Enfermedad de Hansen y VIH: Reporte de un caso
Roxana Rivera Rivadulla, Julio César Camero MachÃn, Grecia MarÃa Giniebra MarÃn, Yaima GorrÃn DÃaz
Resumen
Se presenta el caso clÃnico de un paciente seropositivo al VIH, en fase sintomática precoz, asistido en el servicio de DermatologÃa del Hospital ClÃnico- Quirúrgico Docente «Dr. León Cuervo Rubio», por tener lesiones cutáneas infiltradas, localizadas en miembro inferior derecho con alteraciones de la sensibilidad térmica y dolorosa, de tres meses de evolución. El diagnóstico presuntivo fue enfermedad de Hansen; la baciloscopÃa resultó positiva, el estudio histopatológico estableció el diagnóstico definitivo de lepra borderline tuberculoide y la biopsia el método auxiliar vital en el diagnóstico positivo de esta dermatosis. Le fue indicada la poliquimioterapia para casos multibacilares asociada a la terapia antirretroviral, lo que propició la evolución favorable del paciente; se demuestra, que el diagnóstico temprano es la principal herramienta para lograr un tratamiento adecuado, prevenir las discapacidades y rehabilitar al paciente enfermo.
Palabras clave
lepra; mycobacterium leprae; lepra paucibacilar
Este artÃculo está licenciado bajo la licencia
Creative Commons Reconocimiento-NoComercial 4.0 Internacional .
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