Document 1144
 DOCN  M94A1144
 TI    Etiological evaluation of the adrenal access in AIDS.
 DT    9412
 AU    Oliveira CA; Pires ML; Silva MA; Lima MB; Ribeiro JE; Koeppe AS;
       Conceicao FL; University of Rio de Janeiro, Brasil.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(2):199 (abstract no. PB0808). Unique
       Identifier : AIDSLINE ICA10/94371431
 AB    OBJECTIVE: Evaluate the incidence and etiology of the adrenal gland
       access in 140 patients (pt) dead with AIDS. METHODS: Anatomophatological
       study of the adrenal was done in 140 pt dead with AIDS, registered in
       the Pathological Anatomy Service of the Gaffree e Guinle Hospital since
       1985 up to now. This study evaluated the etiology of oportunistic
       infections and incidence of neoplasms. RESULTS: The adrenal was access
       in 34 pt (24.2%). Cytomegalovirus was found in 27 pt (79.41%), followed
       by Mycobacterium tuberculosis in 4 pt (11.76%), Cryptococcus in 2 pt
       (5.88%), Toxoplasma gondii in 1 pt (2.94%), Mycobacterium avium in 1 pt
       (2.94%). Some patients had simultaneously more than one oportunistic
       agent. CONCLUSION: a) The adrenal accessed in AIDS was frequent in our
       sample (24.2%). The oportunistic infections predominated and the
       neoplasms envolvement was rare; b) The oportunistic agent wich was more
       frequent found was the Cytomegalovirus (79.4%), data in accordance with
       the worldwide literature; c) The second oprtunistic agent more found was
       Mycobacterium tuberculosis (11.76%) what is different from the world
       literature. Although it can be explained by the high prevalence of
       tuberculosis in our environment (24% as that causes death, 40% of the
       cases of infection in AIDS). It were less frequent the adrenal access by
       cryptococcus (5.88%) bacterial infections (5.88%), toxoplasmosis (2.94%)
       and Mycobacterium avium intracelulare (2.94%).
 DE    Acquired Immunodeficiency Syndrome/*COMPLICATIONS  Adrenal Gland
       Diseases/*COMPLICATIONS/PATHOLOGY  Adrenal Glands/PATHOLOGY
       AIDS-Related Opportunistic Infections/MICROBIOLOGY/PATHOLOGY  Human
       MEETING ABSTRACT

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