Acquired rectal fistula in human immunodeficiency virus-positive children: a causal or casual relationship?
| Autor: | W. Ardill, A. T. Kidmas, V. M. Ramyil, A. F. Uba, Lohfa B Chirdan |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Pediatrics
medicine.medical_specialty Casual Human immunodeficiency virus (HIV) Nigeria Comorbidity medicine.disease_cause Acquired immunodeficiency syndrome (AIDS) Pediatric surgery HIV Seropositivity medicine Humans Rectal Fistula Rectal fistula business.industry Infant Newborn Infant General Medicine medicine.disease Causality Otitis Pediatrics Perinatology and Child Health Immunology Oral thrush Surgery Female medicine.symptom business |
| Zdroj: | Pediatric surgery international. 20(11-12) |
| ISSN: | 0179-0358 |
| Popis: | Acquired rectal fistula in human immunodeficiency virus (HIV)-positive children is a new and worrisome entity. The aim of this paper is to highlight the relationship between HIV infection and acquired rectal fistula (RF) in children in order to create awareness among clinicians who attend to children. Over a 1-year period, 11 girls aged 4 weeks-11 months (median 5 months) with acquired RF were managed at our institution. Ten were HIV-positive by enzyme-linked immunosorbent assay and confirmed by Western blot test. One child defaulted before the test. All the mothers and three fathers of the 10 children were seropositive for HIV. Bronchopneumonia, otitis media, oral thrush, diarrhoea, and lymphadenopathy were common associations. Treatment was essentially conservative because the result of surgical intervention was disappointing. Two of the infants and one of the fathers are now dead from full-blown acquired immunodeficiency syndrome. Acquired RF seems to be a sign of HIV infection in children. It will be necessary to screen any child presenting with acquired RF for HIV infection. |
| Databáze: | OpenAIRE |
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