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Query: UMLS:C0019693 (HIV)
 170,526 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The incidence of diseases among AIDS patients and controls was investigated through autopsies at the General Hospital of Mexico City. Of particular interest was the association between amebiasis and AIDS, and other parasitic diseases. AIDS cases and controls were selected from a registry of 600 autopsies/year which represents about 50% of all hospital-occurring deaths. 94 AIDS cases were obtained between August 1986-December 1989, which represents 85% of AIDS mortality cases. Case controls were matched by month of death, age, and gender in 2 periods, between 1972-79 before the 1st case of AIDS was diagnosed and between 1982-89. Analysis was conducted for each control group, but because results were almost identical, data were pooled and presented as 1 analysis. Conditional logistic regression models were used to estimate the odds ratios at a 95% confidence interval level. Of the AIDS autopsies, 55.4% were homosexual/bisexual men, 13.8% were infected through blood transfusions, 5.3% through heterosexual contact, and 24.9% in a no-risk category. Results indicate that there is no difference in the relative frequency or severity of amebiasis among AIDS compared with control cases. This finding is unrelated to the administration of antiamebic drugs to AIDS patients, since none were administered during the hospital stay. This finding is also supported by other studies including invasion by E. histolytica among HIV-infected patients in populations with a high incidence of chronic diarrhea. Another common parasitic disease, cysticercosis, was found also to be less frequent among AIDS patients compared with controls. Other infections found to greater than controls among AIDS patients were military tuberculosis, cytomegalovirus infection, pneumocystis carinii pneumonia, and cerebral toxoplasmosis.
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PMID:The prevalence of invasive amebiasis is not increased in patients with AIDS. 138 96

Frequency, pathogenesis and morphological features of toxoplasmosis were assessed in a consecutive autopsy study. Among 204 patients who died from AIDS in Zurich during 1981-1990, 46 (23%) showed morphological evidence of cerebral toxoplasmosis. In 38 out of 46 cases (83%), toxoplasmosis was restricted to the central nervous system (CNS) and, therefore, pathogenetically classified as reactivation of a latent infection. Acute, systemic toxoplasmosis most frequently involved heart and lungs in addition to the CNS and was observed in 7 cases (15%). These patients probably acquired the infection during HIV-induced immunosuppression. Latent infection with intracerebral tissue cysts but no inflammatory response was present in only one case. Diffuse, necrotizing toxoplasma encephalitis with widespread, confluent areas of necrosis was mainly observed during the early period of the AIDS epidemic and restricted to 6 patients (13%) who did not receive chemotherapy. The majority of patients (83%) had multiple, macroscopically well-circumscribed abscesses with preferential location in the cerebral hemispheres. Of all CNS regions, the rostral basal ganglia were most frequently affected (78% of cases). Since 1989, chronic, burnt-out lesions were observed. These were mainly composed of lipid-laden macrophages and immunocytochemistry for Toxoplasma gondii usually failed to detect the parasite. This changing pattern of CNS lesions probably reflects improved clinical management of patients with AIDS.
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PMID:The changing pattern of human immunodeficiency virus-associated cerebral toxoplasmosis: a study of 46 postmortem cases. 162 5

