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Hiv hyponatremia

Sonia Ben Nasr, Nawel Chaouch, Sawssen Bacha, Sana Cheikh Rouhou, Hajer Racil, Mourad Zarrouk, Abdellatif Chabbou
BACKGROUND: Despite scientific advances, extended forms of pulmonary tuberculosis are still relevant. The aim of our study was to determine clinical features and outcome of extended pulmonary tuberculosis in immunocompetent patients. METHODS: Retrospective comparative study including 100 patients HIV negative, presenting pulmonary tuberculosis divided into 2 groups of 50 patients (group1: extended tuberculosis and group2: localized tuberculosis). Tuberculosis was considered extended when reaching above one lobe...
August 2015: La Tunisie Médicale
Sonia Ben Nasr, Nawel Chaouch, Sawssen Bacha, Sana Cheikh Rouhou, Hajer Racil, Mourad Zarrouk, Abdellatif Chabbou
BACKGROUND: Despite scientific advances, extended forms of pulmonary tuberculosis are still relevant. The aim of our study was to determine clinical features and outcome of extended pulmonary tuberculosis in immunocompetent patients. METHODS: Retrospective comparative study including 100 patients HIV negative, presenting pulmonary tuberculosis divided into 2 groups of 50 patients (group1: extended tuberculosis and group2: localized tuberculosis). Tuberculosis was considered extended when reaching above one lobe...
August 2015: La Tunisie Médicale
Hector Madariaga, Aswini Kumar, Apurv Khanna
BACKGROUND: Hyponatremia is the most common disorder of body fluid and electrolyte balance in clinical practice. It is associated with increased morbidity, mortality, and length of hospital stay. Little is known about the relationship between hyponatremia and HIV disease. It is thought that hyponatremia in HIV is associated with a syndrome of inappropriate ADH secretion (SIADH), volume depletion, and adrenal insufficiency. Another common association is with Pneumocystis jirovecii (PCP)...
2015: American Journal of Case Reports
Stephanie Moss, Robin Mcgoey
No abstract text is available yet for this article.
January 2015: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
Sunggeun Lee, Anitsira Collado, Montish Singla, Roger Carbajal, Ashok Chaudhari, Donald Baumstein
Hyponatremia is one of the most common electrolyte imbalances in HIV patients. The differential diagnosis may include hypovolemic hyponatremia, syndrome of inappropriate antidiuretic hormone secretion (SIADH), and adrenal insufficiency. Here, we describe a case of hyponatremia secondary to cerebral salt wasting syndrome (CSWS) in an HIV patient with cryptococcal meningitis. A 52-year-old man with a history of diabetes and HIV was admitted for headache and found to have cryptococcal meningitis. He was also found to have asymptomatic hyponatremia...
March 2016: American Journal of Therapeutics
Ying Wen, Ying Zhou, Wen Wang, Yu Wang, Xu Lu, Cui Ming Sun, Wei Cui, Jing Liu, Wen Qing Geng, Hong Shang, Pei Liu
OBJECTIVE: Short-term mortality rates remain high among critically ill human immunodeficiency virus-1 (HIV-1) patients though long-term mortality rates have dropped. Baseline risk factors for short-term mortality have not yet been determined in China. In this paper, we herein describe clinical characteristics, laboratory findings, causes of clinical deterioration, and risk factors associated with mortality among HIV-1 patients within six months after hospital admission. METHODS: We carried out a prospective study of hospitalized patients in advanced stages of HIV infection...
2014: Internal Medicine
Lijun Xu, Hanhui Ye, Fan Huang, Zongxing Yang, Biao Zhu, Yan Xu, Yunqing Qiu, Lanjuan Li
OBJECTIVES: To evaluate whether the serum sodium concentration is associated with the progression and long-term prognosis of Chinese HIV/AIDS patients. METHODS: Three hundred and eighty seven hospitalized patients were recruited into this retrospective cohort study. The strata of serum sodium concentration were moderate/severe hyponatremia, mild hyponatremia and normonatremia. Disease progression was estimated using CD4 counts and the WHO clinical stage. Correlation analysis was used to evaluate the serum sodium concentration with disease progression...
2014: PloS One
Arthur K Mutyaba, Sarvesh Balkaran, Robert Cloete, Naude du Plessis, Motasim Badri, Johan Brink, Bongani M Mayosi
OBJECTIVE: The causes of constrictive pericarditis and predictors of perioperative outcome after pericardiectomy have not been clearly elucidated, especially in Africa, where the disease characteristics differ from those in developed countries. Furthermore, the effect of human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) on pericardial constriction and outcomes after surgery is unknown. We investigated the causes of constrictive pericarditis, outcomes after pericardiectomy, and predictors of mortality in Cape Town, South Africa, during a 22-year period of high HIV/AIDS prevalence...
