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

Detalhes bibliográficos
Autor(a) principal: Malta,J.B.N.S.
Data de Publicação: 2002
Outros Autores: Milanelo,D., Carvalheiro,F.A.R., Silva,M.V.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Journal of Infectious Diseases
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702002000100006
Resumo: 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 Reiter's Syndrome associated with the Acquired Immunodeficiency Syndrome: a case reportReiter's syndromeacquired immunodeficiency syndromeAIDSThe 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.Brazilian Society of Infectious Diseases2002-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702002000100006Brazilian Journal of Infectious Diseases v.6 n.1 2002reponame:Brazilian Journal of Infectious Diseasesinstname:Brazilian Society of Infectious Diseases (BSID)instacron:BSID10.1590/S1413-86702002000100006info:eu-repo/semantics/openAccessMalta,J.B.N.S.Milanelo,D.Carvalheiro,F.A.R.Silva,M.V.eng2003-02-25T00:00:00Zoai:scielo:S1413-86702002000100006Revistahttps://www.bjid.org.br/https://old.scielo.br/oai/scielo-oai.phpbjid@bjid.org.br||lgoldani@ufrgs.br1678-43911413-8670opendoar:2003-02-25T00:00Brazilian Journal of Infectious Diseases - Brazilian Society of Infectious Diseases (BSID)false
dc.title.none.fl_str_mv Reiter's Syndrome associated with the Acquired Immunodeficiency Syndrome: a case report
title Reiter's Syndrome associated with the Acquired Immunodeficiency Syndrome: a case report
spellingShingle Reiter's Syndrome associated with the Acquired Immunodeficiency Syndrome: a case report
Malta,J.B.N.S.
Reiter's syndrome
acquired immunodeficiency syndrome
AIDS
title_short 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_sort Reiter's Syndrome associated with the Acquired Immunodeficiency Syndrome: a case report
author Malta,J.B.N.S.
author_facet Malta,J.B.N.S.
Milanelo,D.
Carvalheiro,F.A.R.
Silva,M.V.
author_role author
author2 Milanelo,D.
Carvalheiro,F.A.R.
Silva,M.V.
author2_role author
author
author
dc.contributor.author.fl_str_mv Malta,J.B.N.S.
Milanelo,D.
Carvalheiro,F.A.R.
Silva,M.V.
dc.subject.por.fl_str_mv Reiter's syndrome
acquired immunodeficiency syndrome
AIDS
topic Reiter's syndrome
acquired immunodeficiency syndrome
AIDS
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.
publishDate 2002
dc.date.none.fl_str_mv 2002-02-01
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702002000100006
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702002000100006
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1413-86702002000100006
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Brazilian Society of Infectious Diseases
publisher.none.fl_str_mv Brazilian Society of Infectious Diseases
dc.source.none.fl_str_mv Brazilian Journal of Infectious Diseases v.6 n.1 2002
reponame:Brazilian Journal of Infectious Diseases
instname:Brazilian Society of Infectious Diseases (BSID)
instacron:BSID
instname_str Brazilian Society of Infectious Diseases (BSID)
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reponame_str Brazilian Journal of Infectious Diseases
collection Brazilian Journal of Infectious Diseases
repository.name.fl_str_mv Brazilian Journal of Infectious Diseases - Brazilian Society of Infectious Diseases (BSID)
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