Nonhuman primate lentiviruses are the source of the HIV/AIDS (HAIDS) pandemic among humans. Thus HAIDS constitutes a zoonosis. Opportunistic infections which generally are the immediate cause of death in HAIDS patients tend to be zoonoses. Some of these include tuberculosis, cryptococcosis, cytomegalovirus, toxoplasmosis. Pneumocystis carinii, Listeria monocytogenes, and candidiasis. The HAIDS viral ecology paralleled the intense migration of African swine fever into the Caribbean and the continental Americas. Haitian laborers and prostitutes went to Zaire and later returned. Sexual tourism in Haiti and poor Haitian selling their blood for transfusions and production of plasma derivatives to be marketed to developed countries such as the US and France contributed to the spread of HAIDS from Haiti to developed countries. Thus African swine fever and HAIDS originated in this hemisphere from Haiti after being bought to Haiti from Africa. HAIDS began as an endemic regional disease in Africa then became a regional epidemic disease. After African countries gained independence, urbanization increased in Africa which accounted for the spread of HAIDS in each African country. The US and the USSR played their geopolitical games using and/or resulting in famine, war, and disrupted families on the African continent and elsewhere. Thus husbands from 1 continent were moved to armies and labor camps sometimes on another continent. Prostitution spread tremendously to fulfill women's economic needs and men's sexual needs. HAIDS spread along with these events, e.g. Cuba sent troops to Angola where they were mostly stationed near 2 countries with high HAIDS rates, Zaire and Namibia. These troops often returned to Cuba then returned to Africa. During the 1980s, HAIDS prevalence was 45 times higher among Cuban boat refugees and Marielito Cuban immigrants to the US than that claimed for all of Cuba. In fact, their HAIDS prevalence matched that of Cuba's Caribbean neighbors.
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PMID:Macroepidemiology of the HIVs-AIDS (HAIDS) pandemic. Insufficiently considered zoological and geopolitical aspects. 162 79

The sera of 67 HIV-infected persons without clinical signs of Toxoplasma gondii infection and sera of 777 immunocompetent persons from three distinct regions of Czechoslovakia were examined for the presence of toxoplasmic antibodies using the complement-fixation test (CFT). Additionally Toxoplasma positive HIV+ individuals were re-examined for the presence of IgG and IgM toxoplasmic antibodies by ELISA methods. Results show that overall prevalence of toxoplasmic antibodies is not significantly greater in HIV-positive subjects (29.8%) than in the general population (26.1%). Similarities between these two tested groups were also documented by a close correlation of their geometrical means of titres (13.9 versus 14.5). All 20 HIV-infected patients who were positive in CFT were positive in ELISA IgG reaction, and none in ELISA IgM reaction. The detected antibody levels were suggestive of a latent Toxoplasma infection only. But because of the risk of the infection reactivation all of these patients should be attended to on a systematic basis.
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PMID:Toxoplasmic antibodies in sera of HIV-infected persons. 164 65

The authors review the cases of 40 patients with AIDS who died in 1989, in order to establish the relationships between clinical picture, neuroradiological features and neuropathological findings. Neurological involvement was present in over 75% of the patients, with HIV-related encephalopathy and toxoplasmosis as the most frequent diseases (52.5% and 20.0%). With regard to the cases of AIDS dementia complex (ADC) the authors observed a good correlation between the severity of the clinical manifestations, central nervous system atrophy as observed on computed tomography scan and pathological findings. The survival of AIDS patients with ADC was higher when compared to patients without ADC, suggesting the time-relationship of ADC. AS in the case of toxoplasma encephalitis, a strong relationship between radiological and pathological findings was observed. The presence of toxoplasma encephalitis in patients with radiologic features of healed lesions confirms the need for life-long prophylaxis.
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PMID:[AIDS and the central nervous system: correlations between clinical, radiological and anatomo-pathological aspects. A critical review of 40 personal cases]. 166 Jul 20

The discussions on the pros and cons of obstetric screening for connatal infections have been going on for years. We, therefore, conducted a prevalence study of the most common connatal infections. HIV infection, rubella and syphilis were not subjects of this study. We analysed the relevance of these infections in 512 pregnant women and their newborn infants at the moment of delivery. Further serological tests were run three months post partum, if necessary even for a longer period. Cytomegaly IgG antibodies were found in 46% of the examined women, IgM antibodies in 1.3%. Women under the age of twenty and women of low social standing showed the highest rate of prevalence of infection with CMV. The prevalence of IgG antibodies against parvovirus B 19 was 29%. In 10 mothers, positive IgM titers were found at the time of delivery. In all these women, pregnancies had been uneventful. However, 9 mothers exhibited a significantly raised abortion rate within the last 20 months before delivery. 7 of 512 women turned out to be HBs antigen carriers, 3 women and their babies were anti-HCV positive. The prevalence of toxoplasmosis IgG antibodies was 36%, of IgM antibodies 5.3%. By further investigation (Toxo ISAGA, Toxo IgA) we were able to detect one child with connatal toxoplasmosis. We conclude, that screening for parvovirus B 19 and hepatitis C is required only, if there are contact or clinical hints that the patients might have acquired either one of these infections. But we postulate, that a routine screening programme for hepatitis B and toxoplasmosis should be carried out in all pregnant women.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:[Incidence of congenital infections]. 166 70

