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Human immunodeficiency virus in a tribal family: Issues and challenges.

Patel D, Bharti A, Pandya I, Naik E, Marfatia YS - Indian J Sex Transm Dis (2014 Jul-Dec)

Bottom Line: Her husband and son were also found to be HIV positive.Her husband left her for another woman.The purpose of reporting this case is to discuss the issues related to HIV infection affecting all the members of a tribal family.

View Article: PubMed Central - PubMed

Affiliation: Department of Skin-VD, Medical College, Vadodara, Gujarat, India.

ABSTRACT
A 35-year-old married tribal female presented with well-defined crusted ulcers with purulent exudates on the right side of the face involving both lips and right forearm since last 6 months. On investigation, she turned out to be human immunodeficiency virus (HIV) positive with CD4 count of 7 cell/mm(3) and also having probable abdominal tuberculosis (TB) as suggested by ultrasonography abdomen. Her husband and son were also found to be HIV positive. Her skin lesions were suggestive of cutaneous TB. She was started on antituberculosis treatment (ATT), antiretroviral treatment (ART), and injectable antibiotics. As her skin lesions failed to respond after 1 month, herpes simplex virus infection was suspected as a cause of ulceration, and she was given oral acyclovir therapy to which she responded well and later she was discharged. She stopped both ART and ATT and came with recurrence of skin lesions after 1½ month. Her husband left her for another woman. The purpose of reporting this case is to discuss the issues related to HIV infection affecting all the members of a tribal family.

No MeSH data available.


Related in: MedlinePlus

Well defined tender crusted ulcer with purulent discharge present on right forearm involving elbow
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Figure 2: Well defined tender crusted ulcer with purulent discharge present on right forearm involving elbow

Mentions: On general examination, the patient was poorly built and nourished and weighed 32 kg. Cutaneous examination revealed one well-defined ulcer with crusted and purulent exudates present on the right side of the face involving both lips [Figure 1], and mouth opening was restricted. A single well-defined tender crusted ulcer with purulent discharge was present on right forearm involving elbow [Figure 2]. Diffuse noncicatricial alopecia was present over the scalp. Oral mucosa showed presence of whitish granular exudate suggestive of oral candidiasis. Cervical and axillary lymph nodes were enlarged and non tender. No systemic abnormality was noted.


Human immunodeficiency virus in a tribal family: Issues and challenges.

Patel D, Bharti A, Pandya I, Naik E, Marfatia YS - Indian J Sex Transm Dis (2014 Jul-Dec)

Well defined tender crusted ulcer with purulent discharge present on right forearm involving elbow
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4553843&req=5

Figure 2: Well defined tender crusted ulcer with purulent discharge present on right forearm involving elbow
Mentions: On general examination, the patient was poorly built and nourished and weighed 32 kg. Cutaneous examination revealed one well-defined ulcer with crusted and purulent exudates present on the right side of the face involving both lips [Figure 1], and mouth opening was restricted. A single well-defined tender crusted ulcer with purulent discharge was present on right forearm involving elbow [Figure 2]. Diffuse noncicatricial alopecia was present over the scalp. Oral mucosa showed presence of whitish granular exudate suggestive of oral candidiasis. Cervical and axillary lymph nodes were enlarged and non tender. No systemic abnormality was noted.

Bottom Line: Her husband and son were also found to be HIV positive.Her husband left her for another woman.The purpose of reporting this case is to discuss the issues related to HIV infection affecting all the members of a tribal family.

View Article: PubMed Central - PubMed

Affiliation: Department of Skin-VD, Medical College, Vadodara, Gujarat, India.

ABSTRACT
A 35-year-old married tribal female presented with well-defined crusted ulcers with purulent exudates on the right side of the face involving both lips and right forearm since last 6 months. On investigation, she turned out to be human immunodeficiency virus (HIV) positive with CD4 count of 7 cell/mm(3) and also having probable abdominal tuberculosis (TB) as suggested by ultrasonography abdomen. Her husband and son were also found to be HIV positive. Her skin lesions were suggestive of cutaneous TB. She was started on antituberculosis treatment (ATT), antiretroviral treatment (ART), and injectable antibiotics. As her skin lesions failed to respond after 1 month, herpes simplex virus infection was suspected as a cause of ulceration, and she was given oral acyclovir therapy to which she responded well and later she was discharged. She stopped both ART and ATT and came with recurrence of skin lesions after 1½ month. Her husband left her for another woman. The purpose of reporting this case is to discuss the issues related to HIV infection affecting all the members of a tribal family.

No MeSH data available.


Related in: MedlinePlus