Diagnóstico tardío de VIH/sida en pacientes rurales dado por baja sospecha diagnostica en la comunidad médica. Reportes de caso.

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Bibliographic Details
Title: Diagnóstico tardío de VIH/sida en pacientes rurales dado por baja sospecha diagnostica en la comunidad médica. Reportes de caso.
Alternate Title: Late diagnosis of HIV/AIDS in rural patients due to low diagnostic suspicion among the medical community. Case reports.
Authors: Saint-Pierre-Contreras, Gustavo1,2, Valencia-Castillo, Melissa1, Conei-Valencia, Daniel3,4
Source: Revista Facultad de Medicina de la Universidad Nacional de Colombia. jul-sep2019, Vol. 67 Issue 3, p349-353. 5p.
Subjects: HIV, IMMUNOLOGICAL deficiency syndromes, AIDS, PATHOLOGY, MEDICAL logic
Geographic Terms: CHILE, SOUTH America
Abstract (English): Introduction: The prevalence of the human immunodeficiency virus (HIV) infection in Latin America has not been adequately studied, but it is estimated that in Chile half of the patients who are infected have not been diagnosed and are not controlled or receiving treatment. Case presentation: This paper presents two clinical cases of male patients aged 22 and 33, without a medical history, and with multiple consultations for different reasons in various clinical services. The diagnosis was made at the AIDS stage (acquired immunodeficiency syndrome), with the complications associated with late diagnosis. Conclusions: HIV is an underdiagnosed pathology, mostly due to lack of suspicion and prejudiced attitudes towards HIV testing. The medical staff should take responsibility for the early study of these cases to reduce the impact of the disease, especially in places where vulnerable populations live. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción. La prevalencia de la infección por el virus de inmunodeficiencia humana (VIH) en Latinoamérica no ha sido estudiada de forma adecuada, pero se calcula que en Chile la mitad de los pacientes que están infectados no han sido diagnosticados y no están bajo control ni tratamiento. Presentación de los casos. Se presentan dos casos clínicos de pacientes masculinos de 22 y 33 años, sin antecedentes mórbidos, con múltiples consultas en diversos servicios clínicos. El diagnóstico se hizo en etapa sida (síndrome de inmunodeficiencia adquirida), con las complicaciones que se asocian cuando se diagnostica de manera tardía. Conclusiones. El VIH es una patología subdiagnosticada, en su mayoría por falta de sospecha y por los prejuicios de la población respecto a la realización del test de VIH. El cuerpo médico debe tomar la responsabilidad de pesquisar los casos de manera temprana para disminuir el impacto de la enfermedad, en especial en lugares con población vulnerable. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Introduction: The prevalence of the human immunodeficiency virus (HIV) infection in Latin America has not been adequately studied, but it is estimated that in Chile half of the patients who are infected have not been diagnosed and are not controlled or receiving treatment. Case presentation: This paper presents two clinical cases of male patients aged 22 and 33, without a medical history, and with multiple consultations for different reasons in various clinical services. The diagnosis was made at the AIDS stage (acquired immunodeficiency syndrome), with the complications associated with late diagnosis. Conclusions: HIV is an underdiagnosed pathology, mostly due to lack of suspicion and prejudiced attitudes towards HIV testing. The medical staff should take responsibility for the early study of these cases to reduce the impact of the disease, especially in places where vulnerable populations live. [ABSTRACT FROM AUTHOR]
ISSN:01200011
DOI:10.15446/revfacmed.v67n3.69321