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Immobile to Ambulation: Complex Multijoint Pathologies in a Patient with Advanced HIV Disease: A Case Report.
Samuel, Justin T; Nwokeji, Imani N; Ali, Sehrish; Jakkula, Nityananda Rao; Fung, Jonathan; Campbell, Andrew; Singanamala, Naveen.
Afiliación
  • Samuel JT; CUNY School of Medicine, New York, New York.
  • Nwokeji IN; Department of Orthopedic Surgery, St. Barnabas Hospital, Bronx, New York.
  • Ali S; CUNY School of Medicine, New York, New York.
  • Jakkula NR; Department of Orthopedic Surgery, St. Barnabas Hospital, Bronx, New York.
  • Fung J; CUNY School of Medicine, New York, New York.
  • Campbell A; Department of Orthopedic Surgery, St. Barnabas Hospital, Bronx, New York.
  • Singanamala N; Department of Orthopedic Surgery, St. Barnabas Hospital, Bronx, New York.
JBJS Case Connect ; 14(3)2024 Jul 01.
Article en En | MEDLINE | ID: mdl-39270047
ABSTRACT
CASE A 30-year-old man with a history of advanced HIV disease (AHD) presented with bilateral equinocavus, leg, and foot muscle paresis, Brooker grade 4 heterotopic ossification of hips and knee stiffness, and was unable to sit upright, stand independently, or walk. Electromyography showed demyelinating sensorimotor and axonal polyneuropathy of lower extremities. Multiple surgeries of bilateral hips, ankles, and feet enabled joint mobility, plantigrade feet, and independent ambulation.

CONCLUSION:

Patients with AHD may develop multijoint pathologies, secondary to HIV, antiretroviral therapy, or prolonged immobility, resulting in loss of ambulation and independence. Restoring ambulation may necessitate multiple surgeries, with potential for success.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH Límite: Adult / Humans / Male Idioma: En Revista: JBJS Case Connect Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH Límite: Adult / Humans / Male Idioma: En Revista: JBJS Case Connect Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos