scholarly journals The skin reflects: cutaneous lesions repairing the diagnosis of a systemic infection in an HIV-positive person

2020 ◽  
Vol 11 (e) ◽  
pp. e41.1-e41.2
Author(s):  
Khadija Issoual ◽  
Hanane Bay Bay ◽  
Sara Dahhouki
Author(s):  
Gundala Obulesu ◽  
Hanumanthappa Ar ◽  
Prabakar Reddy E

 Objective: The objective of this study is to investigate the variations, if any, in the types of intestinal parasites in HIV-positive and HIV-negative individuals.Methods: For their HIV status in our laboratory by enzyme-linked immunoasorbant assay and TRIDOT, sample stool, macroscopic and microscopic examination, formal-ether concentration technique f, saline wet mount, iodine wet mount, modified acid-fast stain. Results: For the purpose of statistical analysis, the enteric parasites are divided into the coccidian group (Cryptosporidium+Isospora belli) and conventional enteric parasites (Entamoeba histolytica, Giardia intestinalis, and Ascaris lumbricoides), and enteric parasitic infection is more common in HIV-positive patients with diarrhea than HIV-positive patient without diarrhea or HIV-negative individuals.Conclusion: The study period of 1 year and 8 months revealed that it is difficult to locate/identify a HIV-positive person in a place like Kadapa on account of confidentiality/lack of awareness among the population. Detection of intestinal parasites is 17.3% in HIV-positive patients and 12% in HIV-negative individuals.


2003 ◽  
Vol 10 (3) ◽  
pp. 281-294 ◽  
Author(s):  
Annatjie Botes ◽  
Marianne Otto

This study’s objectives were: (1) to describe and explore the ethical dilemmas surrounding the HIV-positive person in the workplace in South Africa; and (2) to describe the Rational Interaction for Moral Sensitivity (RIMS) approach as a possible mechanism for solving these ethical dilemmas. A qualitative, exploratory and descriptive research design was used. The target populations were HIV-positive employees and occupational health nurses working for a South African company. Data collected through individual HIV-positive employee interviews and occupational health nurse workgroups were analysed. The ethical dilemmas were conceptualized and described within the theoretical framework of the principles of ethics, namely, autonomy, beneficence, justice and confidentiality. To elicit a solution to the dilemmas, the data were recontextualized using the RIMS approach, a group decision-making strategy designed for the business environment.


2012 ◽  
Vol 12 (S1) ◽  
Author(s):  
Jasmine S Sundar ◽  
T Uma ◽  
S Parameswari ◽  
S Sekar ◽  
N Kabilan ◽  
...  

2021 ◽  
Vol 20 (4) ◽  
pp. 311-313
Author(s):  
Ikbel Kooli ◽  
Wafa Marrakchi ◽  
Adnene Toumi ◽  
Abir Aouam ◽  
Hammouda Baba ◽  
...  

2016 ◽  
Vol 44 (1) ◽  
pp. 5
Author(s):  
Layze Cilmara Alves Da Silva ◽  
Danielle Aluska Do Nascimento Pessoa ◽  
Lisanka Ângelo Maia ◽  
Rodrigo Antonio Torres Matos ◽  
Meire Maia da Silva Macêdo

