title: [Etiologies of non tuberculous empyema in adult patients infected with HIV in a service of pneumology, Abidjan (Ivory Coast)].
abstract: OBJECTIVE
  To identify the main bacteria that cause thoracic empyema of HIV-infected patients.
  
  
  METHODS
  Retrospective study analyzing the etiology of thoracic empyema in patients admitted to the pneumology clinic of the university hospital center in Abidjan from January 1998 to December 2010. We included all patients with bacteriologically confirmed thoracic empyema and had serological test for HIV. We compared the different pathogens based on HIV status.
  
  
  RESULTS
  There were 42 patients of thoracic empyema composed of 24 (63.3%) HIV-infected patients [15 (62.5%) males and nine (37.5%) women] and 18 (36.7%) HIV-negative patients [13 (72.22%) men and five (27.78%) women]. The average age of HIV-infected patients was 41.2 years and 44.8 years for HIV-negative patients. HIV status was known only for 4.76% patients at admission, and most of them had a severe stage of immune suppression, (the average T CD4 cell count was 96/mm(3)). Pleurisy was monomicrobial in 83.33% HIV-infected patients and 94.4% HIV-negative patients. It was polymicrobial in 16.67% immunocompromised patients and 5.56% HIV-negative patient. Gram-negative bacteria were isolated from 58.33% HIV-infected patients. Streptococcus Pneumoniae was observed in 61.11% HIV-negative patients.
  
  
  CONCLUSIONS
  Gram-negative bacteria are the main causes of thoracic empyema in patients HIV-infected.
authors: Service de pneumo-phtisiologie, centre hospitalier universitaire CHU de Bouaké, Bouaké, Côte d'Ivoire. achvnt@yahoo.fr
authors: V H
authors: VH
authors: Achi
authors: J C
authors: JC
authors: Brou Ahui
authors: J C
authors: JC
authors: Anon
authors: A B
authors: AB
authors: Kouassi
authors: H
authors: H
authors: Bi Djè
authors: K
authors: K
authors: Horo
authors: M S
authors: MS
authors: N'dhatz
authors: N
authors: N
authors: Koffi
authors: E
authors: E
authors: Aka Danguy
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000453:epidemiology / Q000382:microbiology*; D000328:Adult; D007560:Cote d'Ivoire / Q000453:epidemiology; D004653:Empyema / Q000453:epidemiology / Q000382:microbiology*; D005260:Female; D015658:HIV Infections / Q000150:complications* / Q000453:epidemiology / Q000276:immunology; D015497:HIV-1; D006757:Hospital Units / Q000706:statistics & numerical data; D006801:Humans; D007710:Klebsiella Infections / Q000150:complications; D008297:Male; D008875:Middle Aged; D011552:Pseudomonas Infections / Q000150:complications; D015272:Pulmonary Medicine / Q000706:statistics & numerical data; D012189:Retrospective Studies; D013296:Streptococcus pneumoniae / Q000302:isolation & purification