title: Scurvy in a patient with AIDS: case report.
abstract: We report the case of a 35-year-old homeless alcoholic and illicit drug user, with AIDS, who was admitted to the emergency unit complaining of asthenia and a weight loss of 30 kg over the preceding three months. Clinical and laboratory data confirmed a diagnosis of marasmus, bacterial pneumonia, chorioretinitis caused by Toxoplasma gondii and oral Candida infection. The patient also presented loss of tongue papillae, gingival hypertrophy, perifollicular hyperkeratosis and hemorrhage, coiled, corkscrew-like hair, anemia, hypoalbuminemia, increased C-reactive protein levels and low serum vitamin C levels. The patient developed severe gastric hemorrhage, with hemodynamic instability and terminal disseminated intravascular coagulopathy.
authors.affiliation: Department of Internal Medicine, Nutrology Discipline, Hospital de Clinicas, Universidade Federal do Triangulo Mineiro, Uberaba, MG.
authors.forename: André Luiz
authors.initials: AL
authors.lastname: Maltos
authors.forename: Luciana Ligia da
authors.initials: LL
authors.lastname: Silva
authors.forename: Aderbal Garcia
authors.initials: AG
authors.lastname: Bernardes Junior
authors.forename: Guilherme Vannucchi
authors.initials: GV
authors.lastname: Portari
authors.forename: Daniel Ferreira da
authors.initials: DF
authors.lastname: Cunha
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000150:complications* / Q000175:diagnosis; D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D012614:Scurvy / Q000150:complications* / Q000175:diagnosis