Palliative care in a case of a teenager with HIV/AIDS, pulmonary tuberculosis and adenocarcinoma of the cavum

Mărdărescu M, MD, PhD, infectious diseases (a), Petrea S, MD, infectious diseases, head of the Pediatric Day Clinic, coordinator of Pediatric AIDS Program (b), Matei C, psychologist (c)
(a), (b), (c): National Institute of Infectious Diseases “Prof. Dr. Matei Bals”, Bucharest, Romania

Corresponding author:
Dr. Mariana Mărdărescu: e-mail: mardarescum@yahoo.com

Abstract

HIV/AIDS infection leads to death by opportunistic infections and malignancies. Currently the patients with HIV/AIDS and cancer is treated in infectious diseases hospitals in collaboration with oncologists. Patients with these diseases need often palliative care.

We present the case of a teenager with HIV/AIDS, pulmonary tuberculosis and adenocarcinoma of the cavum. Palliative care was initiated when the patient and her family were informed about the diagnosis of AIDS. The period directly after the diagnosis has been a difficult time for everybody including the care team. Death occurred in the hospital, the family preferred this place because of fear and uncertainty. They needed a lot of emotional support.

Palliative care team needed to work with various other specialists and disciplines, including paediatrician, infectious disease physician, psychologist, social workers and priest.

Key words: palliative care, HIV/AIDS, pulmonary tuberculosis, adenocarcinoma of the cavum

(Full text in Romanian)