[Two cases with acquired immunodeficiency syndrome in our hospital].
We report two cases of AIDS whom we have recently experienced. One patient was a 54-year-old man who admitted our hospital due to third degree burn. In this case, we did not know whether or not he was suffered from AIDS, when he was delivered by the ambulance. In autopsy, pneumocystis carinii pneumonia and renal tuberculosis were found in addition to marked decrease of T cells in lymph nodes. The other patient was a 40-year-old man with remarkable symptoms of central nervous system. Route of infection of HIV is unknown. He had dementia, left hemiplegia, bulbar palsy, progressed to rigid decorticate posture and died of respiratory arrest due to involvement of the brain stem, despite of treatment including use of 3'-azido-2',3'-dideoxythymidine (AZT). Magnetic resonance (MR) images showed progressive cerebral atrophy and a diffuse high signal intensity area of cerebral white matter on T2-weighted MR images, suggesting the diagnosis of HIV-induced encephalopathy.
Imai
K
K
Department of Internal Medicine (Section 1), Sapporo Medical University School of Medicine.
Tanaka
K
K
Shibata
K
K
Hinoda
Y
Y
Chiba
S
S
Sato
N
N
Mori
M
M
Kikuchi
K
K
Sakano
S
S
Imaizumi
H
H
D000163:Acquired Immunodeficiency Syndrome / Q000503:physiopathology* / Q000628:therapy; D000328:Adult; D006801:Humans; D008297:Male; D008875:Middle Aged