Anorectal Diseases in HIV Positive Patients: Experience with 112 Patients
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 1
Abstract
Anorectal disease is the most common reason for surgical referral in patients HIV-positive patients. Anorectal pathology is seen in approximately one-third of these patients. It is estimated that more than one- half of these patients will require surgery. The objectives were to study the manifestations and modality of anorectal diseases in HIV positive patients, the impact of homosexuality and to estimate the overall outcome of surgical management. This is a cross sectional hospital based study done on patients infected with HIV who had anorectal symptoms in Gadarif Teaching Hospital from Mar. 2012- Mar. 2014. Seventy eight percent of the 112 patients in this study were males (range, 19-61) years with M: F ratio of 2:1. Their mean age was 34.3. Homosexuality was the most common in term of risk factors, present in 32 (28.6%) patients. The most common symptoms were anorectal swelling 47 (42%) patients, ulcer was in 43(38.4%) patients, pain present in 18 (16.1%) patients, and anal bleeding seen in 4 (3.6%) patients. The most common disorders was anorectal ulcer in 43 (38.4%) patients, Fistulas in 30 (26.8%) patients, abscess in 14 (12.5%) patients, haemorrhoidal diseases in 11(9.8%) patients, Condyloma present in seven (6.2%) and fissure in five (4.5%) patients. Anal neoplasms were identified in two (1.8%) patients. A total of 68 procedures were performed on 68 patients. Seven different types of procedures were performed on 60.7 % of our patients. Majority of the cases were clinically stage IV 82 (73.2%) patients. Ninety-three (83.0%) patients were already using ARTs. Fifty seven (83.8%) patients out of those who underwent procedures were completely resolved during follow-up, at an average time of 12 weeks. HIV positive patients showed variable and multiple perianal manifestations. They require treatment throughout the course of HIV infection. Despite challenged immunity of HIV-positive patients, patients receiving appropriate care at a proper time should expect low complications after any surgical procedure.
Authors and Affiliations
Majdi AO Bakhiet, Sami E Salah, Aamir A Hamza
Keywords
Related Articles
- EP ID EP373547
- DOI -
- Views 55
- Downloads 0
Anemia: Does it Have Effect on Menstruation?
It is well known fact heavy and prolonged menses leads to anemia. But being anemic do have effect on menstrual cycle as well as menstrual problems. This study was done identify the same. This was a community based cross-...
A Review on Control Methods for Bacteriological Water Quality and Biofilm in Dental Unit Water Systems
Contamination of dental unit water systems (DUWS) to a variety of microorganisms and biofilm formation is one of the most important problems in dentistry centers against the proper operation of thisunits. This study was...
C - reactive protein as A Marker of Status of Chronic Obstructive Pulmonary Disease (COPD): A Prospective Study from PGIMS, Rohtak
Abstract: In spite of the relation between systemic inflammation and CRP in COPD, only a few studies have assessed the role of CRP in measuring the level of systemic inflammation in COPD to assess the status of disease....
Assessment and Correlation of Technical Difficulties and Conversion to Open Procedure During Laparoscopic Cholecystectomy by Preoperative Ultrasonography
Abstract: Laparoscopic cholecystectomy is now the gold standard for the treatment of gall stone disease and ultrasonography is the most common imaging study performed for biliary tract disease. The various pre-operative...
Homocysteine and Atherogenic lipid profile as Markers of Atherotherombatic Disease among Sudanese Patients with Diabetes Mellitus
Abstract:Atherosclerosis is associated with increased inflammatory activity and risk of vascular disease.However, the factors that promote inflammation are not apparently clear. The aim of the present study was to detect...