Patología digestiva en niños infectados con el virus de inmunodeficiencia humana VIH en Santiago de Chile / Gastrointestinal diseases in children infected with the human immunodeficiency virus
Rev. méd. Chile
;
131(1): 19-24, 2003.
Article
in Spanish
| LILACS
| ID: lil-342218
RESUMO
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
Full text:
Available
Index:
LILACS (Americas)
Main subject:
HIV Infections
/
HIV Enteropathy
Type of study:
Screening study
Limits:
Adolescent
/
Female
/
Humans
/
Infant
/
Male
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2003
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Universidad de Chile/CL
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