scholarly journals ORAL INJURIES IN A PATIENTE WITH HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION: A CASE REPORT

Author(s):  
Talita Alves De Souza ◽  
Thamires Rodrigues Guedes ◽  
Érica Da Silva Carvalho ◽  
Ângela Xavier Monteiro ◽  
Tirza Almeida Da Silva ◽  
...  

The first cases of Acquired Immunodeficiency Syndrome (AIDS) were reported in 1981 in patients with a high decline in immune response. Human immunodeficiency virus (HIV) infection can manifest itself through various signs and symptoms. The oral cavity is an extremely important way for diagnosis and prognosis, because oral lesions may present as clinical signs of disease progression or ineffective antiretroviral treatment. The objective of this study was to evaluate, diagnose and intervene in the oral lesions present in a patient with HIV infection. A case report study was conducted on a patient treated at the Dr. Antônio Comte Telles Polyclinic (Specialized Assistance Service for HIV / AIDS) in Manaus, Amazonas, Brazil. Lesions found in the patient were Leukemia, Smoker's Melanosis and Oral Candidiasis, the latter being treated with tongue hygiene and application of VegelipR associated with laser therapy. It was observed that the treatment was effective and in five sessions there was improvement in the lesion. Oral manifestations are closely related to the HIV virus, since they may be associated with infection and / or disease progression, indicating deficiency in the immune system, as well as interruption of antiretroviral treatment. Candidiasis is an opportunistic infection that, if properly diagnosed and treated, contributes to the improvement of the immune system. It is concluded that the knowledge of the dentist regarding the pathologies and their manifestations is important, as well as a multidisciplinary work in the reference centers for HIV.  Keywords: HIV, AIDS, Oral Injury, Dentistry.

1994 ◽  
Vol 7 (1) ◽  
pp. 14-28 ◽  
Author(s):  
C M Tsoukas ◽  
N F Bernard

Human immunodeficiency virus (HIV) interacts with the immune system throughout the course of infection. For most of the disease process, HIV activates the immune system, and the degree of activation can be assessed by measuring serum levels of molecules such as beta 2-microglobulin and neopterin, as well as other serum and cell surface phenotype markers. The levels of some of these markers correlate with clinical progression of HIV disease, and these markers may be useful as surrogate markers for development of clinical AIDS. Because the likelihood and timing of development of clinical AIDS following seroconversion, for any particular individual, are not readily predictable, the use of nonclinical disease markers has become critically important to patient management. Surrogate markers of HIV infection are, by definition, measurable traits that correlate with disease progression. An ideal marker should identify patients at highest risk of disease progression, provide information on how long an individual has been infected, help in staging HIV disease, predict development of opportunistic infections associated with AIDS, monitor the therapeutic efficacy of immunomodulating or antiviral treatments, and the easily quantifiable, reliable, clinically available, and affordable. This review examines the current state of knowledge and the role of surrogate markers in the natural history and treatment of HIV infection. The clinical usefulness of each marker is assessed with respect to the criteria outlined for the ideal surrogate marker for HIV disease progression.


2015 ◽  
Vol 30 (2) ◽  
pp. 8-12
Author(s):  
Anna Carlissa P. Arriola ◽  
Antonio H. Chua ◽  
Rosario Jessica F. Tactacan-Abrenica

