Generalized Pruritus and Gradual Loss of Vision as the Presenting Complaints of Acute HIV Infection: Management Challenges during COVID-19 Pandemic
Background. Although the prevalence of HIV is low in Bangladesh, there is a potential for an increased number of cases. This is because of high cross-border mobility (India and Myanmar) of people and increased injection drug abusers amongst youth in the cities and rural areas, HIV can present in man...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2021/6436936 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832557112716165120 |
|---|---|
| author | Shrebash Paul S. M. Mahbubur Rahman Rajibur Rahman Mahbubur Rahman Quazi Mamtaz Uddin Ahmed Rafiqul Alam Fazle Rabbi Chowdhury |
| author_facet | Shrebash Paul S. M. Mahbubur Rahman Rajibur Rahman Mahbubur Rahman Quazi Mamtaz Uddin Ahmed Rafiqul Alam Fazle Rabbi Chowdhury |
| author_sort | Shrebash Paul |
| collection | DOAJ |
| description | Background. Although the prevalence of HIV is low in Bangladesh, there is a potential for an increased number of cases. This is because of high cross-border mobility (India and Myanmar) of people and increased injection drug abusers amongst youth in the cities and rural areas, HIV can present in many ways, from asymptomatic to advanced disease, including various atypical (generalized itching) and advanced (loss of vision) manifestations. A high degree of suspicion is required to diagnose HIV in a country like Bangladesh. Early diagnosis and prompt treatment are essential to have a better outcome. Methods. Here, we report two thought-provoking cases where patients were suffering from generalized itchy lesions (pruritic papular eruption) throughout the body for a long time and gradual loss of vision in another case. Results. Due to lack of suspicion, initially, HIV screening was not done. Both patients visited several health centres, but no diagnosis was made. Moreover, COVID-19 pandemic worsens the situation. Finally, they were diagnosed with HIV; unfortunately, one of them lost her vision due to CMV retinitis and another patient died of other complications. Conclusion. Ongoing COVID-19 pandemic put many challenges to ensure optimum care, especially for patients with long-sufferings like HIV. Clinicians have to have a very high degree of suspicion while dealing with patients presented with rare manifestations, particularly in a low endemic clinical setting. |
| format | Article |
| id | doaj-art-8be268ec1eaf4167922eb52cba21bf78 |
| institution | Kabale University |
| issn | 2090-6633 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-8be268ec1eaf4167922eb52cba21bf782025-02-03T05:43:39ZengWileyCase Reports in Infectious Diseases2090-66332021-01-01202110.1155/2021/6436936Generalized Pruritus and Gradual Loss of Vision as the Presenting Complaints of Acute HIV Infection: Management Challenges during COVID-19 PandemicShrebash Paul0S. M. Mahbubur Rahman1Rajibur Rahman2Mahbubur Rahman3Quazi Mamtaz Uddin Ahmed4Rafiqul Alam5Fazle Rabbi Chowdhury6Department of Internal MedicineDepartment of Internal MedicineDepartment of Internal MedicineDepartment of Internal MedicineDepartment of Internal MedicineDepartment of Internal MedicineDepartment of Internal MedicineBackground. Although the prevalence of HIV is low in Bangladesh, there is a potential for an increased number of cases. This is because of high cross-border mobility (India and Myanmar) of people and increased injection drug abusers amongst youth in the cities and rural areas, HIV can present in many ways, from asymptomatic to advanced disease, including various atypical (generalized itching) and advanced (loss of vision) manifestations. A high degree of suspicion is required to diagnose HIV in a country like Bangladesh. Early diagnosis and prompt treatment are essential to have a better outcome. Methods. Here, we report two thought-provoking cases where patients were suffering from generalized itchy lesions (pruritic papular eruption) throughout the body for a long time and gradual loss of vision in another case. Results. Due to lack of suspicion, initially, HIV screening was not done. Both patients visited several health centres, but no diagnosis was made. Moreover, COVID-19 pandemic worsens the situation. Finally, they were diagnosed with HIV; unfortunately, one of them lost her vision due to CMV retinitis and another patient died of other complications. Conclusion. Ongoing COVID-19 pandemic put many challenges to ensure optimum care, especially for patients with long-sufferings like HIV. Clinicians have to have a very high degree of suspicion while dealing with patients presented with rare manifestations, particularly in a low endemic clinical setting.http://dx.doi.org/10.1155/2021/6436936 |
| spellingShingle | Shrebash Paul S. M. Mahbubur Rahman Rajibur Rahman Mahbubur Rahman Quazi Mamtaz Uddin Ahmed Rafiqul Alam Fazle Rabbi Chowdhury Generalized Pruritus and Gradual Loss of Vision as the Presenting Complaints of Acute HIV Infection: Management Challenges during COVID-19 Pandemic Case Reports in Infectious Diseases |
| title | Generalized Pruritus and Gradual Loss of Vision as the Presenting Complaints of Acute HIV Infection: Management Challenges during COVID-19 Pandemic |
| title_full | Generalized Pruritus and Gradual Loss of Vision as the Presenting Complaints of Acute HIV Infection: Management Challenges during COVID-19 Pandemic |
| title_fullStr | Generalized Pruritus and Gradual Loss of Vision as the Presenting Complaints of Acute HIV Infection: Management Challenges during COVID-19 Pandemic |
| title_full_unstemmed | Generalized Pruritus and Gradual Loss of Vision as the Presenting Complaints of Acute HIV Infection: Management Challenges during COVID-19 Pandemic |
| title_short | Generalized Pruritus and Gradual Loss of Vision as the Presenting Complaints of Acute HIV Infection: Management Challenges during COVID-19 Pandemic |
| title_sort | generalized pruritus and gradual loss of vision as the presenting complaints of acute hiv infection management challenges during covid 19 pandemic |
| url | http://dx.doi.org/10.1155/2021/6436936 |
| work_keys_str_mv | AT shrebashpaul generalizedpruritusandgraduallossofvisionasthepresentingcomplaintsofacutehivinfectionmanagementchallengesduringcovid19pandemic AT smmahbuburrahman generalizedpruritusandgraduallossofvisionasthepresentingcomplaintsofacutehivinfectionmanagementchallengesduringcovid19pandemic AT rajiburrahman generalizedpruritusandgraduallossofvisionasthepresentingcomplaintsofacutehivinfectionmanagementchallengesduringcovid19pandemic AT mahbuburrahman generalizedpruritusandgraduallossofvisionasthepresentingcomplaintsofacutehivinfectionmanagementchallengesduringcovid19pandemic AT quazimamtazuddinahmed generalizedpruritusandgraduallossofvisionasthepresentingcomplaintsofacutehivinfectionmanagementchallengesduringcovid19pandemic AT rafiqulalam generalizedpruritusandgraduallossofvisionasthepresentingcomplaintsofacutehivinfectionmanagementchallengesduringcovid19pandemic AT fazlerabbichowdhury generalizedpruritusandgraduallossofvisionasthepresentingcomplaintsofacutehivinfectionmanagementchallengesduringcovid19pandemic |