ABSTRACT
The epidemic associated with infection by human immunodeficiency virus (HIV) is one of the main health problems in the world, about one million people died as a result of infection related to it; according to the statistical data of 2016 the number of infected persons was 36,7 million, 34,5 million were adults and 2,1 million children (under 15 years), it was calculated for 2016 that there were about 1,8 million of new HIV infections.Toxoplasma encephalitis (ET) is a zoonosis of global distribution is one of the most frequent opportunistic diseases in patients with immunosuppression by HIV. Toxoplasma gondii is a protozoan, which infects the human being through the intake of raw or undercooked meat. The following is the report of a case of a 25-year-old patient with a recent diagnosis of HIV infection, who went to the emergency room for generalized headache of moderate intensity, which did not yield to the administration of medications, was accompanied by drowsiness, paresthesia of the tongue and left hemicara.
The epidemic associated with infection by human immunodeficiency virus (HIV) is one of the main health problems in the world, about one million people died as a result of infection related to it; according to the statistical data of 2016 the number of infected persons was 36,7 million, 34,5 million were adults and 2,1 million children (under 15 years), it was calculated for 2016 that there were about 1,8 million of new HIV infections.Toxoplasma encephalitis (ET) is a zoonosis of global distribution is one of the most frequent opportunistic diseases in patients with immunosuppression by HIV. Toxoplasma gondii is a protozoan, which infects the human being through the intake of raw or undercooked meat. The following is the report of a case of a 25-year-old patient with a recent diagnosis of HIV infection, who went to the emergency room for generalized headache of moderate intensity, which did not yield to the administration of medications, was accompanied by drowsiness, paresthesia of the tongue and left hemicara
Subject(s)
Male , Public Health , HIV , Toxoplasmosis, Cerebral , Epidemics , Encephalitis , InfectionsABSTRACT
La tuberculosis extrapulmonar se define como la infección ocasionada por Mycobacterium tuberculosis a tejidos y órganos fuera del parénquima pulmonar, aproximadamente el 1-3 % del total de los casos de TB son extrapulmonares y de estos el 11-16 % afectan al abdomen; 10 al 15 % en los no infectados por el VIH y hasta en 70 % en los infectados. El presente reporte es acerca de una paciente de 34 años, sexo femenino, heterosexual, que no refirió conductas sexuales de riesgo, misma que solicitó valoración por emergencias del hospital general del norte de Guayaquil Los Ceibos (HGNG-C), refiriendo manifestaciones clínicas de 1 semana de evolución aproximadamente, tales como: náusea, vómitos, deposiciones líquidas en varias ocasiones, sin mejoría a pesar de tratamiento médico previo, que se complica con la aparición de dolor abdominal severo, por el cual se decidió efectuar apendicetomía de emergencia; en los resultados anatomopatológicos se detectaron estructuras granulomatosas, estableciéndose el diagnóstico de tuberculosis extrapulmonar.
Extrapulmonary tuberculosis is defined as the infection caused by Mycobacterium tuberculosis to tissues and organs outside the lung parenchyma, approximately 1-3 % of the total TB cases are extrapulmonary and of these 11-16 % affect the abdomen; 10 to 15 % in those not infected by HIV and up to 70 % in those infected. The present report is about a 34-year-old female,heterosexual, who did not report risky sexual behavior, who requested emergency assessment from the general hospital in the north of Guayaquil Los Ceibos (HGNG-C), referring to manifestations clinics of 1 week of evolution, such as: nausea, vomiting, liquid stools on several occasions, without improvement despite previous medical treatment, which is complicated by the appearance of severe abdominal pain, for which it was decided to perform emergency appendectomy ; In the anatomopathological results, granulomatous structures were detected, establishing the diagnosis of extrapulmonary tuberculosis.