Acute pancreatitis and infection with the human immunodeficiency virus

被引:0
作者
Munoz, LAS [1 ]
Beneitez, OLF [1 ]
Boillos, MJP [1 ]
Sanchez, JM [1 ]
Cobo, RT [1 ]
Baraia-Etxaburu, J [1 ]
Sulibarria, ZZ [1 ]
Jauregui, JMS [1 ]
机构
[1] Hosp Basurto, Med Interna Serv, Bilbao 48013, Vizcaya, Spain
来源
REVISTA CLINICA ESPANOLA | 1998年 / 198卷 / 03期
关键词
acute pancreatitis; human immunodeficiency virus; acquired immunodeficiency syndrome; Cytomegalovirus; Cryptosporidium;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background. Retrospective study of the etiology and evolution of 40 episodes of acute pancreatitis in 28 patients infected with the human immunodeficiency virus (HIV). Results. AIDS criteria were met by 89.3% of patients. The likely etiology was an opportunist infection in 32.5% of episodes, drug use in 22.5%, and biliary lithiasis in 5%. AP secondary to AIDS-associated cholangitis occurred in 35.7% of episodes. Sixty percent of episodes were severe in nature, The mortality rate reached 30%. Conclusions. AP in HIV infected patients: a) is more frequent in the advanced stages of disease; b) opportunistic infections and drugs are the most frequent causes in our environment; c) in a third of patients it is probably secondary to AIDS associated cholangitis; d) biliary lithiasis seems to be less common than in the general population, and e) it is associated with a high severity and mortality.
引用
收藏
页码:133 / 139
页数:7
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