Scurvy in a patient with AIDS: case report

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, chor...

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Main Authors: André Luiz Maltos, Luciana Ligia da Silva, Aderbal Garcia Bernardes Junior, Guilherme Vannucchi Portari, Daniel Ferreira da Cunha
Format: Article
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2011-02-01
Series:Revista da Sociedade Brasileira de Medicina Tropical
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822011000100029&lng=en&tlng=en
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author André Luiz Maltos
Luciana Ligia da Silva
Aderbal Garcia Bernardes Junior
Guilherme Vannucchi Portari
Daniel Ferreira da Cunha
author_facet André Luiz Maltos
Luciana Ligia da Silva
Aderbal Garcia Bernardes Junior
Guilherme Vannucchi Portari
Daniel Ferreira da Cunha
author_sort André Luiz Maltos
collection DOAJ
description 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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spelling doaj.art-ed8973745abf42f0a4c0f0acdd2794f02022-12-22T00:14:30ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492011-02-0144112212310.1590/S0037-86822011000100029S0037-86822011000100029Scurvy in a patient with AIDS: case reportAndré Luiz Maltos0Luciana Ligia da Silva1Aderbal Garcia Bernardes Junior2Guilherme Vannucchi Portari3Daniel Ferreira da Cunha4Universidade Federal do Triângulo MineiroUniversidade Federal do Triângulo MineiroUniversidade Federal do Triângulo MineiroUniversidade Federal do Triângulo MineiroUniversidade Federal do Triângulo MineiroWe 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822011000100029&lng=en&tlng=enAIDSEscorbutoDesnutrição
spellingShingle André Luiz Maltos
Luciana Ligia da Silva
Aderbal Garcia Bernardes Junior
Guilherme Vannucchi Portari
Daniel Ferreira da Cunha
Scurvy in a patient with AIDS: case report
Revista da Sociedade Brasileira de Medicina Tropical
AIDS
Escorbuto
Desnutrição
title Scurvy in a patient with AIDS: case report
title_full Scurvy in a patient with AIDS: case report
title_fullStr Scurvy in a patient with AIDS: case report
title_full_unstemmed Scurvy in a patient with AIDS: case report
title_short Scurvy in a patient with AIDS: case report
title_sort scurvy in a patient with aids case report
topic AIDS
Escorbuto
Desnutrição
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822011000100029&lng=en&tlng=en
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