Cerebrospinal fluid syndromes in HIV-positive patients with acute consciousness compromise
Autor(a) principal: | |
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Data de Publicação: | 1999 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1590/S0037-86821999000600011 http://repositorio.unifesp.br/handle/11600/853 |
Resumo: | We reviewed the cerebrospinal fluid (CSF) syndromes of 100 consecutive HIV-positive patients presenting acute consciousness compromise in emergency rooms, and correlated them with clinical data. The most frequent CSF syndromes were: absolute protein-cytological dissociation (21), viral (19), neurocryptococcosis (7), relative protein-cytological dissociation (6) and septic (4), moderate hypoglycorrachia (4), severe hypoglycorrachia (4) and hydroelectrolytic disturbance (3). One fifth of the patients had CSF syndromes considered sufficient for diagnosis or an immediate clinical decision. The most common clinical data were infective and neurological. There was little correlation between the clinical data and the CSF syndromes. We conclude that in HIV-positive individuals presenting acute consciousness disturbances there are frequently non-specific results in the CSF analysis that must be weighed against a detailed history and thorough physical examination. Taking this into account, in about one fifth of cases the CSF analysis can offer useful information for treatment. |
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Cerebrospinal fluid syndromes in HIV-positive patients with acute consciousness compromiseSíndromes liquóricas em pacientes HIV positivos com comprometimento agudo da consciênciaCerebrospinal fluidDeliriumSomnolenceAIDSHIVLíquorDeliriumSonolênciaAIDSHIVWe reviewed the cerebrospinal fluid (CSF) syndromes of 100 consecutive HIV-positive patients presenting acute consciousness compromise in emergency rooms, and correlated them with clinical data. The most frequent CSF syndromes were: absolute protein-cytological dissociation (21), viral (19), neurocryptococcosis (7), relative protein-cytological dissociation (6) and septic (4), moderate hypoglycorrachia (4), severe hypoglycorrachia (4) and hydroelectrolytic disturbance (3). One fifth of the patients had CSF syndromes considered sufficient for diagnosis or an immediate clinical decision. The most common clinical data were infective and neurological. There was little correlation between the clinical data and the CSF syndromes. We conclude that in HIV-positive individuals presenting acute consciousness disturbances there are frequently non-specific results in the CSF analysis that must be weighed against a detailed history and thorough physical examination. Taking this into account, in about one fifth of cases the CSF analysis can offer useful information for treatment.Revisamos as síndromes liquóricas de 100 pacientes HIV-positivos apresentando comprometimento agudo da consciência em pronto-socorro, as correlacionando com dados clínicos. As síndromes mais frequentes foram: dissociação proteino-citológica absoluta (21), viral (19), neurocriptococose (7), dissociação proteino-citológica relativa (6) e séptica (4), hipoglicorraquia moderada (4%), hipoglicorraquia severa (4%), distúrbio hidroeletrolítico (3%). Um quinto dos pacientes apresentou síndromes liquóricas consideradas suficientes para um diagnóstico ou uma conduta imediata. Os dados clínicos mais comuns foram infecciosos e neurológicos. Houve pouca correlação entre os dados clínicos e as síndromes liquóricas. Comparado a dados de literatura, HIV-positivos tem menor chance de resultados decisivos no exame de líquor. Nós concluimos que, em pacientes HIV-positivos, que se apresentam com alterações agudas da consciência, frequentemente há resultados inespecíficos no líquor, o que deve ser julgado em função de uma história clínica e exame físicos detalhados.Universidade Federal de São Paulo (UNIFESP)UNIFESPSciELOSociedade Brasileira de Medicina Tropical - SBMTUniversidade Federal de São Paulo (UNIFESP)Batista, Marcus Sabry Azar [UNIFESP]Sesso, Ricardo de Castro Cintra [UNIFESP]Reis-Filho, João Batista dos [UNIFESP]2015-06-14T13:24:57Z2015-06-14T13:24:57Z1999-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion683-688application/pdfhttp://dx.doi.org/10.1590/S0037-86821999000600011Revista da Sociedade Brasileira de Medicina Tropical. Sociedade Brasileira de Medicina Tropical - SBMT, v. 32, n. 6, p. 683-688, 1999.10.1590/S0037-86821999000600011S0037-86821999000600011.pdf0037-8682S0037-86821999000600011http://repositorio.unifesp.br/handle/11600/853engRevista da Sociedade Brasileira de Medicina Tropicalinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-05T20:05:51Zoai:repositorio.unifesp.br/:11600/853Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-05T20:05:51Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Cerebrospinal fluid syndromes in HIV-positive patients with acute consciousness compromise Síndromes liquóricas em pacientes HIV positivos com comprometimento agudo da consciência |
title |
Cerebrospinal fluid syndromes in HIV-positive patients with acute consciousness compromise |
spellingShingle |
Cerebrospinal fluid syndromes in HIV-positive patients with acute consciousness compromise Batista, Marcus Sabry Azar [UNIFESP] Cerebrospinal fluid Delirium Somnolence AIDS HIV Líquor Delirium Sonolência AIDS HIV |
title_short |
Cerebrospinal fluid syndromes in HIV-positive patients with acute consciousness compromise |
title_full |
Cerebrospinal fluid syndromes in HIV-positive patients with acute consciousness compromise |
title_fullStr |
Cerebrospinal fluid syndromes in HIV-positive patients with acute consciousness compromise |
title_full_unstemmed |
Cerebrospinal fluid syndromes in HIV-positive patients with acute consciousness compromise |
title_sort |
Cerebrospinal fluid syndromes in HIV-positive patients with acute consciousness compromise |
author |
Batista, Marcus Sabry Azar [UNIFESP] |
author_facet |
Batista, Marcus Sabry Azar [UNIFESP] Sesso, Ricardo de Castro Cintra [UNIFESP] Reis-Filho, João Batista dos [UNIFESP] |
author_role |
author |
author2 |
Sesso, Ricardo de Castro Cintra [UNIFESP] Reis-Filho, João Batista dos [UNIFESP] |
author2_role |
author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Batista, Marcus Sabry Azar [UNIFESP] Sesso, Ricardo de Castro Cintra [UNIFESP] Reis-Filho, João Batista dos [UNIFESP] |
dc.subject.por.fl_str_mv |
Cerebrospinal fluid Delirium Somnolence AIDS HIV Líquor Delirium Sonolência AIDS HIV |
topic |
Cerebrospinal fluid Delirium Somnolence AIDS HIV Líquor Delirium Sonolência AIDS HIV |
description |
We reviewed the cerebrospinal fluid (CSF) syndromes of 100 consecutive HIV-positive patients presenting acute consciousness compromise in emergency rooms, and correlated them with clinical data. The most frequent CSF syndromes were: absolute protein-cytological dissociation (21), viral (19), neurocryptococcosis (7), relative protein-cytological dissociation (6) and septic (4), moderate hypoglycorrachia (4), severe hypoglycorrachia (4) and hydroelectrolytic disturbance (3). One fifth of the patients had CSF syndromes considered sufficient for diagnosis or an immediate clinical decision. The most common clinical data were infective and neurological. There was little correlation between the clinical data and the CSF syndromes. We conclude that in HIV-positive individuals presenting acute consciousness disturbances there are frequently non-specific results in the CSF analysis that must be weighed against a detailed history and thorough physical examination. Taking this into account, in about one fifth of cases the CSF analysis can offer useful information for treatment. |
publishDate |
1999 |
dc.date.none.fl_str_mv |
1999-12-01 2015-06-14T13:24:57Z 2015-06-14T13:24:57Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S0037-86821999000600011 Revista da Sociedade Brasileira de Medicina Tropical. Sociedade Brasileira de Medicina Tropical - SBMT, v. 32, n. 6, p. 683-688, 1999. 10.1590/S0037-86821999000600011 S0037-86821999000600011.pdf 0037-8682 S0037-86821999000600011 http://repositorio.unifesp.br/handle/11600/853 |
url |
http://dx.doi.org/10.1590/S0037-86821999000600011 http://repositorio.unifesp.br/handle/11600/853 |
identifier_str_mv |
Revista da Sociedade Brasileira de Medicina Tropical. Sociedade Brasileira de Medicina Tropical - SBMT, v. 32, n. 6, p. 683-688, 1999. 10.1590/S0037-86821999000600011 S0037-86821999000600011.pdf 0037-8682 S0037-86821999000600011 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Revista da Sociedade Brasileira de Medicina Tropical |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
683-688 application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Medicina Tropical - SBMT |
publisher.none.fl_str_mv |
Sociedade Brasileira de Medicina Tropical - SBMT |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
_version_ |
1814268427228938240 |