A STUDY ON CLINICAL PROFILE OF HIV POSITIVE PATIENTS ADMITTED IN A TERTIARY CARE HOSPITAL, GOVERNMENT GENERAL HOSPITAL, SIDDHARTHA MEDICAL COLLEGE, VIJAYAWADA, ANDHRA PRADESH

Dr. T. Sikindar Mohan, Dr. R. Siddeswari, Dr. K .S. S. Surya Prakash, Dr. V. Sai Ramya

Abstract


Objective : To study clinical profile of HIV positive patients admitted in a tertiary care hospital, Governement General
Hospital; Vijayawada.
Materials & Methods : This is a prospective observational study conducted at Government General Hospital,Vijayawada. Period of study is
from January 2019 to June 2019. A total of 55 admitted HIV cases were studied. All patients were subjected to thorough physical examination
and laboratory investigations which include Complete blood picture, urine examination, viral screening for HIV, Hepatitis B and Hepatitis C,
Catridge Based Nucleic Acid Amplification Test For Tuberculosis (CBNAAT), Chest X ray , ECG, 2D Echo, CD4 count, Cerebrospinal fluid
analysis.
Results : Total no of HIV patients included in study were 55. HIV patients already on treatment 42(76%). Newly diagnosed patients 13(24%).
Number of male Patients 36 (65%). Female patients 19(35%). Mean age of presentation 39years in males and 38years in females. Common
symptoms of presentation include fever-78%, loose stools-54%, weakness-25%, altered sensorium-18%, dyspnoea-16%, cough-11% and
seizure-15%. Common neurological manifestations include meningitis, stroke, meningo encephalitis and AIDP. Common gastrointestinal
manifestation is acute gastroenteritis. Mean CD 4 count in the present study was 342 cell/μL with indicates a trend towards early diagnosis of
HIV was increasing. Mean CD 4 count present among patient with meningitis is 161 cells/ μL and mean CD 4 count among patients presenting
with acute Gastritis 289 cells/μL .
Conclusion: Males are predominantly involved. Involvement of Central nervous system in 33%, GIT involvement in 18%, respiratory system in
15%.


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