Approach to Diarrhea in HIV Patients: Narrative Literature Review and Diagnostic Proposal

ABSTRACT: Diarrhea in patients infected with the human immunodeficiency virus (HIV) represents a challenge for the clinician. Its differential diagnosis includes infectious causes (bacteria, viruses, fungi, and parasites) as well as non-infectious ones. Among the infectious causes are microorganisms...

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Autores:
Barrera Escobar, Sebastián
Villegas Marín, María Camila
López Estrada, Carolina
Trompa Romero, Iván Mauricio
Tipo de recurso:
Review article
Fecha de publicación:
2025
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
eng
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/44724
Acceso en línea:
https://hdl.handle.net/10495/44724
https://revistas.udea.edu.co/index.php/iatreia/article/view/351953
Palabra clave:
Diarrhea
Diarrea
Gastrointestinal Diseases
Enfermedades Gastrointestinales
HIV
VIH
https://id.nlm.nih.gov/mesh/D003967
https://id.nlm.nih.gov/mesh/D005767
https://id.nlm.nih.gov/mesh/D006678
Rights
openAccess
License
http://creativecommons.org/licenses/by-nc-sa/2.5/co/
Description
Summary:ABSTRACT: Diarrhea in patients infected with the human immunodeficiency virus (HIV) represents a challenge for the clinician. Its differential diagnosis includes infectious causes (bacteria, viruses, fungi, and parasites) as well as non-infectious ones. Among the infectious causes are microorganisms that can affect both immunocompetent and immunocompromised hosts, making the differential diagnosis broad. The presentation can be acute or chronic, with the latter having a greater impact on morbidity and quality of life for patients. The diagnostic approach should be sequential, first with non-invasive laboratory methods, progressing to endoscopic studies with biopsy in those individuals for whom reaching a diagnosis is difficult.