| Home | E-Submission | Sitemap | Contact Us |  
J Korean Soc Emerg Med > Volume 14(3); 2003 > Article
Journal of The Korean Society of Emergency Medicine 2003;14(3): 258-263.
Analysis of Undiagnosed HIV- Positive Patients in the Emergency Room
Dong Woo Seo, Kyoung Soo Lim, Jae Ho Lee, Jae Chul Youn, Won Kim
Department of Emergency Medicine, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea. kslim@amc.seoul.kr
The purpose of this article is to analysis undiagnosed HIV-positive patients in the Emergency Room (ER). We expect these analysis to be of help in preventing exposure to HIV and in making a diagnosis effectively.
A retrospective analysis by chart review was carried out on 8 unrecognized HIV patients who had been admitted to the ward via the ER from December 2000 to August 2002.
The results were as follows: 1) The chief complaints were fever with mental change, dyspnea, hemiparesis, dyspnea with fever, chronic diarrhea with fever, abdominal discomfort, and dyspnea with fever and vertigo. 2) The 8 patients all had AIDS as well as other diseases. 3) The reasons for the anti-HIV test were continuous fever of unknown origin (FUO) 33.3%, chest X-ray abnormality 20.0%, VDRL (Venereal Disease Research Laboratory) test positive 13.3%, pre-operation screening blood test 13.3%. The rest were due to MRI (magnetic resonance image) abnormality, intraabdominal tuberculosis, and Cryptococcus in cerebrospinal fluid and comprised 6.7% of the total.
We recommend that an anti-HIV test be given in the ER for patients who have FUO, infiltration of both lungs in the chest X-ray and a VDRL positive in serum. We also recommend that an anti-HIV test be given in the ER for patients with suspected HIV-related encephalopathy, tuberculosis, Pneumocystis carinii pneumonia, recurrent pneumonia, and progressive multi-focal leukoencephalopathy.
Key words: HIV, AIDS, Emergency room, Indicators, Conditions
Editorial Office
The Korean Society of Emergency Medicine
TEL: +82-62-226-1780   FAX: +82-62-224-3501   E-mail: 0012194@csuh.co.kr
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Copyright © The Korean Society of Emergency Medicine.                 Developed in M2PI