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2014, Number 04

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MediSan 2014; 18 (04)

Characterization of aids patients with infections of the central nervous system

Lamotte CJA
Full text How to cite this article

Language: Spanish
References: 10
Page: 478-484
PDF size: 213.13 Kb.


Key words:

human immunodeficiency virus/aids, central nervous system, intellectual deterioration, neurotoxoplasmosis, meningitis due to cryptococus, secondary health care.

ABSTRACT

A descriptive and cross sectional study of 44 seropositive patients to HIV/aids, assisted in the Center for Care to people with HIV and in the provincial department of patients with HIV/aids from "Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital in Santiago de Cuba was carried out from January, 1992 to December, 2012, in order to determine the incidence of infections to the central nervous system and their clinical characteristics in these affected patients. In the series the intellectual deterioration prevailed associated to fever and migraine. In those affected patients with low count of lymphocytes CD4, the neurotoxoplasmosis, meningitis due to cryptococus, as well as the combination of both prevailed; for the first one the motor deficiency was significant and in the second one the meningeal signs didn't prevail. In spite of the positive response to the treatment neurotoxoplasmosis was the most recurrent infection.


REFERENCES

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  2. Roca Goderich R, Smith Smith V, Paz Presilla E, Losada Gómez J, Serret Rodríguez B, LLamos Sierra N, et al. Temas de Medicina interna. 4 ed. La Habana: Editorial Ciencias Médicas; 2002, t 3.

  3. Finley JL, Joshi V, Smith L. General pathology of HIV infection. En: AIDS and other manifestation of HIV infection. 4th. Amsterdam: Elsevier Science; 2003. p. 723-52.

  4. De Girolami U, Sharer LR, Gabuzda D, Sotrel A. Neuropathology of AIDS. En: AIDS and other manifestation of HIV infection. 4th. Amsterdam:Elsevier Science; 2003. p. 753-82.

  5. Pérez Ávila J, Villaverde AB. Pautas para la atención clínica de las personas infectadas con el VIH o enfermos de SIDA. La Habana: MINSAP;1995.

  6. Pérez J, Pérez D, González I, Díaz J, Millán JC, Orta M. Pautas cubanas para el tratamiento antirretroviral en los pacientes con VIH/SIDA. La Habana: MINSAP; 2004.

  7. Mitchell HK, Harry H. HIV infection. En: Laurence MT, Stephen JM, Maxine AP. Current medical Diagnosis & Treatment. USA: McGraw-Hill;2002. p.1323-53.

  8. Antela A. Historia natural y clasificación de la infección por VIH. En su: Manual de capacitación para el manejo integral de personas adultas que viven con el VIH/SIDA para equipo de atención primaria y comunitarios en Latinoamérica y el Caribe. Washington DC:OPS; 2004:3-7.

  9. Antela A. Diagnóstico y tratamiento de las infecciones oportunistas asociadas a la infección por el VIH. En su: Manual de capacitación para el manejo integral de personas adultas que viven con el VIH/SIDA para equipo de atención primaria y comunitarios en Latinoamérica y el Caribe. Washington DC: OPS; 2004:61-2.

  10. Department of Health and Human Services. Panel on Antiretroviral Guidelines for Adults and Adolescents. Guidelines for the use of antiretroviral agents in HIV-1- infected adults and adolescents. 2005:1–167.




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MediSan. 2014;18