Psychiatria pre prax 4/2018
Kazuistiky z psychiatrickej ambulantnej praxe - pacienti s HIV pozitivitou
The incidence of HIV is an increasingly common diagnosis of psychiatric patients nowadays. The article details the cases from two different psychiatric outpatient clinics. Reported case histories differ in psychiatric disorder and the course of the psychiatric disorder. The first case report focuses on the description of a patient who is dead at the present time (died in 2014) and had been diagnosed with a classical course of major depressive disorder with abuse of alcoholic beverages. The second case report deals with a woman who has been treated in a psychiatric clinic for depressive disorder and subsequently was diagnosed HIV positive. The MRI findings verified the HIV encephalopathy. Accordingly, the conclusion was the psychological test, which showed organicity of the central nervous system. Worldwide, people with HIV infection are more depressed and often overuse drugs (alcohol and other psychoactive substances in combination with nicotine) and smoke more than other population. Based on these cases of practice we want to highlight the need for their comprehensive care in interdisciplinary cooperation.
Keywords: HIV, comorbidity, depressive disorder, HIV encephalopathy
