Histoplasmose como causa de perfuração intestinal em paciente com síndrome da imunodeficiência adquirida

Revista do Colégio Brasileiro de Cirurgiões

Luiz Alberto Rodrigues De Moraes²  João Maria Silva Rodrigues¹  Geraldo Ishak¹  Carlos Onete Coelho Moreira¹ 

[1] ,UFPa HUJBB

关键词: AIDS;    Histoplasmosis;    Intestinal histoplasmosis;    Intestinal perforation;    Ileal perforation;   

DOI  :  10.1590/S0100-69911998000300011

来源: SciELO

【 摘 要 】

Thirty-four years old patient, female, husband died of AIDS (Acquired Immunodeficiency Síndrome). She's confined to Hospital Universitário João de Barros Barreto, with a positive tesT for AIDS, fever, 10 kg/month of weight loss, diarrhea with gummy faeces, productive cough, yellowish sputum. The therapy was initiated, symptomatic, associated to Epivir, Saquinavir and AZT. The searching exams for Alcohol Ácid Resistant Bacili and fungi in the sputum were negative. At the hemogram was shown a pancytopenia, the esophagogastroduodenunscopy showed light esophago moniliasis. During commitment presented a perforating acute abdomen chart, the abdominal radiography showed hidroair levels, pneumoperitoneum, enlarced bowels with swollen wall. She was undertaken a surgery with diagnosis hypothesis of cytomegalovirus perforation, which accordin to literature is the most frequent cause of intestinal perforation in patients with AIDS.

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