AIDS in the elderly

Detalhes bibliográficos
Autor(a) principal: Paixão Duarte, Fernanda
Data de Publicação: 1998
Outros Autores: Dutschmann, Luís
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://revista.spmi.pt/index.php/rpmi/article/view/2129
Resumo: The authors report a case of a 72 years old male who was admitted into hospital with a 3-4 months history ofgeneral weakness, loss of appe­ tite and weight loss. One week prior to admissi­ on, the patient developed diarrhoea, that was associated with cognitive and gait impairment. On physical examination, the patient was disorien­tated in space and time, presenting a generali­zed flaccid muscle weakness, impairedgait and cervical lymphadenopathy. Complementary investigations confirmed the diagnosis of an acquired immunodeficiency syn­drome and cerebral toxoplasmosis. The brain CT scan showed right cerebral hemisphere lesions conditioning signs of "space ocupying lesions". The patient had a good response to treatment indicated by a signiflcant regression of his de­mentia as well as gait improvement. We hope to call attention, by presenting this case, to the importance of the diagnosis of AIDS as a cause of dementia in elderly patients.
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spelling AIDS in the elderlySIDA no idosoSIDAidosotoxoplasmosede­mênciaAIDSelderlytoxoplasmosisde­mentiaThe authors report a case of a 72 years old male who was admitted into hospital with a 3-4 months history ofgeneral weakness, loss of appe­ tite and weight loss. One week prior to admissi­ on, the patient developed diarrhoea, that was associated with cognitive and gait impairment. On physical examination, the patient was disorien­tated in space and time, presenting a generali­zed flaccid muscle weakness, impairedgait and cervical lymphadenopathy. Complementary investigations confirmed the diagnosis of an acquired immunodeficiency syn­drome and cerebral toxoplasmosis. The brain CT scan showed right cerebral hemisphere lesions conditioning signs of "space ocupying lesions". The patient had a good response to treatment indicated by a signiflcant regression of his de­mentia as well as gait improvement. We hope to call attention, by presenting this case, to the importance of the diagnosis of AIDS as a cause of dementia in elderly patients.Os autores apresentam o caso clínico de um doente de 72 anos de idade, com queixas de astenia, anorexia progressiva não selectiva e emagrecimento não quantificado com evolução de 3-4 meses. Uma semana antes do internamento, inicia diarreia a que se associam deterioração cognitiva e alteração da marcha, motivo pelo qual recorre ao Serviço de Urgência, tendo ficado internado. Observaram-se adenopatias cervicais peque­nas, num doente desorientado temporo-espaci­almente, com força muscular globalmente dimi­nuída, sendo difícil a marcha e a posição ortos­tática. Os exames auxiliares de diagnóstico vi­riam a revelar estar-se perante um síndrome de imunodeficiência adquirida e toxoplasmose ce­rebral com lesões expansivas intra-axiais pro­fundas e do hemisfério cerebral direito, com importante área de edema a condicionar sinais de efeito de massa. Efectuada a terapêutica para a toxoplasmose, houve melhoria clínica signifi­cativa, com regressão do quadro demencial e recuperação da marcha. Pretende-se, com a apresentação deste caso clínico, chamar a atenção para a importância do diagnóstico do síndrome de imunodeficiên­cia adquirida como causa de demência, mesmo nos grupos etários mais avançados.Sociedade Portuguesa de Medicina Interna1998-06-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://revista.spmi.pt/index.php/rpmi/article/view/2129Internal Medicine; Vol. 5 No. 2 (1998): Abril/ Junho; 101-105Medicina Interna; Vol. 5 N.º 2 (1998): Abril/ Junho; 101-1052183-99800872-671Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spmi.pt/index.php/rpmi/article/view/2129https://revista.spmi.pt/index.php/rpmi/article/view/2129/1500Paixão Duarte, FernandaDutschmann, Luísinfo:eu-repo/semantics/openAccess2023-07-01T06:11:49Zoai:oai.revista.spmi.pt:article/2129Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:02:11.100570Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv AIDS in the elderly
SIDA no idoso
title AIDS in the elderly
spellingShingle AIDS in the elderly
Paixão Duarte, Fernanda
SIDA
idoso
toxoplasmose
de­mência
AIDS
elderly
toxoplasmosis
de­mentia
title_short AIDS in the elderly
title_full AIDS in the elderly
title_fullStr AIDS in the elderly
title_full_unstemmed AIDS in the elderly
title_sort AIDS in the elderly
author Paixão Duarte, Fernanda
author_facet Paixão Duarte, Fernanda
Dutschmann, Luís
author_role author
author2 Dutschmann, Luís
author2_role author
dc.contributor.author.fl_str_mv Paixão Duarte, Fernanda
Dutschmann, Luís
dc.subject.por.fl_str_mv SIDA
idoso
toxoplasmose
de­mência
AIDS
elderly
toxoplasmosis
de­mentia
topic SIDA
idoso
toxoplasmose
de­mência
AIDS
elderly
toxoplasmosis
de­mentia
description The authors report a case of a 72 years old male who was admitted into hospital with a 3-4 months history ofgeneral weakness, loss of appe­ tite and weight loss. One week prior to admissi­ on, the patient developed diarrhoea, that was associated with cognitive and gait impairment. On physical examination, the patient was disorien­tated in space and time, presenting a generali­zed flaccid muscle weakness, impairedgait and cervical lymphadenopathy. Complementary investigations confirmed the diagnosis of an acquired immunodeficiency syn­drome and cerebral toxoplasmosis. The brain CT scan showed right cerebral hemisphere lesions conditioning signs of "space ocupying lesions". The patient had a good response to treatment indicated by a signiflcant regression of his de­mentia as well as gait improvement. We hope to call attention, by presenting this case, to the importance of the diagnosis of AIDS as a cause of dementia in elderly patients.
publishDate 1998
dc.date.none.fl_str_mv 1998-06-30
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revista.spmi.pt/index.php/rpmi/article/view/2129
url https://revista.spmi.pt/index.php/rpmi/article/view/2129
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revista.spmi.pt/index.php/rpmi/article/view/2129
https://revista.spmi.pt/index.php/rpmi/article/view/2129/1500
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Medicina Interna
publisher.none.fl_str_mv Sociedade Portuguesa de Medicina Interna
dc.source.none.fl_str_mv Internal Medicine; Vol. 5 No. 2 (1998): Abril/ Junho; 101-105
Medicina Interna; Vol. 5 N.º 2 (1998): Abril/ Junho; 101-105
2183-9980
0872-671X
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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