Carpal tunnel syndrome and HIV infection. A case report and literature review.
The first clinical case of carpal tunnel syndrome (CTS) in Cuban HIV-infected patient was described, and the scientific literature indexed in: PUBMED/MEDLINE, LILACS and BIREME were revised. The case presented was a male with HIV infection without preceding opportunistic illnesses, CD4(+) T cell count over 200 cells/mm(3) and clinical symptoms of pain, tingling and numbness in the right hand and wrist for three months. The electrophysiological study was compatible with CTS. The pharmacological treatment did not modify the symptoms and the patient received specific surgical treatment with absolute resolution of symptoms. CTS is a compressive neuropathy that can occur in HIV-positive individuals with as similar frequency as in the general population. The association between HIV infection and CTS is scarcely described in the medical scientific literature and probably does not represent a different phenomenon from what happens in the HIV-negative population. Nevertheless, its clinical recognition among other neurological and muscle-skeletal manifestations in HIV-infected patients is important.
Former Chief of the Department of Infectious Diseases. Gustavo Aldereguía Lima Teaching Hospital, Cienfuegos, Cuba;
Andrés
A
Reyes-Corcho
Neurosurgery Service. Gustavo Aldereguía Lima Teaching Hospital, Cienfuegos, Cuba;
Dagnis
D
Barrueta-Reyes
Emergency Care Department. Paquito González Cueto Teaching Hospital, Cienfuegos, Cuba;
Yadira
Y
Bouza-Jiménez
Department of Infectious Diseases. Gustavo Aldereguía Lima Teaching Hospital, Cienfuegos, Cuba;
Blas C
BC
Jam-Morales
Department of Internal Medicine, Gustavo Aldereguía Lima Teaching Hospital, Cienfuegos, Cuba;
Yanelka
Y
Bouza-Jiménez
Neurosurgery Resident, Neurosurgery Service. Gustavo Aldereguía Lima Teaching Hospital, Cienfuegos, Cuba.
Yarima
Y
Lopez-Puig
carpal tunnel syndrome; clinical diagnosis; human immunodeficiency virus (HIV) infection; treatments.