SciELO - Scientific Electronic Library Online

 
vol.24 número12Pielonefritis y embarazo: Experiencia durante un año en un hospital generalFracaso renal agudo por microangiopatía trombótica asociado a enfermedad de Castleman índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Journal

Artigo

Indicadores

Links relacionados

  • Em processo de indexaçãoCitado por Google
  • Não possue artigos similaresSimilares em SciELO
  • Em processo de indexaçãoSimilares em Google

Compartilhar


Anales de Medicina Interna

versão impressa ISSN 0212-7199

Resumo

CONDE GUZMAN, C.; LUQUE MARQUEZ, R.  e  AGUILAR GUISADO, M.. Pulmonary infiltrates and fever in a HIV infected patient after Pneumocystis jirovecii pneumonia. An. Med. Interna (Madrid) [online]. 2007, vol.24, n.12, pp.588-590. ISSN 0212-7199.

In HIV-infected patients, cytomegalovirus (CMV) disease diagnosis is usually difficult and disease results from reactivation of latent infection or reinfection in the context of severe inmunosupresion. Although the introduction of highly active antiretroviral therapy (HAART) has resulted in a important decline of CMV disease, it has considerable morbidity and mortality rate. We present a case of a patient who presented fever, pulmonary infiltrates and abdominal pain after P.jirovecii pneumonia, with isolated of CMV (positive shell-vial) from LBA and gastric biopsy. We propose a possible diagnosis of digestive and pulmonary CMV disease and we iniciated treatment for this with clinical response. It results surprising the rapid progression to SIDA of the patient and we can suggest that a co-infection HIV-CMV could be the cause for the rapid immunological damage.

Palavras-chave : Cytomegalovirus; HIV; AIDS; Shell-vial; Pulmonary infiltrate; Bronchoalveolar lavage.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )

 

Creative Commons License Todo o conteúdo deste periódico, exceto onde está identificado, está licenciado sob uma Licença Creative Commons