Urologické komplikace HIV/AIDS
Urologic complications of HIV infection
As life expectancy of patients infected by Human Immunodeficiency Virus (HIV) has prolonged, they are treated by physicians of different specialities. This article focuses on urologic complications of HIV infection. Urinary tract infections in HIV positive patients are more frequent than in otherwise healthy individuals and less common microorganisms can be involved. Sexually transmitted diseases are a commonplace. Certain malignancies of the genitourinary tract are more often diagnosed in HIV positive than in HIV negative population. Impairment of kidney function is usually caused by HIV-associated nephropathy. Acute renal failure can also occur. Indinavir causes urinary stones formation. Male circumcision is an effective method of HIV transmission prevention.
Key words:
HIV, urinary tract infections, cancer, complications, urology.
Autori:
Jan Hrbáček 1; Pavel Konopásek 2; Václav Eis 3; Eva Hamšíková 4; Ruth Tachezy 4; Jan Pokorný 1; Karim El-Balouly 1; Michael Urban 1; Jiří Heráček 1
Pôsobisko autorov:
Univerzita Karlova v Praze, 3. lékařská fakulta, Urologická klinika FNKV
1; Univerzita Karlova v Praze, 1. lékařská fakulta, Klinika nefrologie VFN
2; Univerzita Karlova v Praze, 3. lékařská fakulta, Ústav patologie
3; Ústav hematologie a krevní transfuze, Praha
4
Vyšlo v časopise:
Čas. Lék. čes. 2010; 149: 115-119
Kategória:
Review Article
Súhrn
Léčba infekce virem lidské imunodeficience (HIV) v posledních letech na základě nových poznatků vědy a rozvoje léčebných metod velmi pokročila. Cílem článku je shrnout urologické komplikace onemocnění HIV. Infekce močových cest se u HIV pozitivních pacientů vyskytují častěji než ve zdravé populaci, uplatňují se i atypická infekční agens. Ani se sexuálně přenosnými chorobami se nesetkáváme ojediněle. U pacientů s HIV také ve vyšší míře diagnostikujeme některé zhoubné nádory urogenitálního traktu. HIV‑asociovaná nefropatie je obvyklým typem renálního postižení stejně jako akutní selhání ledvin. Antiretrovirotika mohou být příčinou vzácné indinavirové urolitiázy. Účinnou metodou prevence přenosu HIV na muže je cirkumcize.
Klíčová slova:
HIV, infekce močopohlavních cest, nádor, komplikace, urologie.
Adresa pro korespondenci:
MUDr. Jan Hrbáček
Urologická klinika 3. LF UK a FNKV
Šrobárova 50, 100 34 Praha 10
e-mail: honzahrbacek@seznam.cz
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Štítky
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistČlánok vyšiel v časopise
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