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/
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dc.title.spa.fl_str_mv Approach to Diarrhea in HIV Patients: Narrative Literature Review and Diagnostic Proposal
dc.title.translated.spa.fl_str_mv Enfoque de la Diarrea en el paciente VIH: Revisión narrativa de la literatura y propuesta diagnóstica
title Approach to Diarrhea in HIV Patients: Narrative Literature Review and Diagnostic Proposal
spellingShingle Approach to Diarrhea in HIV Patients: Narrative Literature Review and Diagnostic Proposal
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
title_short Approach to Diarrhea in HIV Patients: Narrative Literature Review and Diagnostic Proposal
title_full Approach to Diarrhea in HIV Patients: Narrative Literature Review and Diagnostic Proposal
title_fullStr Approach to Diarrhea in HIV Patients: Narrative Literature Review and Diagnostic Proposal
title_full_unstemmed Approach to Diarrhea in HIV Patients: Narrative Literature Review and Diagnostic Proposal
title_sort Approach to Diarrhea in HIV Patients: Narrative Literature Review and Diagnostic Proposal
dc.creator.fl_str_mv Barrera Escobar, Sebastián
Villegas Marín, María Camila
López Estrada, Carolina
Trompa Romero, Iván Mauricio
dc.contributor.author.none.fl_str_mv Barrera Escobar, Sebastián
Villegas Marín, María Camila
López Estrada, Carolina
Trompa Romero, Iván Mauricio
dc.subject.decs.none.fl_str_mv Diarrhea
Diarrea
Gastrointestinal Diseases
Enfermedades Gastrointestinales
HIV
VIH
topic 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
dc.subject.meshuri.none.fl_str_mv https://id.nlm.nih.gov/mesh/D003967
https://id.nlm.nih.gov/mesh/D005767
https://id.nlm.nih.gov/mesh/D006678
description 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.
publishDate 2025
dc.date.accessioned.none.fl_str_mv 2025-02-05T19:41:40Z
dc.date.available.none.fl_str_mv 2025-02-05T19:41:40Z
dc.date.issued.none.fl_str_mv 2025
dc.type.spa.fl_str_mv Artículo de revisión
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dc.identifier.citation.spa.fl_str_mv Barrera-Escobar S, Villegas-Marín MC, Lopez-Estrada C, Trompa-Romero IM. Approach to Diarrhea in HIV Patients: Narrative Literature Review and Diagnostic Proposal. Iatreia [Internet]. 2025 Jan-Mar;38(1):95-110. https://doi.org/10.17533/udea.iatreia.251
dc.identifier.issn.none.fl_str_mv 0121-0793
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/10495/44724
dc.identifier.doi.none.fl_str_mv 10.17533/udea.iatreia.251
dc.identifier.eissn.none.fl_str_mv 2011-7965
dc.identifier.url.spa.fl_str_mv https://revistas.udea.edu.co/index.php/iatreia/article/view/351953
identifier_str_mv Barrera-Escobar S, Villegas-Marín MC, Lopez-Estrada C, Trompa-Romero IM. Approach to Diarrhea in HIV Patients: Narrative Literature Review and Diagnostic Proposal. Iatreia [Internet]. 2025 Jan-Mar;38(1):95-110. https://doi.org/10.17533/udea.iatreia.251
0121-0793
10.17533/udea.iatreia.251
2011-7965
url https://hdl.handle.net/10495/44724
https://revistas.udea.edu.co/index.php/iatreia/article/view/351953
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.ispartofjournalabbrev.spa.fl_str_mv Iatreia
dc.relation.citationendpage.spa.fl_str_mv 110
dc.relation.citationissue.spa.fl_str_mv 1
dc.relation.citationstartpage.spa.fl_str_mv 95
dc.relation.citationvolume.spa.fl_str_mv 38
dc.relation.ispartofjournal.spa.fl_str_mv Iatreia
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dc.publisher.spa.fl_str_mv Universidad de Antioquia, Facultad de Medicina
dc.publisher.place.spa.fl_str_mv Medellín, Colombia
institution Universidad de Antioquia
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spelling Barrera Escobar, SebastiánVillegas Marín, María CamilaLópez Estrada, CarolinaTrompa Romero, Iván Mauricio2025-02-05T19:41:40Z2025-02-05T19:41:40Z2025Barrera-Escobar S, Villegas-Marín MC, Lopez-Estrada C, Trompa-Romero IM. Approach to Diarrhea in HIV Patients: Narrative Literature Review and Diagnostic Proposal. Iatreia [Internet]. 2025 Jan-Mar;38(1):95-110. https://doi.org/10.17533/udea.iatreia.2510121-0793https://hdl.handle.net/10495/4472410.17533/udea.iatreia.2512011-7965https://revistas.udea.edu.co/index.php/iatreia/article/view/351953ABSTRACT: 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.RESUMEN: La diarrea en el paciente infectado con el virus de la inmunodeficiencia humana (VIH) representa un reto para el clínico, dentro de su diagnóstico diferencial se incluyen causas infecciosas (Bacteria, virus, hongos y parásitos) como no infecciosas; dentro de las causas infecciosas se encuentran microorganismos los cuales pueden afectar a hospederos tanto inmunocompetentes como inmunocomprometidos, por lo que el diagnóstico diferencial es amplio. La presentación puede ser aguda o crónica, siendo esta última la que presenta mayor impacto en la morbilidad y la calidad de vida de los pacientes. El enfoque diagnóstico debe ser secuencial, primero con métodos de laboratorio no invasivos, hasta llegar a estudios endoscópicos con toma de biopsias en aquellas personas en quienes es difícil llegar a un diagnóstico.16 páginasapplication/pdfengUniversidad de Antioquia, Facultad de MedicinaMedellín, Colombiahttp://creativecommons.org/licenses/by-nc-sa/2.5/co/https://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Approach to Diarrhea in HIV Patients: Narrative Literature Review and Diagnostic ProposalEnfoque de la Diarrea en el paciente VIH: Revisión narrativa de la literatura y propuesta diagnósticaArtículo de revisiónhttp://purl.org/coar/resource_type/c_dcae04bchttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTREVhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionDiarrheaDiarreaGastrointestinal DiseasesEnfermedades GastrointestinalesHIVVIHhttps://id.nlm.nih.gov/mesh/D003967https://id.nlm.nih.gov/mesh/D005767https://id.nlm.nih.gov/mesh/D006678Iatreia11019538IatreiaPublicationORIGINALBarreraSebastian_2025_ApproachDiarrheaHIV.pdfBarreraSebastian_2025_ApproachDiarrheaHIV.pdfArtículo de revisiónapplication/pdf618817https://bibliotecadigital.udea.edu.co/bitstreams/7ef8ebc6-8d92-4e64-870d-0802beadaf69/download3fec2e64ac39d4c9a88b7eab046590c4MD51trueAnonymousREADCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; 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