Objective: To determine the prevalence of otorhinolaryngologic (ENT) manifestations in people living with Human Immunodeficiency Virus (HIV) infection seen in our institutions, and to determine the association of these manifestations with age, sex, CD4 count and antiretroviral treatment. Methods: Study Design: Cross-Sectional Study Setting: Two Tertiary Government Hospitals Subjects: Adult patients (>19 years old) confirmed to be HIV- infected  were seen at Jose R. Reyes Memorial Medical Center and San Lazaro Hospital from February to July 2014. A data sheet regarding ENT manifestations was filled upon examination. Age, sex, CD4 count and antiretroviral treatment data were recorded. Independent samples t-test was used to determine age association with manifestations. Fischer’s exact test was used to determine association of sex and manifestations. Chi-square test of independence was used to determine association of CD4 count and antiretroviral treatment with manifestations. Association was considered statistically significant if p< 0.05. Results: Three hundred one patients participated with 287 males (95.3%) and 14 females (4.7%). The mean age was 31.7 ± 8. One hundred ninety seven (65.4%) had ENT manifestations. The most common areas of manifestations came from the oral cavity-oropharyngeal area (n=104, 37%), nasal cavity-nasopharyngeal area (n=73, 26%) and ear (n=43, 15%). The most frequent manifestations were cervical lymphadenopathy, aphthous stomatitis and acute rhinitis. There was no significant difference in the age (p=0.31) and sex (p=0.15) of patients with and without manifestations. However, there was a direct association of manifestations with low CD4 count (p<0.001) and inverse association with antiretroviral treatment (p=0.036). Conclusion: Our findings emphasize the importance of screening for ENT manifestations, regular CD4 monitoring and enrollment to antiretroviral therapy in persons with HIV. Baseline otorhinolaryngologic examination upon HIV diagnosis and prior to initiating treatment should be followed by regular surveillance. Conversely, physicians should also be aware that patients with ENT manifestation may have HIV infection. Keywords:   HIV, Otorhinolaryngologic diseases, CD4 Lymphocyte Count, Anti-Retroviral Agents, Stomatitis, Rhinitis  


2017 ◽  
Vol 8 (1) ◽  
pp. 1
Author(s):  
Maya Savira

Human Immunodeficiency Virus can be spread through sexual contact , blood products and vertical transmission ofthe mother to the fetus . The high incidence of HIV / AIDS around the world in women over 15 years old and childrenunder the age of 15 years gives an overview of HIV / AIDS cases in pregnant women likely to have a high incidence.HIV viral RNA viruses belonged to two different types , namely HIV - 1 and HIV - 2 . Most cases are caused by HIV- 1. HIV primarily infects CD4 lymphocytes or T helper ( Th ), the numbers will decrease , as well as the function ofthe immune system will decrease. During pregnancy occurs emphasis on immune cells, with or without HIV infection.Study in France showed no significant progression between the immune system of pregnant women with HIV andnormal pregnant women . T reg on HIV infection in lymphoid tissue accumulated and the number of T reg postpartum was higher in patients with HIV infection compared to HIV- negative . Human Leukocyte antigen - G ( HLA- G ) inhibits cell-mediated immune response and can penetrate the placenta spread of HIV - 1 infection and increasethe risk of vertical transmission . Major histocompatibility complex ( MHC ) encodes HLA - G to inhibit natural killercells ( NK cells) that supports the entry of the virus passes through the placental barrier in HIV- 1 positive pregnantwomen . HIV infection activates CD8 expressing HLA - DR antigen . CD8 immune activation in chronic HIV becomesa factor decreasing CD4 count . The expression of HLA - DR and CD38 on CD8 T lymphocytes that recognize CD4eliminated by HIV infection Total CD8 , CD38 , and HLA - DR is reduced in HIV- positive pregnant women may bea prognostic parameters of immune status.


2017 ◽  
Vol 4 (4) ◽  
Author(s):  
Anna Maria Peri ◽  
Laura Alagna ◽  
Serena Trovati ◽  
Francesca Sabbatini ◽  
Roberto Rona ◽  
...  

Abstract A 50-year-old man was admitted to intensive care unit because of acute respiratory failure due interstitial pneumonia; after admission, a diagnosis of acute human immunodeficiency virus (HIV)-1 infection was made. Clinical and radiological improvement was observed only after introduction of antiretroviral treatment. We discuss the hypothesis of interstitial pneumonia induced by the acute HIV-1 infection.


