title: [Digestive parasitic diseases to HIV/AIDS infected patients of internal medicine and infectious diseases wards of the hôpital du Point "G" Bamako - Mali].
abstract: We conducted a prospective study in internal medicine and infectious diseases wards of the hospital of Point " G " in Bamako, Mali from January to December 2002. Overall 112 patients HIV positive, thirty-five patients (31,25%) had at least a digestive parasitic disease. We found that the most frequent parasite in stools sample were protozoa (82,85%). The second most frequent parasites were helminthes (20,33%). HIV/AIDS opportunistic parasites represented 40% of all parasites found. These included 25,71% cases of Cryptosporidium sp, 8,57% cases of Isospora belli and 5,71 % for microsporidia. The functional signs of our patients were mostly asthenia and weight loss. The physical signs were conjunctive pallor (71, 42%) and diarrhea (85, 71%). Generalized itching was present in 54, 28% of cases and abdominal pains in 25, 71% of cases. The global lethality was 37, 14% (13/35). The deaths were due to the HIV infection. The parasites appear even frequent at patients infected by HIV/AIDS, in spite of the advent of antiretroviral therapy. The efficient molecule research against the opportunist parasite must constitute one of our priorities in tropical area.
authors.affiliation: Service des Maladies Infectieuses, Hôpital du Point G, Bamako, Mali.
authors.forename: D K
authors.initials: DK
authors.lastname: Minta
authors.forename: M
authors.initials: M
authors.lastname: Dembélé
authors.forename: A
authors.initials: A
authors.lastname: Dolo
authors.forename: A T
authors.initials: AT
authors.lastname: Sidibé
authors.forename: A S
authors.initials: AS
authors.lastname: Diarra
authors.forename: A
authors.initials: A
authors.lastname: Konaté
authors.forename: M
authors.initials: M
authors.lastname: Diarra
authors.forename: A
authors.initials: A
authors.lastname: Diakité
authors.forename: A F
authors.initials: AF
authors.lastname: Sidibé
authors.forename: A K
authors.initials: AK
authors.lastname: Traoré
authors.forename: M Y
authors.initials: MY
authors.lastname: Maiga
authors.forename: E
authors.initials: E
authors.lastname: Pichard
authors.forename: H A
authors.initials: HA
authors.lastname: Traoré
authors.forename: O
authors.initials: O
authors.lastname: Doumbo
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000150:complications; D000328:Adult; D005260:Female; D015658:HIV Infections / Q000150:complications*; D006761:Hospitals; D006801:Humans; D007388:Internal Medicine; D007411:Intestinal Diseases, Parasitic / Q000453:epidemiology / Q000209:etiology* / Q000469:parasitology; D008297:Male; D008302:Mali; D008875:Middle Aged; D011446:Prospective Studies; D055815:Young Adult