Background: Pseudomonas aeruginosa is an important pathogen frequently associated with nosocomial infections affecting mainly immunosuppressed patients. In Veterinary Medicine, infections caused by P. aeruginosa are becoming increasingly frequent; infections are related to intrinsic or acquired resistance mechanisms, which limit the choice of effective agents.Case: This study describes the case of a four-month-old male Pitt Bull dog treated at the Small Animal Internal Medicine service of the Veterinary Hospital at the Health and Rural Technology Center of Federal University of Campina Grande, Patos/Paraíba. The patient presented with apathy, inappetence, moderate dehydration, tachypnea, tachycardia, hyperther­mia, pale mucosae, small lesions in the pelvic limbs, with edema and subsequent widespread petechiae. Treatment with intravenous fluid therapy using 0.9% NaCl with B-complex vitamins, and 20 mg/kg cephalexin every 12 h was established. The patient did not respond well to treatment, and died two days later. Necropsy was performed at the Veterinary Pathology sector of the Hospital and histopathological findings revealed focally extensive areas of necrosis associated to myriads of bacteria and mild mononuclear inflammatory infiltrates in the liver, heart and kidneys. Secretions and organ fragments were submitted to the Microbiology Laboratory of the same institution, which identified a systemic bacterial infection caused by P. aeruginosa. In vitro bacterial susceptibility to 15 different antimicrobials was assessed using the Bauer-Kirby disk diffusion test in Mueller Hinton agar. The agent exhibited multiple resistance to enrofloxacin, cephalexin, ceftiofur, gentamicin, imipenem, kanamycin, cephalothin, norfloxacin, amoxicillin, polymyxin B, ampicillin, tetracycline, and penicillin. It was sensitive to amikacin and neomycin only. Phenotypic detection was performed via disk approximation test (D-test) established by the Clinical and Laboratory Standard Institute (CLSI), which showed metallo-beta-lactamase (MBLs)-producing bacteria.Discussion: Clinical-pathological and microbiological aspects confirmed a systemic infection by P. aeruginosa characterized by yellowish nodular lesions and occasional hemorrhage, associated with myriads of bacteria in the lumen of the vessels in multiple organs. The agent was probably disseminated hematogenously, and it is likely that the cutaneous lesions in the pelvic limbs were the entry point. Treatment using cephalexin proved to be inefficient for the animal of the present study, which may have been be due to the patient’s immunosuppression and the agent’s natural or acquired resistance to this drug; therefore, special care needs to be taken when using these antibiotics as a preventive measure against the dissemination of gram-negative (MBL)-producing P. aeruginosa. We can conclude that P. aeruginosa may cause systemic infection in dogs. Amikacin and neomycin are the most efficient antimicrobials for the in vitro elimination of the bacteria; however, other studies on the use of these drugs in vivo are needed. Considering the occurrence of resistance to multiple antimicrobials and the production of MBLs observed in this study, it is important to monitor P. aeruginosa through phenotypical and antimicrobial susceptibility tests to verify its level of resistance in diseases in Veterinary Medicine.Keywords: microbiological, internal medicine, infections, Veterinary Medicine.


Author(s):  
Pablo G. SCAPELLATO ◽  
Javier DESSE ◽  
Ricardo NEGRONI

Acute disseminated histoplasmosis is a frequent condition in HIV carriers. Thirty-five cases of endocarditis caused by Histoplasma capsulatum have been reported in international literature, and all these descriptions correspond to a context of subacute disseminated histoplasmosis. This paper presents the case of a HIV-positive patient with fever, dyspnea, weight loss, vomiting and polyadenopathies to whom histoplasmosis was diagnosed following blood-cultures and isolation of the agent responsible for cutaneous lesions, and in whom aortic-valve vegetations were found during an echocardiogram. The patient was treated with amphotericin B and had a good outcome; subsequent echocardiograms showed no vegetations. Literature on the subject is reviewed, with special emphasis on diagnosis and treatment of previously described cases.


2001 ◽  
Vol 6 (1) ◽  
pp. 3-11
Author(s):  
M Otto ◽  
A C Botes

The occupational health-nursing practitioner often becomes involved in ethical dilemmas with regard to the handling of HIV-positive people in the workplace in that the interests of the HIV-positive people conflict with the interests of the employer.OpsommingDie beroepsgesondheidsverpleegkundige raak dikwels in etiese dilemmas betrokke ten opsigte van die hantering van die MIV-positiewe persoon by die werkplek deurdat die belange van die MIV-positiewe persoon botsend is met die belange van die werkgewer. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.


2008 ◽  
Vol 2 (1) ◽  
Author(s):  
Ramachandran Vignesh ◽  
Esaki Muthu Shankar ◽  
Bella Devaleenal ◽  
Pachamuthu Balakrishnan ◽  
Shieh Mark Thousen ◽  
...  

2016 ◽  
Vol 24 (6) ◽  
pp. 406-415 ◽  
Author(s):  
Adrienne T. Gerken ◽  
Shunda McGahee ◽  
Alex S. Keuroghlian ◽  
Oliver Freudenreich

Author(s):  
Trevor Hoppe

After the first successful conviction of an HIV-positive person in Michigan, the number of criminal cases quickly grew throughout the 1990s. In this chapter, I go inside the courtroom to show how courts justify their often-harsh sentences by calling HIV-positive defendants murderers and by casting HIV as a deadly weapon. I draw on an original dataset including court transcripts from over one hundred criminal court cases in Michigan and Tennessee that led to convictions. Even in cases in which the defendant could not have plausibly infected their partner, judges scold defendants for being a deadly threat to society. The various intricacies of each case seem to matter little—suggesting that HIV, not the defendant, was on trial.


Sign in / Sign up

Export Citation Format

Share Document