AIDS in the elderly
Autor(a) principal: | |
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Data de Publicação: | 1998 |
Outros Autores: | |
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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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 |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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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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1799131688366768128 |