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https://www.readbyqxmd.com/read/28004435/biopsy-proven-case-of-epstein-barr-virus-ebv-associated-vasculitis-of-the-central-nervous-system
#1
Kohei Kano 鹿野耕平, Takayuki Katayama, Shiori Takeguchi, Asuka Asanome, Kae Takahashi, Tsukasa Saito, Jun Sawada, Masato Saito, Ryogo Anei, Kyousuke Kamada, Naoyuki Miyokawa, Hiroshi Nishihara, Naoyuki Hasebe
A 75-year-old woman was admitted to our hospital with rapidly deteriorating consciousness disturbance. She had a 7-year history of rheumatoid arthritis (RA), which had been treated with methotrexate (MTX) and prednisolone. Brain T2-weighted MRI showed diffuse high-intensity lesions in the cerebral subcortical and deep white matter, bilateral basal ganglia and thalamus. A cerebrospinal fluid examination revealed elevated protein levels and positive Epstein-Barr virus (EBV) DNA. Human immunodeficiency virus was negative...
December 22, 2016: Neuropathology: Official Journal of the Japanese Society of Neuropathology
https://www.readbyqxmd.com/read/27966518/impact-of-highly-active-antiretroviral-therapy-in-the-development-and-remission-of-oral-plasmablastic-lymphoma
#2
Vivian Petersen Wagner, Lisley Ortiz, Helena Pereira Rodrigues da Silva, Luise Meurer, João Julio da Cunha Filho, Marco Antonio Trevizani Martins, Manoela Domingues Martins
Plasmablastic lymphoma (PBL) represents a rare type of non-Hodgkin lymphoma associated with human immunodeficiency virus (HIV) infection. The impact of highly active antiretroviral therapy (HAART) in this tumor is poorly known due to its small incidence. This study reports a case of a 33-year-old HIV-positive woman who was referred to the Stomatology Department complaining about a painful gingival growth and cervical nodule both with 20 days of evolution. The lesions appeared 7 months after the patient stopped HAART...
September 2016: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/27900846/plasmablastic-lymphoma-mimicking-carcinomatosis-a-case-report-and-review-of-the-literature
#3
Andrea M Olofson, Eric Y Loo, Paul A Hill, Xiaoying Liu
First identified as a distinct disease entity in HIV-positive patients, plasmablastic lymphoma is a rare aggressive disease which arises predominantly in men and is associated with immunodeficiency of all causes. Although its exact etiology is poorly understood, Epstein-Barr virus infection and MYC gene aberrations have been implicated in its development in both HIV-positive and HIV-negative patients. The disease typically involves extranodal sites with a predilection for the oral cavity but may occur in other locations...
November 30, 2016: Diagnostic Cytopathology
https://www.readbyqxmd.com/read/27896258/secondary-abdominal-pregnancy-in-human-immunodeficiency-virus-positive-woman
#4
Myoung Chan Kim, Hudson Manyanga, Flora Lwakatare
We report on an abdominal pregnancy in human immunodeficiency virus-positive mother, currently on antiretroviral therapy, which was discovered incidentally while training the obstetric ultrasound capacity building program. Although abdominal pregnancy is a rare form of ectopic pregnancy, it may be more common in women with HIV infection because they tend to have a higher rate of sexually transmitted diseases than the general population. The positive diagnosis of abdominal pregnancy is difficult to establish and is usually missed during prenatal assessment particularly in settings that lack routine ultrasound examination as is the case in most developing countries...
November 2016: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/27882759/-management-of-care-of-hiv-positive-pregnant-women-in-the-period-1996-2014
#5
M Mojhová, I Mikysková, M Halaška, M Staňková, H Rozsypal, J Šrámek, J Záhumenský, M Malý
OBJECTIVE: The evaluation of multidisplinary care about HIV positive pregnant women in the Czech Republic. DESIGN: Review. SETTINGS: Gynekologicko-porodnická klinika 1. LF UK a Nemocnice na Bulovce, Praha. METHODS: The vertical transmission of HIV infection from mother to fetus occurs most often during birth, still 1-2% of HIV-positive pregnant women will transfer the virus transplacenta. Due to careful screening for HIV during pregnancy, counselling, combination antiretroviral (cART) therapy, childbirth planning and its performance by C-section there appears a significant decrease of the virus transmission to the fetus, its occurrence is around 2%...
