[Pneumocystis carinii pneumonia in patients with AIDS in the Congo].
Forty-five bronchoalveolar lavages (BAL) were performed in Brazzaville in AIDS patients who did not expectorate acid- and alcohol-resistant bacilli (AARB). All patients presented with respiratory symptoms (cough, dyspnoea or chest pain), and all but 6 of them had abnormal radiography of the chest. Four cases of pneumocystosis were diagnosed (9%); 3 of these patients had interstitial pneumonia and dyspnoea. No AARB was found at microscopic examination of BAL which showed Pneumocyctis carinii; no culture on Löwehstein's medium could be made. The authors consider that the low prevalence of pneumocystosis in Africa, compared with industrial countries, is due to a smaller dissemination of the parasite in Africa rather than to immunodepression which is known to be more pronounced in AIDS patients from industrial countries.
M'Boussa
J
J
Service de Pneumo-Phtisiologie, Centre hospitalier universitaire de Brazzaville, Congo.
Kaoudi
E
E
Kokolo
J
J
Bitsi
A
A
Andzin
M
M
Carme
B
B
M'Pele
P
P
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D001992:Bronchoalveolar Lavage Fluid / Q000737:chemistry; D003223:Congo / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009159:Mycobacteriaceae / Q000302:isolation & purification; D009894:Opportunistic Infections / Q000150:complications*; D011020:Pneumonia, Pneumocystis / Q000150:complications* / Q000453:epidemiology; D015995:Prevalence
Pneumocystoses observées au Congo chez les malades atteints de SIDA.