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Rev. méd. Chile ; 131(1): 19-24, 2003.
Article Dans Espagnol | LILACS | ID: lil-342218

Résumé

Background: Human immunodeficiency virus (HIV) epidemiology has changed, affecting an increasing number of children. As in adults, the disease predominantly affects the digestive and respiratory systems. Aim: To report the gastrointestinal problems in HIV infected pediatric patients. Patients and methods : Twenty four HIV infected children (nine male, aged 1 to 12 years old, followed for 1 to 170 months), are reported. This group has been under care by a multiprofessional team. Results: Oral candidiasis was present in 21 (88 percent), esophagic candidiasis in 3 (13 percent), oral ulcers in 4 (17 percent). Diarrhea was observed in 18 children (75 percent) and in eight, it had a chronic evolution. Cryptosporidium parvum was the most frequent agent found in six cases (1 with acute and 5 with chronic diarrhea). Schlerosing cholangiopathy was observed in one case, with a fatal outcome, in association to microsporidiosis. Upper endoscopy was done in 11 patients, demonstrating microscopic inflammatory changes in esophagic, gastric and duodenal epithelia in all. Conclusions: Digestive problems are common in HIV infected pediatric patients. They must be always sought actively. Endoscopy is a valuable tool for the early diagnosis of these problems


Sujets)
Humains , Mâle , Adolescent , Femelle , Nourrisson , Infections à VIH , Entéropathie associée au SIDA/épidémiologie , Candidose buccale , Endoscopie gastrointestinale , Diarrhée , Dyskinésies oesophagiennes/épidémiologie
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