Características clínico-evolutivas de 134 pacientes com histoplasmose disseminada associada a SIDA no Estado do Ceará

• Autor(a) principal: Pontes, Lícia Borges
• Data de Publicação: 2010
• Outros Autores: Leitão, Terezinha do Menino Jesus Silva [UNIFESP], Lima, Gabrielle Gurgel, Gerhard, Emília Santiago, Fernandes, Thyago Araújo
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• dARK ID: ark:/48912/001300000ch4s
• DOI: 10.1590/S0037-86822010000100007
• Texto Completo: http://dx.doi.org/10.1590/S0037-86822010000100007; http://repositorio.unifesp.br/handle/11600/5609
• topic: Disseminated histoplasmosis; AIDS; Ceará; Opportunistic disease; Histoplasmose disseminada; AIDS; Ceará; Doença oportunista

INTRODUCTION: Since the beginning of the HIV epidemic in Ceará, disseminated histoplasmosis (DH) has often been detected among AIDS patients. METHODS: In order to investigate the clinical and laboratory characteristics, evolution and survival of cases of DH/AIDS coinfection, the medical records on 134 cases of DH admitted to a reference hospital in Ceará between 1999 and 2005 were analyzed. RESULTS: Patients with DH presented higher frequency of daily fever, coughing, weight loss, enlarged liver and spleen and acute kidney failure. The diagnosis was made using investigation and/or cultures. At admission, the following were risk factors for death among DH patients: vomiting, dyspnea, respiratory failure, acute kidney failure, hemoglobin < 8g/l, urea > 40mg/dl and creatinine >1.5 mg/dl. CONCLUSIONS: Patients with DH characteristically presented higher fever, previous hospitalization due to respiratory infection and more clinical complications. Significant anemia and elevated urea were independent risk factors for death among DH patients.