Acute bacterial infections and HIV disease.
Some acute bacterial infections, notably those caused by the pneumococcus and the non-typhi salmonellae, have not traditionally been considered as leading diseases in tropical medicine, despite their ubiquitous distribution and impact on health. The HIV/AIDS epidemic is forcing a re-evaluation of this position because of their importance in immunosuppressed adults, particularly where exposure is high and treatment relatively inadequate. The problem of acute bacterial disease in HIV/AIDS is outlined in industrialised countries and contrasted with the problem in tropical countries. Specific insights into HIV-related pneumococcal disease and non-typhi salmonellosis that have come from work in the tropics are then discussed. These infections need now to be recognised as an important element of tropical medicine.
Gilks
C F
CF
Liverpool School of Tropical Medicine, UK.
D000208:Acute Disease; D000349:Africa; D019049:Developed Countries; D003906:Developing Countries; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D011008:Pneumococcal Infections / Q000150:complications*; D012480:Salmonella Infections / Q000150:complications*