The risk of toxoplasmic encephalitis complicating AIDS appears largely limited to those HIV-infected patients with serologic evidence of past Toxoplasma gondii infection and low CD4 lymphocyte counts. The Community Programs for Clinical Research on AIDS has initiated a randomized, placebo-controlled trial to determine if clindamycin or pyrimethamine prophylactic regimens are effective and safe in preventing toxoplasmic encephalitis.
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PMID:Clinical programs for clinical research on AIDS: description of a randomized prospective study of clindamycin versus pyrimethamine for prevention of Toxoplasma gondii infection. 167 64

Stereotactic brain biopsies of 25 HIV-seropositive patients (age range between 20 and 56 years, 23 males, 2 females) were retrospectively studied. Biopsy material was examined cytologically, histologically, immunohistochemically and electron microscopically. A definitive diagnosis could be established in 23 cases (92%). Diagnosis included non-Hodgkin's lymphoma (10 cases), toxoplasmosis (10 cases), progressive multifocal leukoencephalopathy (PML) (2 cases) and combined toxoplasmosis and lymphoma (1 case). Two biopsies were non-diagnostic. All lymphomas were B-cell lymphomas of high malignancy including one K1-lymphoma. In six cases, in which autopsy was performed, biopsy diagnosis could be confirmed. In one patient suffering from toxoplasmosis, autopsy demonstrated an additional cytomegalovirus infection. Conventional histology was not sufficiently decisive for toxoplasmosis, for some lymphomas and for PML. Stereotactic brain biopsy appears to be an effective method in the diagnosis of HIV-associated brain lesions.
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PMID:[Brain biopsies in HIV-infected patients]. 172 26

Up to June 1991 a total of 6,604 AIDS cases were reported to the central AIDS-registry at the Federal Health Office. As typical for "pattern I" countries most of the AIDS-cases are homo/bisexual men (70%), followed by i.v. drug users (IDU, 13%). However, the proportion of homo/bisexual men is constantly decreasing since 1986 while the proportion of IDU's is increasing. As also observed in other industrialized countries a flattening off in the AIDS incidence curve is seen since 1989. Probable reasons for this observation are a decrease of new infections since 1984/85 (due to early saturation of the populations at highest risk and to the early onset of prevention campaigns in these populations) and improved therapeutic strategies in the prevention of AIDS indicating diseases. However, since about 60,000 people are estimated to be HIV infected in the FRG today AIDS incidence will remain on a stable level for the next years regardless the number of new infections occurring today. Since 1988 major changes in the distribution of AIDS indicating diseases are seen. While Kaposi's sarcoma is constantly decreasing non Hodgkin lymphomas, HIV encephalopathy and wasting syndrome are increasing. Due to the effective primary prophylaxis of pneumocystis carinii pneumonia (PCP) by pentamidine the proportion of PCP as AIDS-indicating opportunistic infection decreased from more than 60% in 1988 to 41% in 1991. The second most frequent opportunistic infection is now toxoplasmosis (19%). The changes in the distribution of AIDS-indicating diseases and the increasing proportion of IDU's have major implications on patient care as well as diagnostic and therapeutic procedures.
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PMID:[The epidemiology and acquired immunodeficiency syndrome--status and trends]. 172 53

Acquired immunodeficiency syndrome (AIDS) and AIDS-related infection of the brain constitute a large fraction of the most recent research into central nervous system infection. Two major areas of controversy discussed in the past year's literature were the neuroradiologic and neurologic manifestations of early human immunodeficiency virus infection in the central nervous system and differentiation of toxoplasmosis from lymphoma. Other non-AIDS related infections discussed included infectious aneurysms, bacterial abscesses, tuberculosis, cysticercosis, fungal infections, and zoster myelitis.
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PMID:Imaging of infections of the central nervous system. 173 1


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