RESUMO

A case of lung Kaposi sarcoma (KS) in the absence of cutaneomucosal lesions was observed in a 30-year-old heterosexual male with AIDS and a history of intravenous drug addiction. Both chest X-ray and CT scanning disclosed a diffuse nodular pattern in lungs, whereas endoscopy failed to demonstrate endobronchial damage. Cytological examination of the sample taken by transthoracic lung puncture proved compatible with primary KS, a rare neoplasia in heterosexual male drug addicts with AIDS. A year following the diagnosis of KS, the patient died of respiratory failure.

Assuntos

Síndrome da Imunodeficiência Adquirida/complicações , Neoplasias Pulmonares/diagnóstico , Sarcoma de Kaposi/diagnóstico , Transtornos Relacionados ao Uso de Substâncias/complicações , Adulto , Humanos , Masculino

RESUMO

Here we report a case of HIV infection in a lesbian lacking other risk factors. She had sought advice for asthenia and unexplained weight loss. The physical examination disclosed oropharyngeal candidiasis and generalized lymphoadenopathies. The patient defined herself as an active sexual partner and denied having any heterosexual intercourse whatsoever. Particle agglutination test proved positive for anti-HIV, as well as two consecutive ELISA assays, confirmed by Western blot. Since there was no history of blood transfusions or intravenous drug addiction, it may be concluded that HIV transmission was most likely due to female homosexual practices.

Assuntos

Síndrome da Imunodeficiência Adquirida/transmissão , Homossexualidade Feminina , Sorodiagnóstico da AIDS/métodos , Síndrome da Imunodeficiência Adquirida/diagnóstico , Adulto , Argentina , Western Blotting , Ensaio de Imunoadsorção Enzimática , Feminino , Soropositividade para HIV/diagnóstico , Humanos

RESUMO

Here we report a case of HIV infection in a lesbian lacking other risk factors. She had sought advice for asthenia and unexplained weight loss. The physical examination disclosed oropharyngeal candidiasis and generalized lymphoadenopathies. The patient defined herself as an active sexual partner and denied having any heterosexual intercourse whatsoever. Particle agglutination test proved positive for anti-HIV, as well as two consecutive ELISA assays, confirmed by Western blot. Since there was no history of blood transfusions or intravenous drug addiction, it may be concluded that HIV transmission was most likely due to female homosexual practices.