Diagnóstico y tratamiento empírico en el paciente con infección por el VIH con diarrea aguda

Diarrhea is a major complication in patients with human immunodeficiency virus (HIV) infection despite the use of highly active antiretroviral therapy (HAART). The etiology of acute diarrhea is multi-factorial including infectious and non-infectious causes. In the early stages of immunodeficiency and when the immune status is improved with HAART, HIV-infected patients are susceptible to the same enteric pathogens that cause diarrhea in the immunocompetent host. However, as immunosuppression progresses, these patients become susceptible to a wide variety of opportunistic infections. The main non-infectious cause of diarrhea in HIV-infected persons is HAART.