Dey Mansi, Agarwal Arjun, Sahoo Abhijeeta, Mishra Bibhu Prasad
Oral and Maxillofacial Surgery, Maharishi Markandeshwar College of Dental Sciences and Research, Mullana, Ambala, Haryana India.
Head of Department, Surgical Oncology, Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh India.
Indian J Otolaryngol Head Neck Surg. 2024 Dec;76(6):6006-6008. doi: 10.1007/s12070-024-05051-6. Epub 2024 Sep 11.
Human immunodeficiency virus(HIV) is transmitted sexually, through blood transfusions, sharing intravenous needles, and from the mother to a child during the birth process and breastfeeding. Most of the patients diagnosed with HIV develop AIDS within ten years if left untreated. HIV infected patients have a higher risk of complications than those who are not having the disease. Surgical site infections and pneumonia are the most common short term postoperative complications in patients suffering from this disease. The use of antiretroviral therapy against HIV infection can result in an increased risk of cardiovascular disease by changing the profile of lipids and platelet aggregation. HIV associated thrombocytopenia can also cause bleeding. Here we present a case of a 47 year old patient who was operated for oral cancer and developed postoperative bleeding as a complication apart from postoperative infection. There was no thrombocytopenia in our patient, but anemia occurred due to blood loss. There was also substantial increase in TLC count when he developed infection.
人类免疫缺陷病毒（HIV）通过性传播、输血、共用静脉注射针头以及在分娩过程和母乳喂养期间由母亲传染给孩子。如果不进行治疗，大多数被诊断出感染HIV的患者会在十年内发展为艾滋病。与未感染该疾病的患者相比，HIV感染患者出现并发症的风险更高。手术部位感染和肺炎是患有这种疾病的患者最常见的短期术后并发症。使用抗逆转录病毒疗法治疗HIV感染可能会通过改变血脂和血小板聚集情况而增加患心血管疾病的风险。HIV相关的血小板减少症也可能导致出血。在此，我们介绍一例47岁的患者，该患者接受了口腔癌手术，术后除了感染外还出现了出血并发症。我们的患者没有血小板减少症，但因失血出现了贫血。当他发生感染时，白细胞计数也大幅增加。
