Histoplasmose como causa de perfuração intestinal em paciente com síndrome da imunodeficiência adquirida

Histoplasmosis as cause of intestinal perforation in a pattient with acquired immunodeficiency syndrome

AIDS; Histoplasmosis; Intestinal histoplasmosis; Intestinal perforation; Ileal perforation

RELATOS DE CASOS

Histoplasmose como causa de perfuração intestinal em paciente com síndrome da imunodeficiência adquirida

Histoplasmosis as cause of intestinal perforation in a pattient with acquired immunodeficiency syndrome

Luiz Alberto Rodrigues de Moraes, TCBC-PA^I; João Maria Silva Rodrigues^II; Geraldo Ishak, TCBC-PA^III; Carlos Onete Coelho Moreira, ACBC-PA^IV

^IChefe do Serviço de Cirurgia Geral do HUJBB-UFPa

^IIInterno do Serviço de Cirurgia Geral do HUJBB-UFPa. Monitor da disciplina Gastroenterologia-UFPa

^IIIStaff do Serviço de Cirurgia Geral do HUJBB-UFPa. Auxiliar de ensino de Clínica Cirúrgica - Universidade do Estado do Pará

^IVStaff do Serviço de Cirurgia Geral do HUJBB-UFPa

^{Endereço para correspondência}

ABSTRACT

Thirty-four years old patient, female, husband died of AIDS (Acquired Immunodeficiency Síndrome). She's confined to Hospital Universitário João de Barros Barreto, with a positive tesT for AIDS, fever, 10 kg/month of weight loss, diarrhea with gummy faeces, productive cough, yellowish sputum. The therapy was initiated, symptomatic, associated to Epivir, Saquinavir and AZT. The searching exams for Alcohol Ácid Resistant Bacili and fungi in the sputum were negative. At the hemogram was shown a pancytopenia, the esophagogastroduodenunscopy showed light esophago moniliasis. During commitment presented a perforating acute abdomen chart, the abdominal radiography showed hidroair levels, pneumoperitoneum, enlarced bowels with swollen wall. She was undertaken a surgery with diagnosis hypothesis of cytomegalovirus perforation, which accordin to literature is the most frequent cause of intestinal perforation in patients with AIDS.

Key words: AIDS; Histoplasmosis; Intestinal histoplasmosis; Intestinal perforation; Ileal perforation.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Recebido em 17/6/97

Aceito para publicação em 26/1/98

Trabalho realizado no Serviço de Cirurgia Geral do Hospital Universitário João de Barros Barreto - Universidade Federal do Pará (HUJBB-UFPa).

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Endereço para correspondência:

Dr. Luiz Alberto Rodrigues Moraes

Trav. Benjamin Constant, 1520

660150-060 - Belém - PA

Datas de Publicação

• Publicação nesta coleção
  02 Ago 2010
• Data do Fascículo
  Jun 1998

Histórico

• Aceito
  26 Jan 1998
• Recebido
  17 Jun 1997