Patología digestiva en niños infectados con el virus de inmunodeficiencia humana (VIH), en Santiago de Chile

Background: Human immunodeficiency virus (HIV) epidemiology has changed, affecting an increasing number of children. As in adults, the disease predominantly affects the digestive and respiratory systems. Aim: To report the gastrointestinal problems in HIV infected pediatric patients. Patients and me...

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Autores principales:	Tassara O,Renzo, Alarcón O,Teresa, Larrañaga L,Carmen, Wu H,Elba, Alvarez P,Ana M
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2003
Materias:	Candidiasis, oral HIV enteropathy HIV infections HIV seropositivity
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000100003
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spelling	oai:scielo:S0034-988720030001000032003-05-13Patología digestiva en niños infectados con el virus de inmunodeficiencia humana (VIH), en Santiago de ChileTassara O,RenzoAlarcón O,TeresaLarrañaga L,CarmenWu H,ElbaAlvarez P,Ana M Candidiasis, oral HIV enteropathy HIV infections HIV seropositivity Background: Human immunodeficiency virus (HIV) epidemiology has changed, affecting an increasing number of children. As in adults, the disease predominantly affects the digestive and respiratory systems. Aim: To report the gastrointestinal problems in HIV infected pediatric patients. Patients and methods: Twenty four HIV infected children (nine male, aged 1 to 12 years old, followed for 1 to 170 months), are reported. This group has been under care by a multiprofessional team. Results: Oral candidiasis was present in 21 (88%), esophagic candidiasis in 3 (13%), oral ulcers in 4 (17%). Diarrhea was observed in 18 children (75%) and in eight, it had a chronic evolution. Cryptosporidium parvum was the most frequent agent found in six cases (1 with acute and 5 with chronic diarrhea). Schlerosing cholangiopathy was observed in one case, with a fatal outcome, in association to microsporidiosis. Upper endoscopy was done in 11 patients, demonstrating microscopic inflammatory changes in esophagic, gastric and duodenal epithelia in all. Conclusions: Digestive problems are common in HIV infected pediatric patients. They must be always sought actively. Endoscopy is a valuable tool for the early diagnosis of these problems (Rev Méd Chile 2003; 131: 19-24)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.1 20032003-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000100003es10.4067/S0034-98872003000100003
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Candidiasis, oral HIV enteropathy HIV infections HIV seropositivity
spellingShingle	Candidiasis, oral HIV enteropathy HIV infections HIV seropositivity Tassara O,Renzo Alarcón O,Teresa Larrañaga L,Carmen Wu H,Elba Alvarez P,Ana M Patología digestiva en niños infectados con el virus de inmunodeficiencia humana (VIH), en Santiago de Chile
description	Background: Human immunodeficiency virus (HIV) epidemiology has changed, affecting an increasing number of children. As in adults, the disease predominantly affects the digestive and respiratory systems. Aim: To report the gastrointestinal problems in HIV infected pediatric patients. Patients and methods: Twenty four HIV infected children (nine male, aged 1 to 12 years old, followed for 1 to 170 months), are reported. This group has been under care by a multiprofessional team. Results: Oral candidiasis was present in 21 (88%), esophagic candidiasis in 3 (13%), oral ulcers in 4 (17%). Diarrhea was observed in 18 children (75%) and in eight, it had a chronic evolution. Cryptosporidium parvum was the most frequent agent found in six cases (1 with acute and 5 with chronic diarrhea). Schlerosing cholangiopathy was observed in one case, with a fatal outcome, in association to microsporidiosis. Upper endoscopy was done in 11 patients, demonstrating microscopic inflammatory changes in esophagic, gastric and duodenal epithelia in all. Conclusions: Digestive problems are common in HIV infected pediatric patients. They must be always sought actively. Endoscopy is a valuable tool for the early diagnosis of these problems (Rev Méd Chile 2003; 131: 19-24)
author	Tassara O,Renzo Alarcón O,Teresa Larrañaga L,Carmen Wu H,Elba Alvarez P,Ana M
author_facet	Tassara O,Renzo Alarcón O,Teresa Larrañaga L,Carmen Wu H,Elba Alvarez P,Ana M
author_sort	Tassara O,Renzo
title	Patología digestiva en niños infectados con el virus de inmunodeficiencia humana (VIH), en Santiago de Chile
title_short	Patología digestiva en niños infectados con el virus de inmunodeficiencia humana (VIH), en Santiago de Chile
title_full	Patología digestiva en niños infectados con el virus de inmunodeficiencia humana (VIH), en Santiago de Chile
title_fullStr	Patología digestiva en niños infectados con el virus de inmunodeficiencia humana (VIH), en Santiago de Chile
title_full_unstemmed	Patología digestiva en niños infectados con el virus de inmunodeficiencia humana (VIH), en Santiago de Chile
title_sort	patología digestiva en niños infectados con el virus de inmunodeficiencia humana (vih), en santiago de chile
publisher	Sociedad Médica de Santiago
publishDate	2003
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000100003
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Patología digestiva en niños infectados con el virus de inmunodeficiencia humana (VIH), en Santiago de Chile

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