Title: [Nephro-urologic manifestations of the acquired immunodeficiency syndrome in our region]

POPLINE Document Number: 076071

Author(s):

Angulo JC
Unda Urzaiz M
Larrinaga Izaguirre JR
Flores Corral N

Source citation:

ACTAS UROLOGICAS ESPANOLAS, 1991 Mar-Apr;15(2):112-6.

Abstract:

A retrospective study was conducted on 15 HIV-infected patients in the hospital of Basurto selected from 70 similar patients. The patients were aged 24-31 years with a male:female ratio of 2:1. There were 13 IV drug addicts with 5-14 years of drug habit, 1 homosexual, and 1 patient with both risks factors. The disease had progressed 6-37 months when diagnosed for the 1st time. Most HIV stages corresponded to Centers for Disease Control III and IV-C. 4 patients had dysuria, 1 had testicular pain, 1 urethral exudate, and 1 macroscopic hematuria. In 3 of them altered urea and serum creatinine values were registered. Also, notable changes in urinalysis were recorded: proteinuria 10/15 (6+, 4++), hematuria 8/15 (4+, 3++, 1+++), and pyuria 10/15 (3+, 7++). In addition, hyalino-granulous cylinders (1/15), crystaluria with the presence of ammonium magnesium phosphate crystals (1/15), alkaline reaction (1/15), and bacteriuria (1/15) were encountered. Multiple infections were also ascertained: Klebsiella pneumoniae, Klebsiella oxitoca, Enterobacter cloacae, Escherichia coli, Streptococcus sp., and Candida albicans. An episode of acute orchiepididymitis was discovered, too. Genital infections were also discovered accidentally: genital herpes (5/15), balanitic candidiasis (1/15), and nongonococcal urethritis (5/15). Candida albicans, Mycoplasma hominis, Ureaplasma urealiticum, and Chlamydia Trachomatis were also detected. Hepatitis and syphilis were diagnosed by serology. Physical examination revealed genital lesions such as condyloma acuminatum (2/15) and scabies (1/15), and an unheard-of penal abscess as the complication of a lesion of venopunction. The presence of retroperitoneal adenopathies (4/15) was found by radiology relating to the persistent generalized lymphadenopathy of AIDS.

Keywords:

Spain
Clinical Research
Retrospective Studies
AIDS
HIV Infections
Renal Effects
Urogenital Effects
Sexually Transmitted Diseases
Hepatitis
Signs and Symptoms
Developed Countries
Europe, Southwestern
Europe
Research Methodology
Studies
Viral Diseases
Diseases
Urogenital System
Physiology
Biology
Reproductive Tract Infections
Infections