Acute cor pulmonale due to lymphocytic interstitial pneumonia in a child with AIDS
BACKGROUND: Acute cor pulmonale is a clinical syndrome with signs of right-sided heart failure resulting from sudden increase of pulmonary vascular resistance. CASE PRESENTATION: A five-year-old male, infected by human immunodeficiency virus (HIV), was admitted at the division of infectious diseases...
| Main Authors: | , , , , |
|---|---|
| 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=S1413-86702012000300013&lng=en&tlng=en |
| _version_ | 1819016303046819840 |
|---|---|
| author | Sandra Fagundes Moreira-Silva Linda Marly C. Moreno Mariana Dazzi Consuelo Maria Caiafa Freire Angelica Espinosa Miranda |
| author_facet | Sandra Fagundes Moreira-Silva Linda Marly C. Moreno Mariana Dazzi Consuelo Maria Caiafa Freire Angelica Espinosa Miranda |
| author_sort | Sandra Fagundes Moreira-Silva |
| collection | DOAJ |
| description | BACKGROUND: Acute cor pulmonale is a clinical syndrome with signs of right-sided heart failure resulting from sudden increase of pulmonary vascular resistance. CASE PRESENTATION: A five-year-old male, infected by human immunodeficiency virus (HIV), was admitted at the division of infectious diseases of this hospital with cough, tachydyspnea, fever, and breathing difficulty. Computed tomography scan showed ground-glass opacities, cystic lesions, and bronchiectasis. The patient had nasal flaring, intercostal and subcostal retractions, and keeled chest. Abdomen was depressible; liver was 3 cm from the right-costal border, while spleen was 6 cm from the left-costal border. Echocardiogram examinations showed signs of acute cor pulmonale characterized by pulmonary hypertension and increased right-heart chamber dimensions. DIAGNOSTICS OUTCOME: Acquired immunodeficiency syndrome (AIDS)-B3, lymphocytic interstitial pneumonia (LIP), and acute cor pulmonale. Regressions of pulmonary hypertension and of right-heart chamber were observed after 30 days of highly active antiretroviral therapy (HAART) and chloroquine therapy. CONCLUSION: AIDS should be considered in children with recurrent pneumonia that is mostly associated with LIP rather than cystic fibrosis. |
| first_indexed | 2024-12-21T02:45:29Z |
| format | Article |
| id | doaj.art-ff644660a8e643c781306ad3b2d1543c |
| institution | Directory Open Access Journal |
| issn | 1678-4391 |
| language | English |
| last_indexed | 2024-12-21T02:45:29Z |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Infectious Diseases |
| spelling | doaj.art-ff644660a8e643c781306ad3b2d1543c2022-12-21T19:18:35ZengElsevierBrazilian Journal of Infectious Diseases1678-439116328929310.1590/S1413-86702012000300013S1413-86702012000300013Acute cor pulmonale due to lymphocytic interstitial pneumonia in a child with AIDSSandra Fagundes Moreira-Silva0Linda Marly C. Moreno1Mariana Dazzi2Consuelo Maria Caiafa Freire3Angelica Espinosa Miranda4Hospital Estadual Infantil Nossa Senhora da GlóriaHospital Estadual Infantil Nossa Senhora da GlóriaHospital Estadual Infantil Nossa Senhora da GlóriaHospital Estadual Infantil Nossa Senhora da GlóriaUniversidade Federal do Espírito SantoBACKGROUND: Acute cor pulmonale is a clinical syndrome with signs of right-sided heart failure resulting from sudden increase of pulmonary vascular resistance. CASE PRESENTATION: A five-year-old male, infected by human immunodeficiency virus (HIV), was admitted at the division of infectious diseases of this hospital with cough, tachydyspnea, fever, and breathing difficulty. Computed tomography scan showed ground-glass opacities, cystic lesions, and bronchiectasis. The patient had nasal flaring, intercostal and subcostal retractions, and keeled chest. Abdomen was depressible; liver was 3 cm from the right-costal border, while spleen was 6 cm from the left-costal border. Echocardiogram examinations showed signs of acute cor pulmonale characterized by pulmonary hypertension and increased right-heart chamber dimensions. DIAGNOSTICS OUTCOME: Acquired immunodeficiency syndrome (AIDS)-B3, lymphocytic interstitial pneumonia (LIP), and acute cor pulmonale. Regressions of pulmonary hypertension and of right-heart chamber were observed after 30 days of highly active antiretroviral therapy (HAART) and chloroquine therapy. CONCLUSION: AIDS should be considered in children with recurrent pneumonia that is mostly associated with LIP rather than cystic fibrosis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702012000300013&lng=en&tlng=enacquired immunodeficiency syndromeadultchildrenrespiratory tract infections |
| spellingShingle | Sandra Fagundes Moreira-Silva Linda Marly C. Moreno Mariana Dazzi Consuelo Maria Caiafa Freire Angelica Espinosa Miranda Acute cor pulmonale due to lymphocytic interstitial pneumonia in a child with AIDS Brazilian Journal of Infectious Diseases acquired immunodeficiency syndrome adult children respiratory tract infections |
| title | Acute cor pulmonale due to lymphocytic interstitial pneumonia in a child with AIDS |
| title_full | Acute cor pulmonale due to lymphocytic interstitial pneumonia in a child with AIDS |
| title_fullStr | Acute cor pulmonale due to lymphocytic interstitial pneumonia in a child with AIDS |
| title_full_unstemmed | Acute cor pulmonale due to lymphocytic interstitial pneumonia in a child with AIDS |
| title_short | Acute cor pulmonale due to lymphocytic interstitial pneumonia in a child with AIDS |
| title_sort | acute cor pulmonale due to lymphocytic interstitial pneumonia in a child with aids |
| topic | acquired immunodeficiency syndrome adult children respiratory tract infections |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702012000300013&lng=en&tlng=en |
| work_keys_str_mv | AT sandrafagundesmoreirasilva acutecorpulmonaleduetolymphocyticinterstitialpneumoniainachildwithaids AT lindamarlycmoreno acutecorpulmonaleduetolymphocyticinterstitialpneumoniainachildwithaids AT marianadazzi acutecorpulmonaleduetolymphocyticinterstitialpneumoniainachildwithaids AT consuelomariacaiafafreire acutecorpulmonaleduetolymphocyticinterstitialpneumoniainachildwithaids AT angelicaespinosamiranda acutecorpulmonaleduetolymphocyticinterstitialpneumoniainachildwithaids |