[Digestive pathology in children infected with the human immunodeficiency virus (HIV), in Santiago de Chile].

Autor:	Tassara R; Departamento de Pediatría, Campus Occidente, Facultad de Medicina, Universidad de Chile, Hospital San Juan de Dios, Servicio de Salud Metropolitano Occidente, Minsal. rtassara@machi.med.uchile.cl, Alarcón T, Larrañaga C, Wu E, Alvarez AM
Jazyk:	Spanish; Castilian
Zdroj:	Revista medica de Chile [Rev Med Chil] 2003 Jan; Vol. 131 (1), pp. 19-24.
Abstrakt:	Background: Human immunodeficiency virus (HIV) epidemiology has changed, affecting an increasing number of children. As in adults, the disease predominantly affects the digestive and respiratory systems. Aim: To report the gastrointestinal problems in HIV infected pediatric patients. Patients and Methods: Twenty four HIV infected children (nine male, aged 1 to 12 years old, followed for 1 to 170 months), are reported. This group has been under care by a multiprofessional team. Results: Oral candidiasis was present in 21 (88%), esophagic candidiasis in 3 (13%), oral ulcers in 4 (17%). Diarrhea was observed in 18 children (75%) and in eight, it had a chronic evolution. Cryptosporidium parvum was the most frequent agent found in six cases (1 with acute and 5 with chronic diarrhea). Schlerosing cholangiopathy was observed in one case, with a fatal outcome, in association to microsporidiosis. Upper endoscopy was done in 11 patients, demonstrating microscopic inflammatory changes in esophagic, gastric and duodenal epithelia in all. Conclusions: Digestive problems are common in HIV infected pediatric patients. They must be always sought actively. Endoscopy is a valuable tool for the early diagnosis of these problems.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu