scholarly journals Coinciding SARS-CoV-2 infection in HIV patients with cerebral toxoplasma

2021 ◽  
Vol 1 (2) ◽  
pp. 41-45
Author(s):  
Dika Chandra Bintari ◽  
Paulus Sugianto
Keyword(s):  
Case Report ◽  
Oral Intake ◽  
Preventive Measure ◽  
Immune Deficiency Syndrome ◽  
Deficiency Syndrome ◽  
Antiretroviral Therapies ◽  
Perifocal Oedema ◽  
Rim Enhancement ◽  
Loss Of Appetite ◽  
Hands And Feet

A massive and notorious impact of coronavirus disease 2019 (COVID-19) pandemic has affected communities worldwide, urging extra preventive measure, especially for individuals with comorbidities including those who are suffering from human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS). We reported a case of a 45-year-old man with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and HIV infection as well as toxoplasmosis. The patient presented to the hospital with decreased consciousness and stiffness on both hands and feet accompanied with loss of appetite, fever, and coughing. Since 2014, he had been diagnosed with HIV and undergone combined antiretroviral therapies. Toxoplasmosis was revealed by multislice computed tomography (MSCT) showing multiple rim-like lesion in cortex-subcortex of left temporal lobe along with surrounding perifocal oedema. Furthermore, the finding was corroborated by the contrasted image exhibiting rim enhancement patterns. The patient was also RT-PCR confirmed Covid-19. Following examinations, the patient received pyrimethamine with a loading dose of 200 mg. The management was continued with oral intake of pyrimethamine, clindamycin, folic acid, and vitamin B6 for maintenance dose. This case report suggests that HIV patient suffering from COVID-19 can be treated with antiretroviral therapies since the specific antivirus for SARS-CoV-2 has not yet available. We believe that this case report could contribute to more understanding on the development of clinical management for COVID-19 in HIV-positive patients.

scholarly journals Pharmacist’s Intervention Considering the Prognosis for a Terminal Cancer Patient: A Case Report

Pharmacy ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 212
Author(s):  
Masahiro Okada ◽  
Kazuko Okazaki ◽  
Keisuke Kimura ◽  
Hiroki Sugihara ◽  
Fumiyoshi Murakami ◽  
...  
Keyword(s):  
Case Report ◽  
Health Care Providers ◽  
Prognostic Index ◽  
Oral Intake ◽  
Sigmoid Colon Cancer ◽  
Care Providers ◽  
Abdominal Wall Metastasis ◽  
First Case ◽  
Prognostic Prediction ◽  
Loss Of Appetite

Prognostic prediction has been reported to affect the decision of doctors and non-physician health care providers such as nurses, social workers, pastors, and hospice volunteers on the selection of appropriate medical interventions. This was a case of a 65-year-old woman who presented with a poor oral intake. The patient had a history of sigmoid colon cancer with abdominal wall metastasis and peritoneal dissemination. On the day of admission, nausea, anorexia, and malaise were noted, requiring immediate intervention. The patient’s prognosis was predicted using the Palliative Prognostic Index. The pharmacist suggested the use of dexamethasone tablets in order to alleviate the patient’s symptoms. Indeed, the administration of dexamethasone alleviated the symptoms of nausea, loss of appetite, and malaise. To the best of our knowledge, this is the first case report to demonstrate that prognosis prediction is important not only for other medical staff but also for pharmacists when deciding the need to initiate a treatment and continue such treatment, and when providing pharmacist interventions.

scholarly journals Histoplasmosis-induced ileal perforation in a patient with acquired immune deficiency syndrome: Case report

JGH Open ◽  
2018 ◽  
Vol 2 (4) ◽  
pp. 166-168
Author(s):  
Alvaro Bellido-Caparó ◽  
Sandra Delgado Málaga ◽  
Carlos Garcia Encinas ◽  
Jorge Luis Espinoza-Rios ◽  
Jaime Cáceres Pizarro ◽  
...  
Keyword(s):  
Immune Deficiency ◽  
Case Report ◽  
Immune Deficiency Syndrome ◽  
Acquired Immune Deficiency Syndrome ◽  
Deficiency Syndrome ◽  
Ileal Perforation ◽  
Acquired Immune Deficiency

scholarly journals Glioblastoma multiforme in a patient with common variable immunodeficiency and multiple malignancies – a case report

2017 ◽  
Vol 63 (1) ◽  
Author(s):  
Michał Larysz ◽  
Rafał Becht ◽  
Michał Falco ◽  
Przemysław Nawrocki ◽  
Ireneusz Kojder
Keyword(s):  
Immune Deficiency ◽  
Ovarian Cancer ◽  
Case Report ◽  
Glioblastoma Multiforme ◽  
Immune Deficiency Syndrome ◽  
Deficiency Syndrome ◽  
Common Variable Immune Deficiency ◽  
History Of ◽  
Previously Treated ◽  
Common Variable

ABSTRACTA case of glioblastoma multiforme in female patient suffering from common variable immune deficiency syndrome is presented. The patient with history of previously treated due to breast carcinoma and ovarian cancer. The patient underwent craniotomy twice followed by radiotherapy and chemotherapy with temozolomide and finally died after 11 months.

scholarly journals Histoplasmosis in the nasal septum without pulmonary involvement in a patient with acquired immunodeficiency syndrome: case report and literature review

2010 ◽  
Vol 128 (4) ◽  
pp. 236-238 ◽  
Author(s):  
Fernando Oikawa ◽  
Daniela Carvalho ◽  
Nilce Mitiko Matsuda ◽  
Alice Tatsuko Yamada
Keyword(s):  
Case Report ◽  
Nasal Septum ◽  
Histoplasma Capsulatum ◽  
Immune Deficiency Syndrome ◽  
Pulmonary Involvement ◽  
Deficiency Syndrome ◽  
Multiple Organ ◽  
Chicken Feces ◽  
Acquired Immunodeficiency ◽  
Immunodeficiency Syndrome

CONTEXT: Histoplasmosis is a fungal disease caused by inhaling spores of the fungus Histoplasma capsulatum. The spores can be found in soil contaminated with bird, bat or chicken feces. Histoplasmosis occurs worldwide and is one of the most common pulmonary and systemic mycoses. CASE REPORT: We report here the case of a 37-year-old man with acquired immune deficiency syndrome and histoplasmosis in the nasal septum, without pulmonary involvement, that evolved rapidly to disseminated infection, multiple organ failure and death.

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