Clinical Analysis of 26 HIV/AIDS Cases at Tokyo Women's Medical University Hospital

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  • ITODA Ichiro
    Department of Infectious Diseases, Tokyo Women's Medical University Hospital
  • HIDAI Hiroko
    Department of Infectious Diseases, Tokyo Women's Medical University Hospital
  • KIKUCHI Ken
    Department of Infectious Diseases, Tokyo Women's Medical University Hospital
  • YAMAURA Hisashi
    Department of Infectious Diseases, Tokyo Women's Medical University Hospital
  • TOTSUKA Kyoichi
    Department of Infectious Diseases, Tokyo Women's Medical University Hospital
  • TAKAHASHI Sumio
    Department of Transfusion Medicine, Tokyo Women's Medical University Hospital
  • OSADA Hiroshi
    Department of Transfusion Medicine, Tokyo Women's Medical University Hospital
  • SHIMIZU Masaru
    Department of Transfusion Medicine, Tokyo Women's Medical University Hospital

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Other Title
  • 東京女子医科大学病院におけるＨＩＶ感染症例２６例の臨床的解析および診療体制について
  • トウキョウ ジョシイカ ダイガク ビョウイン ニ オケル HIV カンセン ショウレイ 26レイ ノ リンショウテキ カイセキ オヨビ シンリョウ タイセイ ニ ツイテ

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Objective: To investigate clinical manifestations and the backgrounds of HIV/AIDS cases experienced at Tokyo Women's Medical University Hospital.<BR>Materials and Method: Twenty-two medical records out of a total of 26 casesexperienced between 1988 and 2000 were investigated.<BR>Results: All cases involved male patients, the mean age was 42 (21-74, n=26), and 22 were Japanese, while the remaining 4 were foreigners. The numbers of heterosexual and homosexual patients were equal. The mean CD4 level when the HIV antibody turned positive was 193/μl (2-577, n=22). AIDS defined illnesses were observed in 9 patientsand ARC in 9 cases. The most frequently observed opportunistic illnesses were candidiasis and Pneumocystis carinii pneumonia, in that order. The following STI (sexually transmitted infections) were also observed: 7 cases with active syphilis, 4 cases with amebiasis, and 2 cases with hepatitis A. Of these, most patients had been known MSM (men who have sex with men). Four cases were discovered tobe positive in routine HIV testing before surgery or procedure, 3 cases were diagnosed during the treatment for illnesses other than HIV infection, and 3 cases were found after admission to the emergency room.<BR>Conclusion: Tokyo Women's Medical University Hospital is a teaching hospital in Tokyo with 1, 423 beds which treats 4, 270 outpatients per day. An increasing number of HIV patientsare dealt with on a daily basis because of the increasing number of HIV patientsin the Tokyo community and also due to routine HIV testing inside the hospital. Taken as a whole, these trends can be considered an indicator of the need for better preparedness at a working hospital, not only within the STI department and emergency rooms, but also as part of routine HIV testing.

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