Severe complications of perianal sepsis in patients with human immunodeficiency virus. NLM AIDSLINE Important note: Information in this article was accurate in 1996. The state of the art may have changed since the publication date.

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Severe complications of perianal sepsis in patients with human immunodeficiency virus.

Br J Surg. 1996 Jun;83(6):778-80. Unique Identifier : AIDSLINE MED/96334831
Consten EC; Slors JF; Danner SA; Sars PR; Obertop H; Van Lanschot JJ; Department of Surgery, Academic Medical Centre, Amsterdam, The; Netherlands.

Abstract: Fifty human immunodeficiency virus (HIV)-infected patients with perianal sepsis were studied. Seven (14 per cent) had serious septic complications, four patients with severe necrotizing gangrene, and three with abscesses in the mediastinum, liver and brain respectively. CD4+ lymphocyte counts were significantly lower in patients with severe septic complications as compared with those with uncomplicated perianal sepsis (P < 0.05). In patients with HIV presenting with rare (metastatic) abscesses, perianal sepsis must always be kept in mind as a possible focus. Although HIV-infected patients have a limited life expectancy perianal fistulas and abscesses should be aggressively treated, because of the high risk of severe complications.
Keywords: Adult Anus Diseases/*COMPLICATIONS/PATHOLOGY/SURGERY AIDS-Related Opportunistic Infections/*COMPLICATIONS/PATHOLOGY Bacterial Infections/*COMPLICATIONS/DRUG THERAPY/PATHOLOGY Brain Abscess/COMPLICATIONS/SURGERY Female Gangrene Homosexuality, Male Human Liver Abscess/COMPLICATIONS/SURGERY Male Mediastinal Diseases/COMPLICATIONS/SURGERY Middle Age Postoperative Care Survival Rate Treatment Outcome JOURNAL ARTICLEKWDadultanusdiseases/KWDcomplications/pathology/surgeryaids-relatedopportunisticinfections/KWDcomplications/pathologybacterialinfections/
961130
M96B1853

Copyright © 1996 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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