[Digestive parasitic diseases to HIV/AIDS infected patients of internal medicine and infectious diseases wards of the hôpital du Point "G" Bamako - Mali].
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.
Minta
D K
DK
Service des Maladies Infectieuses, Hôpital du Point G, Bamako, Mali.
Dembélé
M
M
Dolo
A
A
Sidibé
A T
AT
Diarra
A S
AS
Konaté
A
A
Diarra
M
M
Diakité
A
A
Sidibé
A F
AF
Traoré
A K
AK
Maiga
M Y
MY
Pichard
E
E
Traoré
H A
HA
Doumbo
O
O
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