Author(s):  
K Bulbul Sarwar

HIV/AIDS spreads so quickly and so destructively that it supersedes all disasters ever attacks human civilization. No branch of scientists can declare them aloof or abstain from it. So the agriculturists are very closely concern with its research-issues, nutritional remedies and agro-based care. We know, HIV stands for human immunodeficiency virus. It is the virus that causes AIDS. A member of a group of viruses called retroviruses, HIV infects human cells and uses the energy and nutrients provided by those cells to grow and reproduce. AIDS stands for acquired immunodeficiency syndrome. It is a disease in which the body's immune system breaks down and is unable to fight off infections, known as "opportunistic infections," and other illnesses that take advantage of a weakened immune system. Opportunistic infections are various in types and it needs not only the care from health professionals rather it deserves agriculturists, nutritionists and social scientists to combat together. When a person is infected with HIV, the virus enters the body and lives and multiplies primarily in the white blood cells. These are immune cells that normally protect us from disease. The hallmark of HIV infection is the progressive loss of a specific type of immune cell called T-helper, or CD4 cells. As the virus grows, it damages or kills these and other cells, weakening the immune system and leaving the person vulnerable to various opportunistic infections and other illnesses ranging from pneumonia to cancer. Understanding how the human immunodeficiency virus (HIV) works inside the human cell gives all scientists important ways about how to attack it at its most vulnerable points and clues to start research. Knowing the secrets of how the virus functions and reproduces itself -- a process called its ‘life-cycle'- can help scientists design new drugs and nutritional supplements those are more effective at suppressing HIV and support the affected lives. This study will draw a clear and easy-to-understand picture for every scientist, obviously the agriculturists too, being alert and keeping their lives safe from this fatal conjugation of HIV and help to invent natural and/or plant remedies to prevent or suspend HIV's aggression, as long as we concern. Key words: HIV, AIDS, retro virus, HIV viral transformation. DOI = 10.3329/jard.v5i1.1473 J Agric Rural Dev 5(1&2), 157-166, June 2007


1995 ◽  
Vol 85 (7) ◽  
pp. 362-374 ◽  
Author(s):  
O Memar ◽  
R Cirelli ◽  
P Lee ◽  
SK Tyring

Infection with the human immunodeficiency virus (HIV) leads to a chronic disarmament of the immune system. The process is progressive, having different manifestations as the status of the immune system slowly deteriorates. Some of the most common manifestations of HIV infection are cutaneous in origin, and they can have infectious, neoplastic, or noninfectious or non-neoplastic etiologies. A brief history of HIV is given, and the most common cutaneous presentations of the virus infection of interest to podiatrists are outlined.


2013 ◽  
Vol 2 (2) ◽  
Author(s):  
Lucky Kumaat

Abstract: Human Immunodeficiency Virus (HIV) infection and Acquired Immunodeficiency Syndrome (AIDS) are the major problems of global health. It is estimated that approximately 75.9% of Human Immunodeficiency Virus (HIV)-infected women aged are in productive ages (20-39 years) with possibilities to become pregnant. Since the prevalence of Human Immunodeficiency Virus infection in pregnant women is increasing, anesthesiologists are increasingly confronting these diseases in their patients. HIV infection in pregnant women often raises questions about the safety of regional anesthesia for them. Fears of the spread of infection to the Central Nervous System (CNS) or the sequel of the neurological system have led some clinicians not to use regional anesthesia. Some research shows that pregnant women with HIV infection are not a contraindication for regional anesthesia since there is no CNS and neurological sequel or infection after a long enough time post operation. Keywords: HIV infection, AIDS, parturition, regional anaesthesia.  Abstrak: Infeksi Human Immunodeficiency Virus (HIV) dan Acquired Immunodeficiency Syndrome (AIDS) adalah masalah utama dari kesehatan global. Diperkirakan sekitar 75,9% wanita yang terinfeksi HIV berada pada usia produktif (20-39 tahun) yang berpeluang untuk hamil. Karena prevalensi infeksi HIV pada wanita hamil semakin meningkat, maka ahli anestesi semakin banyak diperhadapi dengan pasien demikian. Infeksi HIV pada wanita hamil seringkali memunculkan pertanyaan mengenai keamanan penggunaan anestesi regional pada mereka. Kekuatiran terhadap penyebaran infeksi ke sistim susunan saraf pusat (SSP) atau sekuel neurologik menyebabkan sebagian klinisi menentang penggunaan anestesi regional. Beberapa penelitian telah membuktikan bahwa wanita hamil dengan HIV bukan merupakan kontraindikasi bagi penggunaan anestesi regional karena tidak dijumpai adanya infeksi SSP atau sekuel neurologik setelah selang waktu yang cukup panjang pasca operasi. Kata kunci: Infeksi HIV, AIDS, persalinan, anestesi regional.


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