December 2014: Journal of Thoracic and Cardiovascular Surgery
Raúl Herrera, Carlos M Orantes, Miguel Almaguer, Pedro Alfonso, Héctor D Bayarre, Irma M Leiva, Magaly J Smith, Ricardo A Cubias, Carlos G Torres, Walter O Almendárez, Francisco R Cubias, Fabrizio E Morales, Salvador Magaña, Juan C Amaya, Edgard Perdomo, Mercedes C Ventura, Juan F Villatoro, Xavier F Vela, Susana M Zelaya, Delmy V Granados, Eduardo Vela, Patricia Orellana, Reynaldo Hevia, E Jackeline Fuentes, Reinaldo Mañalich, Raymed Bacallao, Mario Ugarte, María I Arias, Jackelin Chávez, Nelson E Flores, Claudia E Aparicio
INTRODUCTION: Chronic kidney disease is a serious health problem in El Salvador. Since the 1990s, there has been an increase in cases unassociated with traditional risk factors. It is the second leading cause of death in men aged >18 years. In 2009, it was the first cause of in-hospital death for men and the fifth for women. The disease has not been thoroughly studied. OBJECTIVE: Characterize clinical manifestations (including extrarenal) and pathophysiology of chronic kidney disease of nontraditional causes in Salvadoran farming communities...
April 2014: MEDICC Review
Madhav C Menon, Amarinder S Garcha, Apurv Khanna
No abstract text is available yet for this article.
February 2014: Journal of Nephrology
Mireia Martínez-Cortés, Nadia Ogando-Portilla, Beatriz Pecino-Esquerdo, Virginia Pérez-Maciá
(1)Hyponatremia is a known adverse effect of antidepressants. A review of the literature was performed in relation to one case treated in our hospital to identify risk factors and possible psychopharmacologic alternatives. A 57-year old woman with HIV and HCV suffered 4 episodes of severe hyponatremia within 5 months of treatment involving the following drugs: thiazide diuretic, venlafaxine, citalopram, olanzapine, haloperidol, enalapril and escitalopram. Risk of hyponatremia is higher in patients treated with antidepressants, especially selective serotonin reuptake inhibitors...
November 2013: Actas Españolas de Psiquiatría
Revekka Babayev, Sofia Terner, Subani Chandra, Jai Radhakrishnan, Sumit Mohan
Hyponatremia associated with diuretic use can be clinically difficult to differentiate from the syndrome of inappropriate antidiuretic hormone secretion (SIADH). We report a case of a 28-year-old man with HIV (human immunodeficiency virus) and Pneumocystis pneumonia who developed hyponatremia while receiving trimethoprim-sulfamethoxazole (TMP/SMX). Serum sodium level on admission was 135 mEq/L (with a history of hyponatremia) and decreased to 117 mEq/L by day 7 of TMP/SMX treatment. In the setting of suspected euvolemia and Pneumocystis pneumonia, he was treated initially for SIADH with fluid restriction and tolvaptan without improvement in serum sodium level...
December 2013: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
Alexandre B Libório, Geraldo B Silva, Carolina G C H Silva, Francisco J C Lima Filho, Adalberto Studart Neto, Willy Okoba, Veralice M S de Bruin, Sônia M H A Araújo, Elizabeth F Daher
BACKGROUND: There are no reports on hyponatremia and acute kidney injury (AKI) involved in the course of HIV-related toxoplasmic encephalitis (TE). The main objective of this study was to describe the occurrence of hyponatremia and its relationship with AKI and mortality in HIV-related toxoplasmic encephalitis (TE). METHODS: This was a retrospective cohort study on patients with HIV-related TE. AKI was considered only when the RIFLE (risk, injury, failure, loss, end-stage) criterion was met, after the patient was admitted...
November 2012: Brazilian Journal of Infectious Diseases
Petar M Seferović, Arsen D Ristić, Ružica Maksimović, Dejan S Simeunović, Ivan Milinković, Jelena P Seferović Mitrović, Vladimir Kanjuh, Sabine Pankuweit, Bernhard Maisch
Despite a myriad of causes, pericardial diseases present in few clinical syndromes. Acute pericarditis should be differentiated from aortic dissection, myocardial infarction, pneumonia/pleuritis, pulmonary embolism, pneumothorax, costochondritis, gastroesophageal reflux/neoplasm, and herpes zoster. High-risk features indicating hospitalization are: fever >38 °C, subacute onset, large effusion/tamponade, failure of non-steroidal anti-inflammatory drugs (NSAIDs), previous immunosuppression, trauma, anticoagulation, neoplasm, and myopericarditis...
