HIPERTENSÃO PULMONAR NA INFECÇÃO VIH/SIDA: UMA DOENÇA RARA | PULMONARY HYPERTENSION IN AIDS/HIV INFECTION: A RARE DISEASE
Resumo
RESUMO
A Hipertensão pulmonar (HTP) é uma patologia rara mas que condiciona elevada morbilidade e mortalidade. É conhecida
a sua associação com o Vírus da Imunodeficiência Humana (VIH), mas muitos dos mecanismos implicados na sua patogénese
bem como o impacto da terapêutica antiretroviral (TARV) no tratamento e prognóstico desta doença ainda se encontram
por definir.
Apresenta-se um caso clínico de uma doente de 62 anos com infecção VIH internada por um quadro interpretado inicial-
mente como infecção respiratória. A má evolução e os exames adicionais permitiram o diagnóstico de Hipertensão pulmonar
grave que viria a determinar o falecimento da doente em poucos dias.
Atendendo à elevada prevalência de doentes com infecção VIH, é expectável o aumento do número de casos de Hipertensão
pulmonar, pelo que se chama a atenção para a necessidade de um diagnóstico precoce antes da evolução da mesma.
Palavras-chave: Hipertensão pulmonar, Vírus Imunodeficiência Humana, Terapêutica antiretroviral, Diagnóstico
ABSTRACT
Pulmonary hypertension is a rare disease with significant morbidity and mortality. Its association with HIV infection is well known
but other viral mechanisms involved are yet to be discovered as well as the impact of antiretroviral therapy (HAART) on the treatment and
prognosis.
We report a case of a 62 year-old HIV-infected female that was admitted with symptoms suggestive of a low respiratory tract infection.
Diagnostic test and the patient’s negative evolution allowed diagnosis of severe pulmonary hypertension which determined her death a few
days later.
Considering the rising prevalence of HIV infected patients, it is expected an increase on the number of Pulmonary Hypertension cases,
consequently, we raise awareness to the importance of an early diagnosis before its evolution.
Keywords: Pulmonary hypertension, Human Immunodeficiency Virus, Antiretroviral therapy, Diagnosis
Texto Completo:
PDFReferências
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