Jun 082012
Una infección del sistema nervioso central, puede dejar secuelas permanentes

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The owner of infectious diseases of the Hospital de Especialidades of the IMSS in Jalisco, Ernesto Eduardo Echegaray Guerrero, said that up to 10% of people with HIV develop neurological complications.

Dementia, disturbances in gait, (headache) and loss of mobility, similar to that which occurs as a consequence of an embolism, are some clinical data presented patients with HIV who develop complications in the brain.

He explained that it is neurological complications of patient with HIV who in their vast majority, are of infectious origin such as tuberculous meningitis, Cryptococcosis and cerebral toxoplasmosis, among the most frequent.

He said that HIV acts directly on cells that nourish and support neurons, but there are complications that are located within the so-called opportunistic infections that occur when the patient has very low counts in the cells responsible for the defense of the organism (lymphocytes), especially of the CD-4.

"We have seen brain atrophy in some degree in young people not seen before, i.e. 70 years in 40 people brains, which means a degeneration of this important organ," he said.

This brain degeneration, said, is "manifested with early dementia, alterations in behavior, lack of interest by relate, grooming, working, there forgetfulness".

The doctor of the Mexican Social Security Institute (IMSS) said that such neurological complications in people with HIV often have their beaks of presentation in the range of 30 to 50 years.

On the other hand, when the origin of the brain condition is infectious, another type of demonstrations such as those already described, but above all there is fever.

"When the patient arrives, usually to the emergency room, with headache, fever, alterations in consciousness, have to make a scan" and even clinical analysis at the level of the spinal fluid to determine the source of the infection, he said.

For his part the researcher Eduardo Vázquez Valls, Centre of research in biomedicine from West (CIBO) of the IMSS Jalisco, agreed in the sense that maintaining an adequate immune level, achieved with strict adherence to treatment, ostensibly lowers the risk of opportunistic infections.

He said that an infection of the central nervous system, can leave permanent sequelae, said and cited the impact of a toxoplasmosis are comparable leaves to an embolism, i.e. limitations on the movement.

In the case of meningeal tuberculosis and cryptococcal disease, the patient may remain with loss of vision and hearing, and if we go only to HIV, it can lead to dementia, permanent alterations in the March, that always happens in HIV neuropathy if it is not".