RESUMO
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
Assuntos
Humanos , Adulto , Complexo Relacionado com a AIDS/prevenção & controle , Padrões de Prática Odontológica/normas , Relações Dentista-Paciente , Controle de Doenças Transmissíveis , Complexo Relacionado com a AIDS/complicações , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controleAssuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Complexo Relacionado com a AIDS/complicações , Glândulas Salivares/patologia , Infecções por HIV/complicações , Síndrome da Imunodeficiência Adquirida/complicações , Glândula Submandibular/patologia , Soropositividade para HIV/diagnóstico , Salivação/fisiologia , Síndrome de Sjogren/diagnóstico , Xerostomia/diagnósticoRESUMO
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.
Assuntos
Nefropatia Associada a AIDS/complicações , Complexo Relacionado com a AIDS/complicações , Infecções Oportunistas Relacionadas com a AIDS/complicações , Síndrome da Imunodeficiência Adquirida/complicações , Infecções Bacterianas/complicações , Doenças Cardiovasculares/complicações , Criança , Países em Desenvolvimento , Doenças Fetais/patologia , Previsões , Humanos , Índia , Enteropatias/complicações , Transtornos Linfoproliferativos/complicações , Neoplasias/complicações , RecidivaRESUMO
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.