Nutrition Therapy For Stage 3 HIV-AIDS Patient With Pulmonary Tuberculosis

Background/Aims: HIV/AIDS infection is a major problem that threatens Indonesia and many other countries. Nutritional substances and supplementation are very important for patients with HIV/AIDS to help maintain condition and enhance immunity due to high risk to malnutrition and malabsorption. Metho...

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Bibliographic Details
Published in:Annals of nutrition and metabolism 2019-01, Vol.75, p.71
Main Authors: Chair, Ummul, Syauki, A Yasmin, Taslim, Nurpudji A
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
AIDS
Albumins
Antiretroviral agents
Antiretroviral drugs
Ascorbic acid
Carbohydrates
Case reports
Cell number
Cough
Dietary supplements
Fever
HIV
Human immunodeficiency virus
Immunity
Leukocytes
Leukopenia
Lymphocytes
Malabsorption
Malnutrition
Nutrition
Nutrition therapy
Nutritional status
Patients
Proteins
Quality of life
Tuberculosis
Vitamin A
Vitamin D
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Summary:Background/Aims: HIV/AIDS infection is a major problem that threatens Indonesia and many other countries. Nutritional substances and supplementation are very important for patients with HIV/AIDS to help maintain condition and enhance immunity due to high risk to malnutrition and malabsorption. Methods: We report a case of 33-year-old with stage 3 HIV-AIDS and Pulmonary Tuberculosis, decreasing intake since ± 3 months due to odynophagia accompanied by fever and cough. The patient lost weight ±26 kg in the last 6 months. History of antiretroviral treatment for 3 years and antituberculosis treatment since 1 month, the patient's nutritional status is severe malnutrition. There is a loss of subcutaneous fat and wasting in physical examination. Laboratory finding; leucopenia (3600/μl), total lymphocyte count (TLC) (248.4/μl), hypoalbuminemia(2.5 g/dl), hypoproteinemia(5.6 g/ dl), the patient has been given nutrition therapy; energy 2400 Kcal, protein 129 g, carbohydrate 330 g, fat 62.4 g, supplemented with zinc 20 mg, vitamin B complex 50 mg, vitamin C 300 mg, vitamin D 133 IU, vitamin A 5000 IU, and extract snake head fish 450 mg (Pujimin®). Results: After 16 days of treatment, there are improvements in the patient's clinical condition, weight gain, and metabolic status (leukocyte 4600/μl, TLC 276/μl, albumin 2.9 g/dl, total protein 6.8 g/dl.). Conclusion: Nutritional interventions can improve the nutritional status and immunity of the patient, thus improving the quality of life.
ISSN:0250-6807
1421-9697
DOI:10.1159/000501751