title: [Panorama of digestives violations related to HIV in CHU Campus in Lome (Togo)].
abstract: OBJECTIVE
  To describe the different gastrointestinal manifestations encountered in adult patients with HIV infection in a gastroenterology department in Togo.
  
  
  METHODS
  This one-year (2011) prospective, descriptive study included all adult HIV-positive patients admitted to our department. Patients not known to be HIV-positive before admission were tested after informed consent.
  
  
  RESULTS
  82 (8.4% of departmental admissions) HIV-positive patients participated in the study. Their mean age was 38.78 years ± 9 years, and they were mainly women (sex-ratio = 0.82). The reasons for consultation were mainly asthenia (39%), weight loss (35.4%), and vomiting (34.1%). Their histories included tuberculosis (4%), jaundice (4%), and herpes zoster (2%). Nearly all (91%) had CD4 counts below 350 cells/L, and most (80%) were treated with antiretroviral agents (ARV) before admission. Most patients were also chronic alcoholics (72%) and took traditional herbal treatments (55%). General symptoms included deterioration of the general condition (77%) and conjunctival pallor (48%). Physical signs included ascites (32%) and hepatomegaly (29%). All patients were positive for HIV-1; 30% were co-infected with HBV and 1.2% with HCV. The main diagnoses were hepatobiliary diseases (46%), including cirrhosis (24.4%), acute toxic hepatitis (12%), and hepatocellular carcinoma (6.1%). Of the latter, one also had lung metastases. Esophageal diseases included candidal esophagitis (24%), and the gastric diseases, two gastric ulcers (2%) and one case of gastric cancer. The primary disease of the colon and small bowel was acute gastroenteritis (38%). Peritoneal conditions were all tuberculosis (7%), and pancreatic involvement was acute pancreatitis (2%).
authors.affiliation: Service d'hépato-gastro-entérologie, CHU Campus de Lomé, 15 BP 110 Lomé, Togo.
authors.forename: A
authors.initials: A
authors.lastname: Bagny
authors.affiliation: Service d'hépato-gastro-entérologie, CHU Campus de Lomé, 15 BP 110 Lomé, Togo.
authors.forename: O
authors.initials: O
authors.lastname: Bouglouga
authors.affiliation: Service d'hépato-gastro-entérologie, CHU Campus de Lomé, 15 BP 110 Lomé, Togo.
authors.forename: L M
authors.initials: LM
authors.lastname: Lawson-Ananisoh
authors.affiliation: Service d'hépato-gastro-entérologie, CHU Campus de Lomé, 15 BP 110 Lomé, Togo.
authors.forename: Y L
authors.initials: YL
authors.lastname: Kaaga
authors.affiliation: Service de maladies infectieuses et tropicales, CHU Sylvanus-Olympio de Lomé, Togo.
authors.forename: A
authors.initials: A
authors.lastname: Kotosso
authors.affiliation: Service d'hépato-gastro-entérologie, CHU Campus de Lomé, 15 BP 110 Lomé, Togo.
authors.forename: R El Hadj
authors.initials: Rel H
authors.lastname: Yacoubou
authors.affiliation: Service de médecine interne, CHU Sylvanus-Olympio de Lomé, Togo.
authors.forename: M A
authors.initials: MA
authors.lastname: Djibril
authors.affiliation: Service d'hépato-gastro-entérologie, CHU Campus de Lomé, 15 BP 110 Lomé, Togo.
authors.forename: D
authors.initials: D
authors.lastname: Redah
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D005767:Gastrointestinal Diseases / Q000453:epidemiology / Q000209:etiology*; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D011446:Prospective Studies; D014037:Togo
keywords: HIV; Togo; co-infection; gastrointestinal affections