Reiter's Syndrome associated with the Acquired Immunodeficiency Syndrome: a case report

The association of Reiter's Syndrome (RS) with the Acquired Immunodeficiency Syndrome (AIDS) is seldom mentioned in the medical literature. This report illustrates this relationship in a 46 years old male patient suffering from AIDS (CD4+ = 240 cells/mm³, CD8+ = 1,301 cells/mm³ and viral load =...

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Main Authors: J.B.N.S. Malta, D. Milanelo, F.A.R. Carvalheiro, M.V. Silva
Format: Article
Language:English
Published: Elsevier
Series:Brazilian Journal of Infectious Diseases
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702002000100006&lng=en&tlng=en
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author J.B.N.S. Malta
D. Milanelo
F.A.R. Carvalheiro
M.V. Silva
author_facet J.B.N.S. Malta
D. Milanelo
F.A.R. Carvalheiro
M.V. Silva
author_sort J.B.N.S. Malta
collection DOAJ
description The association of Reiter's Syndrome (RS) with the Acquired Immunodeficiency Syndrome (AIDS) is seldom mentioned in the medical literature. This report illustrates this relationship in a 46 years old male patient suffering from AIDS (CD4+ = 240 cells/mm³, CD8+ = 1,301 cells/mm³ and viral load = 330,000 copies/ml), pulmonary tuberculosis (positive catarrhal bacilluscopy), and RS. The diagnosis of RS was based on the combination of dermatological and articular alterations. The patient's cutaneous lesions were characterized by exfoliation and the formation of crusts located on the face, scalp, genitals, hands, and feet; onychodystrophy with opacity; yellowish coloring; and hyperkeratosis of the nails. Articular lesions led to progressive deformity of phalangeal joints of the hands, and intensive arthralgia, mainly of the larger joints (shoulders, elbows, hips and knees). AIDS treatment was administered with anti-retroviral drugs (zidovudine and didanosine); for tuberculosis (isoniazid, rifampicine, and pyrazinamide); and (prednisone and inometacine) for the RS. The patient recovered with the improvement of articular symptoms; however, on the eighth day of treatment, the patient showed significant hemoptysis and hypovolemic shock, and died. The association of RS and HIV infection is reviewed.
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spelling doaj.art-06219c1dc0f54d33a4e31791e7b08bc52022-12-21T19:16:31ZengElsevierBrazilian Journal of Infectious Diseases1678-439161404410.1590/S1413-86702002000100006S1413-86702002000100006Reiter's Syndrome associated with the Acquired Immunodeficiency Syndrome: a case reportJ.B.N.S. MaltaD. MilaneloF.A.R. CarvalheiroM.V. SilvaThe association of Reiter's Syndrome (RS) with the Acquired Immunodeficiency Syndrome (AIDS) is seldom mentioned in the medical literature. This report illustrates this relationship in a 46 years old male patient suffering from AIDS (CD4+ = 240 cells/mm³, CD8+ = 1,301 cells/mm³ and viral load = 330,000 copies/ml), pulmonary tuberculosis (positive catarrhal bacilluscopy), and RS. The diagnosis of RS was based on the combination of dermatological and articular alterations. The patient's cutaneous lesions were characterized by exfoliation and the formation of crusts located on the face, scalp, genitals, hands, and feet; onychodystrophy with opacity; yellowish coloring; and hyperkeratosis of the nails. Articular lesions led to progressive deformity of phalangeal joints of the hands, and intensive arthralgia, mainly of the larger joints (shoulders, elbows, hips and knees). AIDS treatment was administered with anti-retroviral drugs (zidovudine and didanosine); for tuberculosis (isoniazid, rifampicine, and pyrazinamide); and (prednisone and inometacine) for the RS. The patient recovered with the improvement of articular symptoms; however, on the eighth day of treatment, the patient showed significant hemoptysis and hypovolemic shock, and died. The association of RS and HIV infection is reviewed.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702002000100006&lng=en&tlng=enReiter's syndromeacquired immunodeficiency syndromeAIDS
spellingShingle J.B.N.S. Malta
D. Milanelo
F.A.R. Carvalheiro
M.V. Silva
Reiter's Syndrome associated with the Acquired Immunodeficiency Syndrome: a case report
Brazilian Journal of Infectious Diseases
Reiter's syndrome
acquired immunodeficiency syndrome
AIDS
title Reiter's Syndrome associated with the Acquired Immunodeficiency Syndrome: a case report
title_full Reiter's Syndrome associated with the Acquired Immunodeficiency Syndrome: a case report
title_fullStr Reiter's Syndrome associated with the Acquired Immunodeficiency Syndrome: a case report
title_full_unstemmed Reiter's Syndrome associated with the Acquired Immunodeficiency Syndrome: a case report
title_short Reiter's Syndrome associated with the Acquired Immunodeficiency Syndrome: a case report
title_sort reiter s syndrome associated with the acquired immunodeficiency syndrome a case report
topic Reiter's syndrome
acquired immunodeficiency syndrome
AIDS
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702002000100006&lng=en&tlng=en
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AT farcarvalheiro reiterssyndromeassociatedwiththeacquiredimmunodeficiencysyndromeacasereport
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