Scurvy in a patient with AIDS: case report

被引:0
作者
Maltos, Andre Luiz [1 ]
da Silva, Luciana Ligia [1 ]
Bernardes Junior, Aderbal Garcia [1 ]
Portari, Guilherme Vannucchi [1 ]
da Cunha, Daniel Ferreira [1 ]
机构
[1] Univ Fed Triangulo Mineiro, HC, Dept Med Interna, Nutrol Discipline, BR-38025440 Uberaba, MG, Brazil
关键词
AIDS; Scurvy; Malnutrition;
D O I
暂无
中图分类号
R38 [医学寄生虫学]; Q [生物科学];
学科分类号
07 ; 0710 ; 09 ; 100103 ;
摘要
We report the case of a 35-year-old homeless alcoholic and illicit drug user, with AIDS, who was admitted to the emergency unit complaining of asthenia and a weight loss of 30kg over the preceding three months. Clinical and laboratory data confirmed a diagnosis of marasmus, bacterial pneumonia, chorioretinitis caused by Toxoplasma gondii and oral Candida infection. The patient also presented loss of tongue papillae, gingival hypertrophy, perifollicular hyperkeratosis and hemorrhage, coiled, corkscrew-like hair, anemia, hypoalbuminemia, increased C-reactive protein levels and low serum vitamin C levels. The patient developed severe gastric hemorrhage, with hemodynamic instability and terminal disseminated intravascular coagulopathy.
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共 11 条
[1]   Acute scurvy during treatment with interleukin-2 [J].
Alexandrescu, D. T. ;
Dasanu, C. A. ;
Kauffman, C. L. .
CLINICAL AND EXPERIMENTAL DERMATOLOGY, 2009, 34 (07) :811-814
[2]  
Bakaev VV, 2004, INT J TUBERC LUNG D, V8, P263
[3]  
Burdette SD, 2005, CLIN INFECT DIS, V41, P686
[4]   Serum levels assessment of vitamin A, E, C, B2 and carotenoids in malnourished and non-malnourished hospitalized elderly patients [J].
Da Cunha, DF ;
Da Cunha, SFD ;
Unamuno, MDD ;
Vannucchi, H .
CLINICAL NUTRITION, 2001, 20 (02) :167-170
[5]  
Fain Olivier, 2003, Eur J Intern Med, V14, P419, DOI 10.1016/j.ejim.2003.08.006
[6]   Spontaneous bruising in an HIV positive patient [J].
Khonsari, H ;
Grandière-Pérez, L ;
Caumes, E .
REVUE DE MEDECINE INTERNE, 2005, 26 (12) :984-985
[7]  
Léger D, 2008, CAN FAM PHYSICIAN, V54, P1403
[8]   Dieulafoy lesion:: Endoscopic and surgical management [J].
Linhares, MM ;
Filho, BH ;
Schraibman, V ;
Goitia-Durán, MB ;
Grande, JCD ;
Sato, NY ;
Lourenço, LG ;
Lopes, GDJ .
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, 2006, 16 (01) :1-3
[9]   Rationale and impact of vitamin C in clinical nutrition [J].
McGregor, Gerard P. ;
Biesalski, Hans K. .
CURRENT OPINION IN CLINICAL NUTRITION AND METABOLIC CARE, 2006, 9 (06) :697-703
[10]   Moxifloxacin is efficacious for treatment of community-acquired lung abscesses in adults [J].
Polenakovik, H ;
Burdette, SD ;
Polenakovik, S .
CLINICAL INFECTIOUS DISEASES, 2005, 41 (05) :764-765