2016: Ceská Gynekologie
https://www.readbyqxmd.com/read/27803046/cd8-encephalitis-a-severe-but-treatable-hiv-related-acute-encephalopathy
#6
Angeliki Zarkali, Nikos Gorgoraptis, Robert Miller, Laurence John, Ashirwad Merve, Stefanie Thust, Rolf Jager, Dimitri Kullmann, Orlando Swayne
Rapidly progressive encephalopathy in an HIV-positive patient presents a major diagnostic and management challenge. CD8+ encephalitis is a severe but treatable form of HIV-related acute encephalopathy, characterised by diffuse perivascular and intraparenchymal CD8+ lymphocytic infiltration. It can occur in patients who are apparently stable on antiretroviral treatment and probably results from viral escape into the central nervous system. Treatment, including high-dose corticosteroids, can give an excellent neurological outcome, even in people with severe encephalopathy and a very poor initial neurological status...
January 2017: Practical Neurology
https://www.readbyqxmd.com/read/27776495/lessons-learned-from-the-pmtct-program-in-swaziland-challenges-with-accepting-lifelong-art-for-pregnant-and-lactating-women-a-qualitative-study
#7
Leila Katirayi, Caspian Chouraya, Kwashie Kudiabor, Mohammed Ali Mahdi, Mary Pat Kieffer, Karen Marie Moland, Thorkild Tylleskar
BACKGROUND: Swaziland has one of the highest HIV prevalence rates in sub-Saharan Africa, 26 % of the adult population is infected with HIV. The prevalence is highest among pregnant women, at 41.1 %. According to Swaziland's prevention of mother-to-child transmission (PMTCT) guidelines, approximately 50 % of pregnant women are eligible for antiretroviral therapy (ART) by CD4 criteria (<350 cells/ml). Studies have shown that most mother-to-child transmission and postnatal deaths occur among women who are eligible for ART...
October 24, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27770764/cryptosporidium-meleagridis-infection-the-first-report-in-poland-of-its-occurrence-in-an-hiv-positive-woman
#8
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
https://www.readbyqxmd.com/read/27738277/a-rare-presentation-of-plasmablastic-lymphoma-as-cutaneous-nodules-in-an-immunocompromised-patient
#9
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
https://www.readbyqxmd.com/read/27703930/case-report-of-two-cases-of-patella-subacute-osteomyelitis-in-diabetic-women-a-rare-entity
#10
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
https://www.readbyqxmd.com/read/27473033/pregnancy-complicated-by-haemorrhagic-ascites-in-a-woman-with-newly-diagnosed-hiv
#11
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...
July 29, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27463639/collaborative-interpersonal-psychotherapy-for-hiv-positive-women-in-kenya-a-case-study-from-the-mental-health-hiv-and-domestic-violence-mind-study
#12
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
https://www.readbyqxmd.com/read/27440872/life-threatening-digoxin-toxicity-due-to-drug-drug-interactions-in-an-hiv-positive-man
#13
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
https://www.readbyqxmd.com/read/27402654/treatment-of-opioid-use-disorder-in-an-innovative-community-based-setting-after-multiple-treatment-attempts-in-a-woman-with-untreated-hiv
#14
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...
July 11, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27333822/accuracy-of-a-rapid-real-time-polymerase-chain-reaction-assay-for-diagnosis-of-group-b-streptococcus-colonization-in-a-cohort-of-hiv-infected-pregnant-women
#15
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
https://www.readbyqxmd.com/read/27312984/hiv-positive-pregnant-and-postpartum-women-s-perspectives-about-option-b-in-malawi-a-qualitative-study
#16
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
https://www.readbyqxmd.com/read/27294056/extensive-molluscum-contagiosum-causing-obstruction-of-vision-in-hiv-positive-woman
#17
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
https://www.readbyqxmd.com/read/27229928/gender-relations-sexual-behaviour-and-risk-of-contracting-sexually-transmitted-infections-among-women-in-union-in-uganda
#18
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
https://www.readbyqxmd.com/read/27193422/are-hiv-positive-young-black-msm-having-safer-sex-than-those-who-are-hiv-negative
#19
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
https://www.readbyqxmd.com/read/27124962/a-systematic-review-on-confidentiality-disclosure-and-stigma-in-the-united-states-lessons-for-hiv-care-in-pregnancy-from-reproductive-genetics
#20
REVIEW
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
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