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Misdiagnosis of Treatable Stroke Mimic: The Case for HIV Screening in Practice Guidelines.
Neurohospitalist
October 2013
Department of Neurology, Hartford Hospital and University of Connecticut School of Medicine, Hartford, CT, USA.
Notably absent from current practice guidelines for common neurologic diseases as stroke and seizure is the revised Centers for Disease Control (CDC) recommendation for human immunodeficiency virus (HIV) testing of all clinical encounters. During a 9-month period 2 patients with treatable stroke mimics related to HIV type 1 infection were misdiagnosed resulting in delay in beginning antiretroviral therapy and increased cost and morbidity. This study was conducted to determine the frequency of HIV-1 screening in our stroke center population and consider the implications of such testing on neurologic disease.
View Article and Find Full Text PDFSkeletal muscle studies in patients with HIV-related wasting syndrome.
J Neurol Sci
September 1997
Department of Internal Medicine, Hospital Clinic i Provincial, Universitat de Barcelona, Spain.
Previous reports have suggested that HIV-related wasting syndrome may be considered as a form of myopathy. The aim of the present study was to investigate histopathological muscle changes in HIV-related wasting syndrome in order to know if there is a common substrate and whether muscle plays a primary or secondary role in its development. Patients with wasting syndrome diagnosed by Centers for Disease Control (CDC) criteria were prospectively evaluated.
View Article and Find Full Text PDFHIV-related musculoskeletal disease.
Med J Aust
January 1993
Department of Rheumatology, Prince Henry and Prince of Wales Hospital, Randwick, NSW.
Among the less well-known manifestations of HIV infection are the musculoskeletal disorders. Since most of these occur in patients who are otherwise well, they represent an important opportunity for the detection of unsuspected HIV infection.
View Article and Find Full Text PDFHIV seroprevalence in hospital patients in rural Georgia.
South Med J
October 1992
Division of HIV/AIDS, Public Health Service, US Department of Health and Human Services, Atlanta, Ga 30333.
To determine human immunodeficiency virus (HIV) seroprevalence among hospital patients in three rural community-based hospitals in southern Georgia, we anonymously tested patients 15 to 54 years old for antibodies to HIV-1 from residual blood specimens collected for routine diagnostic purposes. Data collected included age, sex, race, hospital service, presenting condition, physician's knowledge of HIV infection status, and discharge diagnosis. Of 1319 patients tested, seven (0.
View Article and Find Full Text PDF[Intraparotid lesions in HIV infection].
Pathologica
June 1991
Istituto di anatomia e istologia patologica, Università di Bologna.
HIV-related lesions of the parotid region. A case of parotid enlargement in a 43-year-old male with unsuspected HIV infection is reported. Lesions consisted in lymphonodal changes, epi-myoepithelial islands and cysts lined by squamous epithelium.
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