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HIV-positive woman

Maria Wesołowska, Beata Szostakowska, Marta Kicia, Bohumil Sak, Martin Kvac, Brygida Knysz
Cryptosporidium is an opportunistic protozoan parasite that can cause severe diarrhoea in immunocompromised patients. The transmission of this pathogen in humans and animals is not fully understood. C. meleagridis, originally described in birds, is the only Cryptosporidium species known to naturally infect mammalian and avian species. This study documents the first detection of C. meleagridis in an HIV-infected woman in Poland.
October 1, 2016: Annals of Parasitology
Selvin Sundar Raj Mani, Thomas Kodiatte, Manjeera Jagannati
Plasmablastic lymphoma is a rare entity accounting for around 2.7% of all AIDS-related lymphomas. The oral cavity and gastrointestinal tract are the most common sites involved. We report a case of a 34-year-old HIV-positive woman with a rare presentation of cutaneous nodules all over the body. Due to overwhelming tumour burden, she developed tumour lysis syndrome during her hospital stay and succumbed to the illness.
October 13, 2016: International Journal of STD & AIDS
R Siva Kumar, Prahalad K Singhi, M Chidambaram, Kiran Kakkandki
INTRODUCTION: Patella osteomyelitis is a rare entity in adults. Most often it is seen in children of five to twelve years of age because of its unique ossification and vascularity. Immuno compromised states like HIV, tuberculosis, intravenous drug abuse and trauma have been predisposing factors for adult patellar osteomyelitis. We report two cases of patellar osteomyelitis in adult diabetic women with uncontrolled glycemic levels and having no previous history of any trauma or systemic infection...
April 2016: Journal of Orthopaedic Case Reports
Catrin Morgan, Kate Nicholls, Nusraat Gangat, Stafford Sansome
A young pregnant Zambian woman was referred from a district hospital in South Zambia to the university teaching hospital, Lusaka with severe anaemia and ascites. The ascites had developed over a month and the woman was currently 15 weeks pregnant. Further workup revealed that the patient was HIV-positive and the ascitic tap showed haemorrhagic fluid. After being reviewed by multiple doctors, the cause of the haemorrhagic ascites remained unclear; therefore, the decision was made to do a laparotomy. The laparotomy revealed haemoperitoneum and a large cyst attached to the liver containing 5 L of bloodstained fluid...
2016: BMJ Case Reports
Elizabeth Opiyo, Linnet Ongeri, Grace Rota, Helen Verdeli, Thomas Neylan, Susan Meffert
We examine the efficacy of nonspecialists delivering interpersonal psychotherapy (IPT) to HIV-positive (HIV+) women. We describe a case in which local personnel without prior mental health training delivered IPT for the treatment of depression and posttraumatic stress disorder in an HIV+ woman who reported experiencing gender-based violence and was enrolled in HIV care at the Family AIDS, Care, Education and Services program in Kisumu, Kenya.
August 2016: Journal of Clinical Psychology
Kathir Yoganathan, Beth Roberts, Martyn K Heatley
Drug-drug interactions with corticosteroids, causing Cushing's syndrome with secondary adrenal suppression, are well known in HIV patients. Corticosteroids are widely prescribed in the HIV-positive population. However, digoxin is rarely used in HIV patients; hence, digoxin toxicity due to drug-drug interaction is not widely recognised. Nevertheless, this practice might change in the future as HIV cohorts of patients are ageing, due to the successful treatment of HIV infection with combination antiretroviral therapy...
July 19, 2016: International Journal of STD & AIDS
Pauline Voon, Ronald Joe, Christopher Fairgrieve, Keith Ahamad
Opioid use disorder is associated with significant health and social harms. Various evidence-based interventions have proven successful in mitigating these harms, including harm reduction strategies and pharmacological treatment such as methadone. We present a case of a 35-year-old HIV-positive woman who was off antiretroviral therapy due to untreated opioid use disorder, and had a history of frequently self-discharging from hospital against medical advice. During the most recent hospital admission, the patient was transferred to an innovative community-based clinical support residence that supported harm reduction...
