ABSTRACT
Nowadays, the human immunodeficiency virus infection (HIV) is a chronic disease. In the frequent clinical situations with fever, lymph nodes and loss weight it is necessary to determine their etiology, for establishing a specific treatment. Gastrointestinal opportunistic infections or gastric lymphomatous or sarcomatous process, which can accumulate Ga67, may be present in the patient with acquired immunodeficiency syndrome. We report 2 cases with gastric uptake in which endoscopy and biopsy was obtained. In the first one, with previous treatment with omeprazol and almalgate for gastroesophagic reflux, endoscopy and biopsy were normal and in the second patient an Helicobacter pylori infection was diagnosed. We think that gastric uptake of Ga67 in HIV patients, must indicate to the clinician to rule out associated pathologies.
Subject(s)
AIDS-Related Opportunistic Infections/diagnostic imaging , Gallium Radioisotopes , Gastric Mucosa/diagnostic imaging , Gastrointestinal Diseases/diagnostic imaging , Helicobacter Infections/diagnostic imaging , Helicobacter pylori/isolation & purification , AIDS-Related Opportunistic Infections/drug therapy , AIDS-Related Opportunistic Infections/microbiology , Adult , Aluminum Hydroxide/therapeutic use , Anti-Bacterial Agents/therapeutic use , Anti-Ulcer Agents/therapeutic use , Carbonates/therapeutic use , Endoscopy , Female , Gastrointestinal Diseases/drug therapy , Gastrointestinal Diseases/microbiology , Helicobacter Infections/drug therapy , Helicobacter Infections/microbiology , Humans , Magnesium Hydroxide/therapeutic use , Male , Omeprazole/therapeutic use , Radionuclide Imaging , Treatment OutcomeABSTRACT
Actualmente la infección por el virus de la inmunodeficiencia humana (VIH) es una enfermedad crónica en que son frecuentes presentaciones clínicas con fiebre, adenopatías y pérdida de peso, cuya etiología es preciso determinar, para indicar un tratamiento específico. El paciente con inmunodeficiencia adquirida puede presentar infecciones oportunistas gastrointestinales o procesos linfomatosos o sarcomatosos gástricos, que pueden acumular citrato de Galio67. Presentamos 2 casos con captación gástrica de Ga67 en los que se practicó endoscopia con biopsia. En el primero de ellos, que había recibido tratamiento previo con omeprazol y almalgato por reflujo gastroesofágico, no se demostró patología y en el segundo se diagnosticó infección por Helicobacter pylori. Creemos que en los casos con VIH la captación gástrica de Ga67 debe indicar al clínico la necesidad de descartar patologías asociadas (AU)
