Spontaneous supracondylar femoral fracture in an HIV patient in lotus position.

Autor: Pinto Neto LF; Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória, Internal Medicine Department, Vitória, Espírito Santo, Brazil. laura.neto@emescam.br, Eis SR, Miranda AE
Jazyk: angličtina
Zdroj: Journal of clinical densitometry : the official journal of the International Society for Clinical Densitometry [J Clin Densitom] 2011 Jan-Mar; Vol. 14 (1), pp. 74-6.
DOI: 10.1016/j.jocd.2010.11.002
Abstrakt: Bone disorders have been described in patients chronically infected with human immunodeficiency virus (HIV). A case of spontaneous supracondylar femoral fracture that occurred in a 58-year-old monk during meditation is reported. His AIDS disease was controlled with combination antiretroviral therapy. Vitamin D and calcium had been added 3yr before since osteoporosis was detected by dual-energy X-ray absorptiometry (DXA). At the time of the fracture, the patient was on treatment with 35mg every week of sodium risedronate, 1000mg of calcium, and 400IU of Vitamin D every day. Clinical use of DXA for HIV patients should be considered as a routine measure to help reducing risk for fractures.
(Copyright © 2011 The International Society for Clinical Densitometry. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE