Yüksek Ateş Nefes Darlığı: Acil Serviste AİDS Tanısı

Öz

nsan immün yetmezlik virüslü (HIV) olgular, Acil Servislere hastalığın herhangi bir evresinde başvurabilirler. Bizde acil servisimize ani başlayan güçsüzlük, yutma güçlüğü, öksürük ve ses kısıklığı şikayetleri ile başvuran, sonrasında pnömoni ve AİDS tanısı alan bir olguyu sunduk. Elli yaşında erkek hasta ani başlayan yaygın güçsüzlük, yüksek ateş, yutma güçlüğü, öksürük ve ses kısıklığı şikayeti ile acil servisimize başvurdu. Solunum sayısı 35/dk, vücut ısısı 38.8°C, nabzı 110/dk, O2 saturasyonu %88 idi. Fizik muayenede, oral mukozada ve farenkste beyaz plaklanma gösteren yaralar mevcuttu. Her iki akciğer oskültasyonunda bazallerde raller mevcuttu. Akciğer grafisinde her iki akciğer bazallerinde konsolidasyon tespit edildi. Klinik bulguların tümü göz önüne alındığında immun kompresyon zemininde pnömoni yaratan bir klinik durum olabileceği düşünülerek Anti-HIV testi istenildi. Test sonucu pozitif gelmesi üzerine pnömoni ve AİDS tanıları ile yatırıldı. Yoğun bakım takip edilen hasta solunum yetmezliği nedeniyle kaybedildi. AİDS hastalığı non spesifik semptomlar ile acil servise başvuran ancak potansiyel bir immün baskılanma durumunda şüphelenildiğinde akla gelmesi gereken ve doğrulanması gereken bir tanıdır.

Anahtar Kelimeler

• Erişkin, kazanılmış bağışıklık yetersizliği sendromu, semptomlar ve bulgular

High Fever- Dyspnea: Diagnosis of AIDS in the Emergency Department

Öz

Cases with human immunodeficiency virus (HIV) may present at the emergency departments at any stage of the disease. We have presented a patient presenting with acute onset of weakness, dysphagia, cough and hoarseness, who was subsequently diagnosed as pneumonia and AIDS. A fifty-year-old male patient presented at the emergency department with symptoms of generalized weakness, high fever, dysphagia and hoarseness of acute onset. The respiration rate was 35/min, body temperature: 38.8°C, pulse: 110/min, and O2 saturation: 88%. On physical examination, sores with white plaques were found in the oral mucosa and pharynx. In both lungs, auscultation revealed rales in the basal regions. Chest X-Ray revealed consolidation in the basal regions of both lungs. Considering all the clinical findings, a clinical state was thought to be causing pneumonia on the basis of immune suppression, and the Anti-HIV test was requested. Upon a positive test result, the patient was hospitalized with the diagnoses of pneumonia and AIDS. The patient was followed up at the intensive care unit and died due to respiratory failure. AIDS is the first disease to be suspected and confirmed in cases presenting at the emergency departments with non-specific symptoms, together with a potential of immune suppression

Anahtar Kelimeler

• Adult, acquired immune deficiency syndrome, symptoms and signs

Kaynakça

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