title: Spontaneous supracondylar femoral fracture in an HIV patient in lotus position.
abstract: Bone disorders have been described in patients chronically infected with human immunodeficiency virus (HIV). A case of spontaneous supracondylar femoral fracture that occurred in a 58-year-old monk during meditation is reported. His AIDS disease was controlled with combination antiretroviral therapy. Vitamin D and calcium had been added 3yr before since osteoporosis was detected by dual-energy X-ray absorptiometry (DXA). At the time of the fracture, the patient was on treatment with 35mg every week of sodium risedronate, 1000mg of calcium, and 400IU of Vitamin D every day. Clinical use of DXA for HIV patients should be considered as a routine measure to help reducing risk for fractures.
authors.affiliation: Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória, Internal Medicine Department, Vitória, Espírito Santo, Brazil. laura.neto@emescam.br
authors.forename: Lauro F S
authors.initials: LF
authors.lastname: Pinto Neto
authors.forename: Sergio Ragi
authors.initials: SR
authors.lastname: Eis
authors.forename: Angelica Espinosa
authors.initials: AE
authors.lastname: Miranda
mesh_terms: D015502:Absorptiometry, Photon; D019380:Anti-HIV Agents / Q000627:therapeutic use; D050071:Bone Density Conservation Agents / Q000627:therapeutic use; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D005598:Fractures, Spontaneous / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006678:HIV; D015658:HIV Infections / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D008297:Male; D019122:Meditation; D008875:Middle Aged; D010024:Osteoporosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D011187:Posture
chemical_list: D019380:Anti-HIV Agents; D050071:Bone Density Conservation Agents