2016: BMJ Case Reports
Maria Isabel S Gouvea, Esau C Joao, Maria de Lourdes B Teixeira, Jennifer S Read, Sergio E L Fracalanzza, Claudia T V Souza, Maria José de Souza, Helio M Torres Filho, Cassiana C F Leite, Pedro E A A do Brasil
OBJECTIVE: There are limited data regarding Xpert performance to detect GBS in HIV-infected pregnant women. We evaluated the accuracy of a rapid real-time polymerase chain reaction test in a cohort of HIV-infected women. METHODS: At 35-37 weeks of pregnancy, a pair of combined rectovaginal swabs were collected for two GBS assays in a cohort of sequentially included HIV-infected women in Rio de Janeiro: 1) culture; and 2) real-time polymerase chain reaction assay [GeneXpert GBS (Cepheid, Sunnyvale, CA, US)]...
June 22, 2016: Journal of Maternal-fetal & Neonatal Medicine
Leila Katirayi, Hazel Namadingo, Mafayo Phiri, Emily A Bobrow, Allan Ahimbisibwe, Aida Yemane Berhan, Nicole Buono, Karen Marie Moland, Thorkild Tylleskär
INTRODUCTION: The implementation of lifelong antiretroviral treatment (ART) for all pregnant women (Option B+) in Malawi has resulted in a significant increase in the number of HIV-positive pregnant women initiating treatment. However, research has highlighted the challenge of retaining newly initiated women in care. This study explores barriers and facilitators that affect a woman's decision to initiate and to adhere to Option B+. METHODS: A total of 39 in-depth interviews and 16 focus group discussions were conducted...
2016: Journal of the International AIDS Society
Sudarshan P Gaurkar, Poonam B Pund, Pradeep R Dindore, Umesh Y Bhoi
We report a case of a person living with HIV-AIDS who presented with extensive molluscum contagiosum (MC) in the periorbital location. MC lesions aggregated as large masses over the right upper and lower eyelids, obstructing vision of the right eye.
May 2016: Indian Dermatology Online Journal
Olivia Nankinga, Cyprian Misinde, Betty Kwagala
BACKGROUND: Sexually transmitted infections (STIs) are a major reproductive and public health concern, especially in the era of HIV/AIDS. This study examined the relationship between sexual empowerment and STI status of women in union (married or cohabiting) in Uganda, controlling for sexual behaviour, partner factors, and women's background characteristics. METHODS: The study, based on data from the 2011 Uganda Demographic and Health Survey (UDHS), analysed 1307 weighted cases of women age 15-49 in union and selected for the domestic violence module...
2016: BMC Public Health
Richard A Crosby, Leandro Mena, Angelica Geter
In the United States, young Black men who have sex with men (YBMSM) bear the single largest burden of the HIV/AIDS epidemic. Whether HIV-positive men in this population practice relatively safer sex than their HIV negative counterparts has not been recently investigated. The purpose of this study was to compare selected sexual risk behaviors between YBMSM who are HIV-positive to their HIV-negative counterparts of the same geographic location in the southern US. A convenience sample of 600 YBMSM completed a computer-assisted self-interview in a private area of a clinic dedicated to sexual health...
May 17, 2016: International Journal of STD & AIDS
Barbara Wilkinson, Kavita Shah Arora
The fields of HIV care in pregnancy and reproductive genetics have always been 'exceptional' in that patients are highly concerned about the potential for stigma and the corresponding need for privacy and confidentiality. However, the two fields have diverged in how they have addressed these concerns. The systematic review analyzed 61 manuscripts for similarities and differences between the fields of HIV care in pregnancy and reproductive genetics in the United States, with respect to privacy, confidentiality, disclosure, and stigma...
2015: New Bioethics: a Multidisciplinary Journal of Biotechnology and the Body
Ali Nael, Vighnesh Walavalkar, William Wu, Kambiz Nael, Ronald Kim, Sherif Rezk, Xiaohui Zhao
OBJECTIVES: Primary central nervous system lymphomas (PCNSLs) in patients with human immunodeficiency virus (HIV) are predominantly B-cell lymphomas associated with Epstein-Barr virus (EBV) and rarely CD8-positive T-cell PCNSLs. METHODS: Patient history, laboratory results, cerebrospinal fluid (CSF), imaging, and brain biopsy specimens were reviewed and tested for T-cell receptor clonality. RESULTS: A 64-year-old HIV-positive woman sought treatment for lethargy and left-sided weakness...
