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AIDS AND THE ELDERLY

1 years. The group included 18 men and 2 women.

The risk factors for the men were Homosexuality, 6/18 (33 percent), Intravenous Drug Use 3/18 (15 percent), Heterosexual contact 1/18 (6 percent), both intravenous drug use and sexual contact 2/18 (11 percent), blood transfusion 2/18 (11 percent), and unknown risk factors 4/18 (22 percent). The risk factor for both females was heterosexual contact.

The initial presentation of AIDS in the men was opportunistic infection. Pneumocystis (PCP) 9/18 (50 percent), Mycobacterium Tuberculosis (MIB) 3/18 (11 percent). concomitant PCP and MIB, 1/18 (6 percent) and fatal bacterial sepsis 2/18 (11 percent). Two males had malignant lesions; one with Kaposi's Sarcoma and the other with Multiple Myeloma. One of the two women had PCP and the other was an asymptomatic carrier.

Fifty percent of both males and females presented with oral thrush and 45 percent had a history of Herpes Zoster. Several significant differences were noted in contrast to younger patients less than the age of 60.1 years:

(1) The course of the disease was more aggressive. Only 1 of 10 patients with PCP (100 percent with Adult Respiratory Distress Syndrome) survived the initial episode.

(2) Seventy-five percent of elderly patients died within three months of diagnosis, compared to an average life span of 1824 months in younger populations.

(3) PCP was often confused with exacerbation of Chronic Lung Disease and Congestive Heart Failure.

(4) Cryptococcal Meningitis, Cerebral Toxoplasmosis and HIV Encephalitis were often confused with organic brain syndrome, cerebral arteriosclerosis and alcohol related brain injury, with initial manifestations of mental deterioration and fatigue.

(5) Drug toxicity including Azidothymidine was extremely common (up to 70 percent in the elderly HIV population compared to only 30 percent in younger populations.

Based on findings, it was concluded that elderly patients with...

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AIDS AND THE ELDERLY. (1969, December 31). In LotsofEssays.com. Retrieved 20:18, August 28, 2015, from https://www.collegetermpapers.com/viewpaper/1303795395.html
 
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