May 2013: Heart Failure Reviews
Madhav C Menon, Amarinder S Garcha, Apurv Khanna
Hyponatremia is reported to be the most common electrolyte abnormality encountered in clinical practice. Diagnosis and principles of management of hyponatremia are everyday issues in patient care. Interest has also been generated by its association with adverse prognosis from studies in specific disease groups. Patients with human immunodeficiency virus (HIV) disease are living longer and medical diseases similar to the general population are more frequently encountered in them. Hyponatremia has been observed to be widely prevalent in both hospitalized and outpatient HIV patients, although population-based estimates are not known...
January 2013: Journal of Nephrology
Kushal Naha, G Vivek, Sowjanya Dasari, M Manthappa, Lorraine Dias, Raviraja Acharya
A 50-year-old Asian Indian female with known hypertension presented with persistent vomiting but no other symptoms of meningism. Clinical examination and basic laboratory parameters were entirely normal except for significant hyponatremia. Further investigation was suggestive of the syndrome of inappropriate antidiuretic hormone (SIADH) secretion. Subsequently, despite steady correction of hyponatremia, the patient developed generalised seizures. Cerebrospinal fluid (CSF) analysis performed was inconclusive...
2012: BMJ Case Reports
Chukwuma O Ekpebegh, Anthonia O Ogbera, Benjamin Longo-Mbenza, Ernesto Blanco-Blanco, Ajani Awotedu, Patrick Oluboyo
OBJECTIVE: To determine the frequency of occurrence of hypoadrenalism in patients with human immunodeficiency virus (HIV) infection and document the clinical correlates of hypoadrenalism for this group of patients. SUBJECTS AND METHODS: A descriptive study was carried out on 66 hospitalized HIV patients in a semi-urban setting of South Africa. Hypoadrenalism was diagnosed based on a basal cortisol level of less than 400 nmol/l with or without overt signs and symptoms...
2011: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
Albane Simon, Josiane Warszawski, Dulanjalee Kariyawasam, Jerome Le Chenadec, Valerie Benhammou, Paul Czernichow, Frantz Foissac, Kathleen Laborde, Jean-Marc Tréluyer, Ghislaine Firtion, Inès Layouni, Martine Munzer, Françoise Bavoux, Michel Polak, Stéphane Blanche
CONTEXT: Lopinavir-ritonavir is a human immunodeficiency virus 1 (HIV-1) protease inhibitor boosted by ritonavir, a cytochrome p450 inhibitor. A warning about its tolerance in premature newborns was recently released, and transient elevation of 17-hydroxyprogesterone (17OHP) was noted in 2 newborns treated with lopinavir-ritonavir in France. OBJECTIVE: To evaluate adrenal function in newborns postnatally treated with lopinavir-ritonavir. DESIGN, SETTING, AND PARTICIPANTS: Retrospective cross-sectional analysis of the database from the national screening for congenital adrenal hyperplasia (CAH) and the French Perinatal Cohort...
July 6, 2011: JAMA: the Journal of the American Medical Association
Chantana Polprasert, Chatchawan Wongjitrat, Naruemon Wisedopas
BACKGROUND: Cytomegalovirus (CMV) can infect immuno-compromised host, especially in HIV and bone marrow transplantation patients. CMV colitis was reported after receiving chemotherapy in a solid tumor and aggressive Non-Hodgkin's lymphoma, but not yet in indolent lymphoma patients. CASE REPORT: In the present report, a 64-year-old woman was re-admitted with watery diarrhea after eight cycles of chemotherapy for Follicular lymphoma. She had hyponatremia, hypokalemia, and hypocalcemia, which were the consequences of severe diarrhea...
April 2011: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
Botond Lakatos, Géza Prinz, Csilla Sárvári, Katalin Kamotsay, Péter Molnár, Anita Abrahám, József Budai
UNLABELLED: Central nervous system tuberculosis is the fifth most frequent and at the same time most severe form of extrapulmonary tuberculosis diseases. It presents with no typical signs, thus early diagnosis and treatment is of high importance concerning the outcome. Authors present the characteristics, diagnostic and therapeutic alternatives of central nervous system tuberculosis through a case report and a retrospective study of 15 patients. PATIENTS AND METHODS: Authors performed a retrospective analysis of medical records of patients with central nervous system tuberculosis in an academic teaching hospital (Department of Neurology and Infectious Diseases, United Szent István-Szent László Hospital, Budapest, Hungary)...
April 10, 2011: Orvosi Hetilap
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