An interesting case of 'diabetic foot ulcer' in an HIV-positive patient

被引:2
作者
Sivaprakasam, Venkat [1 ]
Chima-Okereke, Catherine [2 ]
机构
[1] Wye Valley NHS Trust, Dept Microbiol, Hereford HR1 2ER, England
[2] Wye Valley NHS Trust, Sexual Hlth Serv, Hereford HR1 2ER, England
关键词
Kaposi sarcoma; human herpesvirus-8; HIV; AIDS; foot ulcer; oncology; vascular; ACTIVE ANTIRETROVIRAL THERAPY; KAPOSIS-SARCOMA; INFECTION; CANCERS;
D O I
10.1177/0956462414534826
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Kaposi sarcoma is a highly vascularised tumour affecting the skin, lymph nodes and viscera. Kaposi sarcoma is most common in HIV-infected homosexual or bisexual men. We present here a 70-year-old white British male patient, who was under the care of the podiatric team for longstanding 'diabetic foot ulcers'. He was later referred to the Dermatology team who took a biopsy; this revealed features of Kaposi sarcoma which prompted an HIV test which was positive. This patient had previously presented to several healthcare professionals with symptoms suggestive of HIV infection. He was started on antiretroviral therapy and the HIV and human herpesvirus-8 viral loads became undetectable in the blood within weeks and he showed significant clinical improvement. This case report is a reminder to clinicians to have a high index of suspicion in patients presenting with symptoms and signs suggestive of HIV infection.
引用
收藏
页码:285 / 287
页数:3
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