ABSTRACT
Evolução da infecção pelo HIV na clínica odontológica, mostrando a sua transmissão e seus diferentes estágios. A epidemiologia no mundo e Brasil, em especial, na clínica odontológica, o papel do cirurgião-dentista, discutindo os seus procedimentos, diante dos pacientes e suas manifestações bucais como a sua própria biossegurança durante o trabalho
Subject(s)
Humans , Adult , AIDS-Related Complex/prevention & control , Practice Patterns, Dentists'/standards , Dentist-Patient Relations , Communicable Disease Control , AIDS-Related Complex/complications , Infectious Disease Transmission, Patient-to-Professional/prevention & controlSubject(s)
Humans , Male , Female , Adult , Middle Aged , AIDS-Related Complex/complications , Salivary Glands/pathology , HIV Infections/complications , Acquired Immunodeficiency Syndrome/complications , Submandibular Gland/pathology , HIV Seropositivity/diagnosis , Salivation/physiology , Sjogren's Syndrome/diagnosis , Xerostomia/diagnosisABSTRACT
AIDS in children is a multisystem disease. The various infections, degenerative, proliferative and vascular lesions can be classified into three categories based on the known, presumed or undetermined pathogenesis. The primary lesions are due to HIV infection. The associated lesions are related to direct or indirect sequelae of HIV infection or its treatment. The third category is of lesions of undetermined pathogenesis. The pediatric pathologist plays an important role in the study and management of AIDS by demonstrating new pathologic lesions, by making the etiologic diagnosis of infection in children with AIDS, and by providing clinicopathologic correlation which leads to better understanding of the disease process and its natural history. Diagnosis of neoplastic disorders is also made by the pathologist. There is a dearth of systematic pathologic study of AIDS in children in developing countries. Although no basic differences between pathologic lesions in pediatric AIDS in Western countries, and in developing countries is expected, such a study would lead to better understanding and better management of the disorder as it affects children from the developing countries.
Subject(s)
AIDS-Associated Nephropathy/complications , AIDS-Related Complex/complications , AIDS-Related Opportunistic Infections/complications , Acquired Immunodeficiency Syndrome/complications , Bacterial Infections/complications , Cardiovascular Diseases/complications , Child , Developing Countries , Fetal Diseases/pathology , Forecasting , Humans , India , Intestinal Diseases/complications , Lymphoproliferative Disorders/complications , Neoplasms/complications , RecurrenceABSTRACT
Authors report the first autopsy case of acquired immune deficiency syndrome in Korea. The patient was a 26 years old Korean male who died of respiratory failure due to mixed pulmonary infections. He had history of homosexual contacts with partners of both domestic and foreign nationalities. Initial presentation was unexplained fever for two months. Serological test and western blot test for anti-HIV were positive and T-cell subset analysis revealed T3/T4/T8 to be 73/8/67%. Pulmonary tuberculosis with mediastinal lymphadenopathy and esophagonadal fistula and oral candidiasis were presented. Respiratory infection progressed gradually and he died seven months after the initial symptom. Autopsy findings were generalized severe lymphoid cell depletion, especially of T-cell population and mixed pulmonary infections with Pneumocystis carinii and cytomegalovirus (CMV). The CMV infection involved lungs and adrenals. Oral candidiasis was also demonstrated.