Sarcom Kaposi la un pacient cu infecţie HIV „late presenter" - Prezentare de caz -.

Kaposi's sarcoma (KS) is a malignancy caused by the human herpesvirus type 8 (HHV-8 or Kaposi's sarcoma associated herpesvirus - KSHV). In USA, approximately 15-20% of the HIV-negative and 40% o f the HIV-positive men who have sex with men have a serology for HHV8 positive. We present the case o f a 51 year-old male, with no significant medical history, who in January 2015 presented to the National Institute for Infectious Diseases "Prof. Dr. Matei Balş" for chills, fever (39.5°C), asthenia and 25 kilos weight loss. The symptoms started 3 months ago. The patient states bisexual status started 10 years ago and occasionally intravenous drug use habit stopped 5 years ago. He has hyperpigmented lesions on his legs and arms, old for 4 years. The diagnostic of our patient is C3 HIV infection due to advanced immunosuppression, weight lost, prolonged fever and Kaposi's sarcoma. The patient was started on anti-tuberculous therapy and in the next step antiretroviral therapy was added. After a month of treatment, the patient has no fever, good general condition and a higher number ofCD4 + cell count. The"late presenter" patients are not a casual story in medical practice for infectious diseases physicians, having high mortality and transmission rate. [ABSTRACT FROM AUTHOR]