Scurvy in a patient with AIDS: case report

Revista da Sociedade Brasileira de Medicina Tropical

André Luiz Maltos¹  Luciana Ligia Da Silva¹  Aderbal Garcia Bernardes Junior¹  Guilherme Vannucchi Portari¹  Daniel Ferreira Da Cunha¹ 

[1] ,Universidade Federal do Triangulo Mineiro Hospital de Clinicas Department of Internal Medicine, Nutrology DisciplineUberaba MG

关键词: AIDS;    Scurvy;    Malnutrition;    AIDS;    Escorbuto;    Desnutrição;   

DOI  :  10.1590/S0037-86822011000100029

来源: SciELO

【 摘 要 】

We report the case of a 35-year-old homeless alcoholic and illicit drug user, with AIDS, who was admitted to the emergency unit complaining of asthenia and a weight loss of 30kg over the preceding three months. Clinical and laboratory data confirmed a diagnosis of marasmus, bacterial pneumonia, chorioretinitis caused by Toxoplasma gondii and oral Candida infection. The patient also presented loss of tongue papillae, gingival hypertrophy, perifollicular hyperkeratosis and hemorrhage, coiled, corkscrew-like hair, anemia, hypoalbuminemia, increased C-reactive protein levels and low serum vitamin C levels. The patient developed severe gastric hemorrhage, with hemodynamic instability and terminal disseminated intravascular coagulopathy.

【 授权许可】

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