Enfoque de la diarrea en pacientes infectados con VIH

  • Alvaro Andres Gomez Venegas Instituto Gastroclinico
  • Luis Alfredo Moreno Castaño Hospital de urgencia asistencia pública. Santiago de Chile, Región Metropolitana. Chile
  • Jairo Alonso Roa Chaparro Hospital Universitario San Ignacio
Palabras clave: Diarrea, Virus de inmunodeficiencia humana, VIH, Antirretrovirales, Enteropatía por VIH

Resumen

La diarrea es el síntoma gastrointestinal más frecuente en las personas infectadas por el virus de la inmunodeficiencia humana. La diarrea puede aparecer como consecuencia de infección por un germen oportunista, así como ser un efecto secundario del tratamiento antirretroviral. Esta puede a su vez ser aguda o crónica, siendo esta ultima la que conlleva a mayor morbilidad y alteración en la calidad de vida del paciente. El enfoque diagnostico se realiza por etapas que van desde una historia clínica completa, hasta estudios de tipo microbiológicos, endoscópicos y de imágenes. Finalmente, si se han descartado causas infecciosas u orgánicas (enteropatía idiopática), se brindará manejo al paciente, buscando alivio sintomático y optimizando la adherencia al tratamiento antirretroviral. 

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Biografía del autor/a

Alvaro Andres Gomez Venegas, Instituto Gastroclinico
Médico internista, gastroenterólogo. Servicio de gastroenterología. Instituto Gastroclínico, Medellín, Colombia.
Luis Alfredo Moreno Castaño, Hospital de urgencia asistencia pública. Santiago de Chile, Región Metropolitana. Chile
Medico de Urgencias
Jairo Alonso Roa Chaparro, Hospital Universitario San Ignacio
Medico hospitalario Medicina Interna

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Publicado
2018-07-05
Cómo citar
Gomez Venegas, A. A., Moreno Castaño, L. A., & Roa Chaparro, J. A. (2018). Enfoque de la diarrea en pacientes infectados con VIH. Revista Colombiana De Gastroenterología, 33(2), 150-160. https://doi.org/10.22516/25007440.192
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