Bagny A, Bouglouga O, Djibril M A, Redah D
Service d'Hépato-Gastro-entérologie, Centre hospitalier et universitaire Campus, Lomé, Togo.
Med Trop (Mars). 2011 Feb;71(1):71-3.
The purpose of this study was to describe digestive tract emergencies observed in adult HIV-infected patients at the Campus Teaching Hospital in Lomé, Togo. The files of patients admitted in emergency to the Gastroenterology Department of the Lomé Campus Teaching Hospital from January 2005 to December 2009 were retrospectively reviewed. All patients over the age of 15 years with positive HIV serology were included in the study group. Out of a total of 842 files reviewed, 70 involved patients who were positive for HIV (8.31%). Mean patient age was 38 years and the sex ratio was 0.89. The most frequent reasons for admission were weight lost (75.7%), diarrhea (45.7%), and vomiting (41.4%). The main clinical signs were deterioration of general state (78.6%), conjunctive paleness (54.3%), fever (50%), and dehydration (17.1%). Digestive tract manifestations included thrush (37.1%), abdominal pain (21.4%) and ascites (18.6%). The most frequent diagnoses were infectious diarrhea (47.14%), digestive candidiasis (40%), and peritoneal tuberculosis (18.6%). The death rate during emergency treatment was 18.6%. These results demonstrate the high frequency and severity of digestive tract complications in HIV patients and underline the need for early management.
本研究的目的是描述在多哥洛美校园教学医院观察到的成年HIV感染患者的消化道急症。对2005年1月至2009年12月在洛美校园教学医院急诊科收治的患者病历进行回顾性研究。所有15岁以上HIV血清学阳性的患者均纳入研究组。在总共查阅的842份病历中，70份涉及HIV阳性患者（8.31%）。患者平均年龄为38岁，性别比为0.89。最常见的入院原因是体重减轻（75.7%）、腹泻（45.7%）和呕吐（41.4%）。主要临床体征为全身状况恶化（78.6%）、结膜苍白（54.3%）、发热（50%）和脱水（17.1%）。消化道表现包括鹅口疮（37.1%）、腹痛（21.4%）和腹水（18.6%）。最常见的诊断为感染性腹泻（47.14%）、消化道念珠菌病（40%）和腹膜结核（18.6%）。急诊治疗期间的死亡率为18.6%。这些结果表明HIV患者消化道并发症的高发生率和严重性，并强调了早期管理的必要性。
