[Treatment of amebiasis surgical complications at HIV-patients].
Experience of treatment of 8 HIV-patients with amebiasis is analyzed. Five patients with provisional diagnosis "acute appendicitis" underwent diagnostic laparoscopy, sanation and drainage of abdominal cavity. Ameboma with acute intestinal obstruction was diagnosed at 2 patients; they underwent extraperitonization of inflammatory tumor. One patient with provisional diagnosis "peritonitis" had large purulent-necrotic total process in colon; subtotal resection of colon has been performed. Extraintestinal complications of amebiasis have been also diagnosed at 6 patients in short-term postoperative period. Mini-invasive methods of surgical treatment are more preferable for HIV-patients. This approach in combination with traditional antibacterial therapy permits to reduce the rate of postoperative complications and recurrences.
Bykova
R N
RN
Evsiukov
O A
OA
Mikhalevskaia
L A
LA
D000328:Adult; D000562:Amebiasis / Q000150:complications* / Q000175:diagnosis*; D001064:Appendicitis / Q000188:drug therapy / Q000469:parasitology* / Q000601:surgery*; D005260:Female; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome