title: [Sepsis, cardiomyopathy and human immunodeficiency virus infection: presentation of a case].
abstract: Sepsis in patients with human immunodeficiency virus (HIV) may be associated with the appearance of cardiac dysfunction. This is a challenge, both when making the differential diagnosis and determining the proper treatment, as there are numerous risk factors: Myocarditis due to the HIV itself, the presence or absence of highly active antiretroviral therapy, toxic substances, and cardiomyopathy associated with sepsis. The diagnostic and therapeutic approach to an HIV positive patient with septic shock and cardiac dysfunction is described, as well as a brief review of the different causes of cardiomyopathy which may affect this group of patients is also presented.
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Consorcio Hospital General Universitario, Valencia, España. Electronic address: josellagunes@gmail.com.
authors.forename: J
authors.initials: J
authors.lastname: Llagunes
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Consorcio Hospital General Universitario, Valencia, España.
authors.forename: S
authors.initials: S
authors.lastname: Arastey
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Consorcio Hospital General Universitario, Valencia, España.
authors.forename: I
authors.initials: I
authors.lastname: Cobo Del Prado
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Consorcio Hospital General Universitario, Valencia, España.
authors.forename: P
authors.initials: P
authors.lastname: Carmona
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Consorcio Hospital General Universitario, Valencia, España.
authors.forename: J J
authors.initials: JJ
authors.lastname: Peña
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Consorcio Hospital General Universitario, Valencia, España.
authors.forename: C
authors.initials: C
authors.lastname: Mínguez
mesh_terms: D000328:Adult; D003042:Cocaine / Q000009:adverse effects; D019970:Cocaine-Related Disorders / Q000150:complications; D003937:Diagnosis, Differential; D004630:Emergencies; D004927:Escherichia coli Infections / Q000150:complications*; D015658:HIV Infections / Q000150:complications*; D006321:Heart / Q000187:drug effects; D006333:Heart Failure / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D009205:Myocarditis / Q000175:diagnosis; D011008:Pneumococcal Infections / Q000150:complications*; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy; D012772:Shock, Septic / Q000150:complications* / Q000503:physiopathology; D012907:Smoking / Q000009:adverse effects; D014463:Ultrasonography; D014552:Urinary Tract Infections / Q000150:complications / Q000382:microbiology; D017086:beta-Thalassemia / Q000150:complications
chemical_list: D003042:Cocaine
keywords: Dilated cardiomyopathy; Echocardiography; Ecocardiografía; Human immunodeficiency virus; Miocardiopatía dilatada; Septic shock; Shock séptico; Virus de la inmunodeficiencia humana