Debut clínico del SIDA y su diagnóstico tardío

El debut clinico es un fenomeno particular dentro de la epidemia de VIH/SIDA que se viene observando en todo el mundo. Objetivo: describir un caso de debut clinico de SIDA cuyo diagnostico fue tardio. Presentacion del caso: se reporta un caso con Virus de Inmunodeficiencia Humana que su debut clinico estuvo caracterizado por manifestaciones respiratorias y lesiones por herpes virus genitales y peri anales de mas de 3 meses de evolucion, en el cual su diagnostico serologico fue tardio, presentandose con estado de inmunodepresion por conteo TCD4. El diagnostico fue hecho hospitalario, pero pudo haberse realizado antes. Se identifico el elemento epidemiologico como poblacion clave de mayor riesgo. Conclusiones: en el caso estudiado se realizo el diagnostico tardio de SIDA, en etapa clinica categoria C3. Un buen interrogatorio, que incluya aspectos de antecedentes de tipo epidemiologico y un correcto y completo examen fisico, es la base para un certero razonamiento cientifico en el proceder diagnostico... The clinical presentation is a particular phenomenon in the HIV / AIDS that has been observed worldwide. Objective: to describe a case of AIDS clinical onset whose diagnosis was delayed. Objective: to describe a case of clinical debut of been whose diagnosis was late.Case presentation: a case is reported with Human Immunodeficiency Virus (HIV). Its clinical onset was characterized by respiratory symptoms and genital and perianal injuries by herpes virus for more than 3 months. In this case, HIV diagnosis was late. A state of immunosuppression by CD4+ T count was present. A hospital diagnosis was made, but it could have done earlier. The epidemiological element as target population in higher risk was identified. Conclusions: in this case, late diagnosis of AIDS was made in clinical stage category C3. A good interview, including epidemiological background aspects and a correct and complete physical examination are the basis for an accurate scientific reasoning in the diagnostic procedure...