough, yellowish sputum. The therapy was initiated, symptomatic, associated to Epivir, Saquinavir and AZT. The searching exams for Alcohol Ácid Resistant Bacili and fungi in the sputum were negative. At the hemogram was shown a pancytopenia, the esophagogastroduodenunscopy showed light esophago moniliasis. During commitment presented a perforating acute abdomen chart, the abdominal radiography showed hidroair levels, pneumoperitoneum, enlarced bowels with swollen wall. She was undertaken a surgery with diagnosis hypothesis of cytomegalovirus perforation, which accordin to literature is the most frequent cause of intestinal perforation in patients with AIDS
Disciplines: Medicina
Keyword: Cirugía,
Gastroenterología,
Microbiología,
Histoplasmosis,
Intestinos,
SIDA
Keyword: Medicine,
Gastroenterology,
Microbiology,
Surgery,
Histoplasmosis,
Intestines,
AIDS
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