Severe Abdominal Pain in Patients with AIDS: Frequency, Clinical Aspects, Causes, and Outcome

Parente, F.; Cernuschi, Massimo; Antinori, Spinello; Lazzarin, Adriano; Moroni, Mauro; Fasan, Marco; Rizzardini, Giuliano; Rovati, V.; Morandi, E.; Molteni, Paola; Porro, G. Bianchi

doi:10.3109/00365529409092464

Cited by 24 publications

(10 citation statements)

References 20 publications

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“…Abdominal pain was not uncommon and vomiting was not a prominent feature. 23 As shown in Table 4, in this study the total percentage of positive etiologic pathogens of diarrhea was 64.4%. This figure is higher than that reported in other developing countries (Table 5), but lower than the results from developed countries, where more extensive workup may be employed.…”

Section: Discussionmentioning

confidence: 89%

Causes of chronic diarrhea in patients with AIDS in Thailand: A prospective clinical and microbiological study

et al. 1996

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A prospective study was designed to investigate the causes of chronic diarrhea in AIDS patients in Thailand. Forty-five patients from Bamrasnaradura Infectious Diseases Hospital were enrolled. Extensive investigations included multiple stool examinations for ova and parasites, using the stool formalin-ether concentration method, stool culture, stool acid-fast bacilli (AFB) stain, stool modified AFB stain, esophagogastroduoscopy with duodenal aspirate and biopsy, and colonoscopy with biopsy. Biopsied specimens were examined with H&E, Giemsa, Gram, Periodic acid Schiff, and AFB stains. Definitive causes were found in 29 patients (64.4%). Of these 29, 7 patients were found to habor more than 1 pathogen (15.5%). The most commonly found enteric pathogen was Cryptosporidium parvum (20.0%). Less frequently found pathogens were Mycobacterium tuberculosis (17.8%), Salmonella spp. (15.5%), Cytomegalovirus (11.1%), Mycobacterium avium intracellulare (6.6%), Strongyloides stercoralis (4.4%), Giardia lamblia (4.4%), Cryptococcus neoformans (2.2%), Histoplasma capsulatum (2.2%), Campylobacter jejun (2.2%), and Cyclospora cayetanensis (2.2%). Salmonella spp., Mycobacterium tuberculosis, and Mycobacterium avium intracellulare infections were shown to be more common in Thailand than in African countries.

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Section: Discussionmentioning

confidence: 89%

Causes of chronic diarrhea in patients with AIDS in Thailand: A prospective clinical and microbiological study

et al. 1996

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“…Among 458 adults with AIDS, severe acute abdominal pain was associated with reduced survival. 21 Median survival with AIDS among individuals reporting abdominal pain was 180 days compared with 540 days for those without abdominal pain (P Ͻ .05). Although in most cases, the authors were able to attribute the patient's pain to a specific clinical diagnosis, the cause of this pain remained unclear for 8% of the study population.…”

mentioning

confidence: 94%

The Prevalence of Pain in Pediatric Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome as Reported by Participants in the Pediatric Late Outcomes Study (PACTG 219)

et al. 2002

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“…Pain syndromes in HIV are found to be similar to those suffered by patients with disseminated malignancy [67]. The types of pain associated with HIV infection are headache, herpes simplex virus infection, back pain, post‐herpetic neuralgia, throat pain [66], abdominal pain [68], HIV‐related arthralgia or Reiters syndrome [69], drug‐related pain due to agents such as zidovudine [66] or indinavir [70], and painful peripheral neuropathy. Although the majority of HIV‐related pain syndromes cannot be given a diagnosis [71], it is important to exclude opportunistic infection or malignancy as the cause of the pain [72].…”

Section: Hiv and Painmentioning

confidence: 99%

The implications of HIV for the anaesthetist and the intensivist

2000

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SummaryThe acquired immune de®ciency syndrome has reached pandemic proportions. Anaesthetists should be aware of the implications of dealing with increasing numbers of both diagnosed and undiagnosed, symptomatic and asymptomatic, human immunode®ciency virus-infected patients in the ®elds of intensive therapy, operating theatre anaesthesia, obstetrics and pain management. With recent advances, important insights have been gained into the pathogenesis of human immunode®ciency virus. Molecular techniques allow quanti®cation of viral burden, and together with CD4 T-lymphocyte count, prognosis and response to therapy can be evaluated. New drugs and therapeutic regimens have improved prognosis for those who are infected with the virus and vertical transmission of infection from mother to infant can be minimised. Should accidental occupational exposure to the virus occur, a prophylactic regimen of antiretroviral drugs can be administered in an attempt to prevent subsequent human immunode®ciency virus infection.

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Severe Abdominal Pain in Patients with AIDS: Frequency, Clinical Aspects, Causes, and Outcome

Cited by 24 publications

References 20 publications

Causes of chronic diarrhea in patients with AIDS in Thailand: A prospective clinical and microbiological study

Causes of chronic diarrhea in patients with AIDS in Thailand: A prospective clinical and microbiological study

The Prevalence of Pain in Pediatric Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome as Reported by Participants in the Pediatric Late Outcomes Study (PACTG 219)

The implications of HIV for the anaesthetist and the intensivist

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