Psihotična reakcija u sklopu kriptokoknog meningitisa kod HIV pozitivne pacijentkinje / Psychotic reaction associated with Cryptococcal meningitis in a patient with HIV
| Main Authors: | Tijana Brandmajer, Boris Nikolić, Marija Nikolić, Lidija Injac Stevović |
|---|---|
| Format: | Article Journal |
| Bahasa: | srp |
| Terbitan: |
, 2020
|
| Subjects: | |
| Online Access: |
https://zenodo.org/record/4327131 |
Daftar Isi:
- Sažetak HIV pozitivne osobe mogu imati brojne psihičke i neurološke simptome koji se javljaju usled oportunističkih infekcija, prisustva maligne bolesti ili zbog prisustva HIV virusa u primarnom obliku u centralnom nervnom sistemu. Meningitis i encefalitis se mogu javiti kao početne kliničke manifestacije primarne infekcije. Psihotična simptomatologija može biti prisutna kod HIV pozitivnih pacijenata i to u vidu primarne psihoze, koja je prethodila AIDS-u i u vidu sekundarne psihoze koja je posledica HIV infekcije i komorbiditeta koji proizilaze i nje. Nekada, psihijatrijski simptomi budu prvi u nizu simptoma koji ukazuju na prisustvo AIDS-a zato kliničari treba da razumiju komplikacije povezane sa HIV infekcijom i mentalnim bolestima u cilju pravovremenog započinjanja adekvatne terapije i poboljšanja kvaliteta života ovih pacijenata. U ovom radu prikazaćemo slučaj pacijentkinje koja ima prvu psihotičnu epizodu, za koju se ispostavlo da je uzrokovana Kriptokoknim meningitisom kao sekundarnim oboljenjem u odnosu na prethodno nepoznatu HIV infekciju. Summary HIV-positive people can have a number of psychological and neurological symptoms that occur due to opportunistic infections, the presence of a malignant disease, or the presence of the HIV virus in its primary form in the central nervous system. Meningitis and encephalitis may occur as initial clinical manifestations of primary infection. Psychotic symptomatology can be present in HIV-positive patients in the form of primary psychosis, which preceded AIDS, and in the form of secondary psychosis, which is a consequence of HIV infection and comorbidities that arise from it. Sometimes, psychiatric symptoms are the first in a series of symptoms that indicate the presence of AIDS, so clinicians need to understand the complications associated with HIV infection and mental illness in order to initiate adequate therapy in a timely manner and improve the quality of life of these patients. In this paper, we present the case of a patient who has the first psychotic episode, which turned out to be caused by Cryptococcal meningitis as a secondary disease in relation to a previously unknown HIV infection.