Osteoarticular and muscle infectious lesions in patients with the human immunodeficiency virus
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Between 1988 and 1995, 1832 HIV positive patients were evaluated in our institution. We studied the epidemiologic, immunologic and bacteriologic data, laboratory tests, and X-Ray films in those with musculoskeletal infection. We reviewed twenty-one cases of musculoskeletal infection in twenty patients aged 23–35 years (mean 28,6 years, M:F=15:5). In all of them risk factor for HIV was intravenous drug abuse. The number of CD4 positive lymphocytes ranged from 0,003 to 0,5 109/l. Staphylococcus aureus was the organism responsible of the infection in twelve cases, all active intravenous drug abusers at the time the diagnosis was done. The remaining causative agents were: Mycobacterium tuberculosis (3 cases), Candida albicans (2 cases), Salmonella subgroup 1 (1 case), Neisseria gonorrhoeae (1 case), Pseudomona aeruginosa (1 case) and Streptococcus agalactiae (1 case). Fifteen infections were diagnosed between 1988 and 1991 and 6 between 1992 and 1995. Musculoskeletal infectious lesions in HIV positive patients in our country are related in the majority of cases to intravenous drug abuse. In the last four years due to a National medical health care plan conducted to educate this group of people the number of musculoskeletal infections is decreasing.
Key wordsHIV Drug Addiction Muscle Abscess Osteomyelitis Septic Arthritis
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- 3.Calabrese LH. The rheumatic manifestations of infection with the human immunodeficiency virus. Semin Arthritis Rheum 1989; 18: 225–39.Google Scholar
- 8.Belzunegui J, Cancio J, Pego JM, Uriarte E, López L, González C, Arrizabalaga J, Figueroa M. Estudio retrospectivo de las manifestaciones reumáticas en pacientes infectados por el VIH en Guipúzcoa. Rev Esp Reumatol 1994; 21: 274–8.Google Scholar
- 11.Muñoz-Fernádez S, Maciá MA, Pantoja L, Cardenal A, Peña JM, Mola EM, Balsa A, Barbado FJ, Vázquez JJ, Gijón J. Osteoarticular infection in intravenous drug abusers: influence of HIV infection and differences with non drug abusers. Ann Rheum Dis 1993; 52: 5704.Google Scholar
- 13.Agirre L, Corcuera N, Gallego JM. El consumo de drogas en Euskadi 1994. Secretaría de la Presidencia del Gobierno. Administración de la Comunidad Autónoma del País Vasco. 1994.Google Scholar