Manuela Arbune 1, V. Ştefănescu 2, L. Butunoiu 1
1 Infectious Diseases Hospital “Sf. Cuv. Parascheva” Galaţi, Romania
2 Paediatric Hospital Galaţi, Romania
Abstract
The study asseses abdominal echographic fi ndings (AEF) in 204 HIV-positive patients. The most frequent AEF were found on the liver (46% hepatomegaly, 43,6% hyperechogenity, 26% steatosis), spleen (49,9% hypertrophy, 26% hyperechogenity, 18,7% calcifi cations) and kidney (24% hypotrophy, 15,2% lithiasis, 13,7% loss of corticomedular diff erentiation, 11,7% caliceal enlargement). Pelvic echography was available in 70/103 women for diagnosis of pregnant uterus (19), ovarian cyst (4), polycystic ovary (15), uterine fi broma (2). Statistical correlations were found: hepatomegaly – male sex (p=0,03), hepatomegaly – immunity (p=0,004), steatosis – female sex (p=0,002), steatosis –lipodystrophy (p<0,001), liver hyperechogenity – HBV (p=0,02); the span of antiretroviral experience infl uenced kidney hypotrophy (p=0,011) and kidney structural fi ndings (KSF) (p<0,001); TB was related to splenic calcifi cations (p<0,001) and KSF (p=0,035); Indinavir experience showed kidney hypotrophy (p<0,001) and KSF (p<0,001). HIV related AEF were found in 89% patients. Echography is an eff ective method for the management of HIV infection evolution and antiretroviral therapy.