February 2016: American Journal of Clinical Pathology
Laura Frances Santoso, Emily E Erkkinen, Anindita Deb, Carlos Adon
A 38-year-old Dominican woman presented at an infectious disease clinic in Santo Domingo, with subacute dementia and psychomotor slowing. Based on physical findings and laboratory results, she was diagnosed with AIDS and HIV-associated dementia (HAD). She subsequently began combined antiretroviral therapy (cART). Psychiatric complications later emerged: the patient developed suicidal ideation and her partner expressed homicidal thoughts. After extensive interviewing, it was revealed that the patient had known her HIV-positive serostatus for years...
2016: BMJ Case Reports
Reza Shafiei, Mohsen Najjari, Ali Kargar Kheirabad, Golamreza Hatam
Cystoisospora belli, formerly Isospora belli, as an opportunistic infection agent, is seen in immunocompromised patients like HTLV-1. We describe here cystoisosporiasis in an HTLV1 Iranian female in Mashhad, northwestern Iran in 2012 who presented with a debilitating diarrheal illness and great weight loss. C. belli was detected in her stool by modified acid-fast staining and then by molecular detection. Serologic testing was negative for HIV but she showed positivity for HTLV-1 infection. Treatment with TMP/SMX led to improvement of her diarrhea but she died after one year due to malabsorption syndrome...
January 2016: Iranian Journal of Parasitology
Matteo Caloro, Giuseppa Calabrò, Georgios D Kotzalidis, Ilaria Cuomo, John M Corkery, Alessandro Emiliano Vento, Luana Lionetto, Sergio De Filippis, Valentina Ranieri, Davide Lonati, Carlo Alessandro Locatelli, Eleonora de Pisa, Antonio Di Tommaso, Paolo Girardi, Fabrizio Schifano
A 24-year old woman with multisubstance use since the age of 13, including opioids and cocaine, and long-standing HIV/HCV seropositivity status, presented with psychosis, agitation, and insomnia at the emergency department of a university hospital. She had been abusive and physically aggressive frequently without specific reasons and was involved in criminal legal cases. She was hospitalized twice. During her first hospital stay she experienced a brief episode of detachment from her environment, similar to episodes reportedly suffered at home...
September 2016: Addictive Behaviors
Aisha Gashout, Ahmad Amro, Mabruk Erhuma, Hamida Al-Dwibe, Eanas Elmaihub, Hamouda Babba, Nabil Nattah, Abdalhafid Abudher
BACKGROUND: Toxoplasma gondii infections are prevalent in humans and animals throughout Libya. Current diagnosis is based on detection of Toxoplasma-specific IgM and IgG. In this study, we established and optimized a diagnostic PCR assay for molecular diagnosis of T. gondii in Libya. METHODS: From January to December, 2010, 177 blood and serum samples were collected from suspected patients. This includes: 140 women who have had spontaneous abortions, 26 HIV-positive patients, nine patients with leukemia and lymphoma, and two infants with ocular infection...
2016: BMC Infectious Diseases
Alexis B Lyons, Mildred P Warren, Cynthia Ferguson, Meena Katdare, Valerie M Harvey
No abstract text is available yet for this article.
May 2015: JAAD Case Reports
Manuela Colombini, Courtney James, Charity Ndwiga, Susannah H Mayhew
INTRODUCTION: For many women living with HIV (WLWH), the disclosure of positive status can lead to either an extension of former violence or new conflict specifically associated with HIV status disclosure. This study aims to explore the following about WLWH: 1. the women's experiences of intimate partner violence (IPV) risks following disclosure to their partners; 2. an analysis of the women's views on the role of health providers in preventing and addressing IPV, especially following HIV disclosure...
2016: Journal of the International AIDS Society
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