TB/HIV co-infection associated with Kaposi's sarcoma under opioid substitution treatment using methadone: about a case

Viviane Marie Pierre Cisse Diallo; Louise Fortes Deguenonvo; Khardiata Diallo Mbaye; Daye Ka; Ndeye Aissatou Lakhe; Ibrahima Ndiaye; Daouda Thioub; Sylvie Audrey Diop Nyafouna; Aminata Massaly; Alassane Dièye; Moustapha Diop; Cheikh Tidiane Ndour; Moussa Seydi

doi:10.11604/pamj.2017.28.43.11161

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TB/HIV co-infection associated with Kaposi's sarcoma under opioid substitution treatment using methadone: about a case

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TB/HIV co-infection associated with Kaposi's sarcoma under opioid substitution treatment using methadone: about a case

Viviane Marie Pierre Cisse Diallo, Louise Fortes Deguenonvo, Khardiata Diallo Mbaye, Daye Ka, Ndeye Aissatou Lakhe, Ibrahima Ndiaye, Daouda Thioub, Sylvie Audrey Diop Nyafouna, Aminata Massaly, Alassane Dièye, …

The Pan African medical journal, Vol.28, p.43

2017

DOI: https://doi.org/10.11604/pamj.2017.28.43.11161

PMID: 29158866

Résumé

AIDS-Related Opportunistic Infections - diagnosis

AIDS-Related Opportunistic Infections - drug therapy

Coinfection

Female

Heroin Dependence - rehabilitation

HIV Infections - complications

HIV Infections - diagnosis

HIV Infections - drug therapy

Humans

Methadone - administration & dosage

Middle Aged

Mycobacterium tuberculosis - isolation & purification

Opiate Substitution Treatment

Sarcoma, Kaposi - complications

Sarcoma, Kaposi - etiology

Tuberculosis, Pulmonary - diagnosis

Tuberculosis, Pulmonary - etiology

Late diagnosis of HIV infection can be fatal because it favors the appearance of opportunistic infections whose management requires the use of several molecules which can cause drug interactions. We report the case of a 45-year old female patient under heroin substitution treatment, using methadone and with HIV1 under antiretroviral treatment. This patient had nonspecific pulmonary appearance associated with dry nagging cough and progressive dyspnea evolving in a feverish context. Moreover, clinical examination showed left lower limb lymphedema with painless angiomatous nodules evolving over three years associated with plaques, angiomatous nodules occurred more recently at the level of the anterior face of the thorax. Sputum GeneXpert test allowed isolation of Mycobacterium tuberculosis. The diagnosis of pulmonary tuberculosis associated with Kaposi's sarcoma and immunosuppression caused by HIV was retained.

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Détails

Titre: TB/HIV co-infection associated with Kaposi's sarcoma under opioid substitution treatment using methadone: about a case
Créateurs - sans rôle: Viviane Marie Pierre Cisse Diallo - Service des Maladies Infectieuses et Tropicales, Centre Hospitalier National Universitaire de Fann Dakar /Université Cheikh Anta Diop de Dakar, BP 5035 Dakar, Sénégal
Louise Fortes Deguenonvo - Service des Maladies Infectieuses et Tropicales, Centre Hospitalier National Universitaire de Fann Dakar /Université Cheikh Anta Diop de Dakar, BP 5035 Dakar, Sénégal
Khardiata Diallo Mbaye - Service des Maladies Infectieuses et Tropicales, Centre Hospitalier National Universitaire de Fann Dakar /Université Cheikh Anta Diop de Dakar, BP 5035 Dakar, Sénégal
Daye Ka - Service des Maladies Infectieuses et Tropicales, Centre Hospitalier National Universitaire de Fann Dakar /Université Cheikh Anta Diop de Dakar, BP 5035 Dakar, Sénégal
Ndeye Aissatou Lakhe - Service des Maladies Infectieuses et Tropicales, Centre Hospitalier National Universitaire de Fann Dakar /Université Cheikh Anta Diop de Dakar, BP 5035 Dakar, Sénégal
Ibrahima Ndiaye - Service de Psychiatrie / Centre Hospitalier National Universitaire de Fann Dakar/Université Cheikh Anta Diop de Dakar, BP 5035 Dakar, Sénégal
Daouda Thioub - Service des Maladies Infectieuses et Tropicales, Centre Hospitalier National Universitaire de Fann Dakar /Université Cheikh Anta Diop de Dakar, BP 5035 Dakar, Sénégal
Sylvie Audrey Diop Nyafouna - Service des Maladies Infectieuses et Tropicales, Centre Hospitalier National Universitaire de Fann Dakar /Université Cheikh Anta Diop de Dakar, BP 5035 Dakar, Sénégal
Aminata Massaly - Service des Maladies Infectieuses et Tropicales, Centre Hospitalier National Universitaire de Fann Dakar /Université Cheikh Anta Diop de Dakar, BP 5035 Dakar, Sénégal
Alassane Dièye - Service des Maladies Infectieuses et Tropicales, Centre Hospitalier National Universitaire de Fann Dakar /Université Cheikh Anta Diop de Dakar, BP 5035 Dakar, Sénégal
Moustapha Diop - Service des Maladies Infectieuses et Tropicales, Centre Hospitalier National Universitaire de Fann Dakar /Université Cheikh Anta Diop de Dakar, BP 5035 Dakar, Sénégal
Cheikh Tidiane Ndour - Service des Maladies Infectieuses et Tropicales, Centre Hospitalier National Universitaire de Fann Dakar /Université Cheikh Anta Diop de Dakar, BP 5035 Dakar, Sénégal
Moussa Seydi - Centre Hospitalier National Universitaire de Fann
Détails de publication: The Pan African medical journal, Vol.28, p.43
Identifiants: 99158544509311
Unité académique: Recherches translationnelles sur le VIH et les Maladies Infect. Endém. émerg. - TransVIHMI
Langue: French
Type de ressource: Journal article