title: [Morbidity and mortality in HIV-infected patients in the Military Hospital in Libreville (Gabon)].
abstract: OBJECTIVE
  To study the morbidity and mortality of HIV-infected patients at the military hospital in Libreville (Gabon).
  
  
  METHODS
  A retrospective study of the clinical records of 289 HIV-positive patients hospitalized in the department of internal medicine between January 2008 and December 2010.
  
  
  RESULTS
  The patient's median age was 40 years (range: 18-70). The principal presenting complaints were fever (82%), weight loss (76.47%) and coughing (26.64%). Median time from symptom onset to consultation was 150 days (1-365). The predominant opportunistic diseases were oropharyngeal candidiasis (71.62%), all forms of tuberculosis (26.29%) and cerebral toxoplasmosis (23.87%). The median CD4 lymphocyte count was 177/mm(3 )(1-590). In-hospital mortality was 27.68%. The factors associated with death were long time to consultation and severe immunosuppression (CD4 count <100/mm(3)).
  
  
  CONCLUSIONS
  Despite increased awareness, lateness of diagnosis and thus of treatment persist, and AIDS remains one of the principal causes of morbidity and mortality in Gabon.
authors.forename: M
authors.initials: M
authors.lastname: Ondounda
authors.forename: C
authors.initials: C
authors.lastname: Magne
authors.forename: D
authors.initials: D
authors.lastname: Mounguengui
authors.forename: L
authors.initials: L
authors.lastname: Gaudong Mbethe
authors.forename: J R
authors.initials: JR
authors.lastname: Nzenze
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005681:Gabon / Q000453:epidemiology; D015658:HIV Infections / Q000150:complications* / Q000401:mortality*; D006772:Hospitals, Military; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D055815:Young Adult