title: Spatial distribution of disseminated histoplasmosis and AIDS co-infection in an endemic area of Northeastern Brazil.
abstract: BACKGROUND
  The spatial distribution of disseminated histoplasmosis (DH) and acquired immunodeficiency syndrome (AIDS) co-infection in adult residents of Fortaleza, Ceará, Brazil was evaluated.
  
  
  METHODS
  Socio-demographic data for the DH/AIDS cases were obtained from a reference hospital, and socio-environmental indicators were obtained from an official Brazilian institute. Kernel analysis and local indicators of spatial autocorrelation (LISA) cluster maps were used to estimate the case density within the city.
  
  
  RESULTS
  DH/AIDS cases were concentrated in the Northwestern and Southwestern peripheral areas of the city, related with low human development indices, but different from AIDS cases distribution.
  
  
  CONCLUSIONS
  Risk factors other than AIDS infection must affect histoplasmosis development in this area.
authors.affiliation: Departamento de Saúde Coletiva, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, Ceará, Brazil.
authors.forename: Francisco Gustavo Silveira
authors.initials: FG
authors.lastname: Correia
authors.affiliation: Departamento de Saúde Coletiva, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, Ceará, Brazil.
authors.forename: Carlos Henrique
authors.initials: CH
authors.lastname: Alencar
authors.affiliation: Departamento de Saúde Coletiva, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, Ceará, Brazil.
authors.forename: Lisandra Serra
authors.initials: LS
authors.lastname: Damasceno
authors.affiliation: Departamento de Saúde Coletiva, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, Ceará, Brazil.
authors.forename: Isadora Cavalcanti
authors.initials: IC
authors.lastname: Ramos
authors.affiliation: Departamento de Saúde Coletiva, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, Ceará, Brazil.
authors.forename: Lícia Borges
authors.initials: LB
authors.lastname: Pontes
authors.affiliation: Departamento de Saúde Coletiva, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, Ceará, Brazil.
authors.forename: Terezinha do Menino Jesus Silva
authors.initials: Tdo M
authors.lastname: Leitão
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000453:epidemiology*; D000328:Adult; D001938:Brazil / Q000453:epidemiology; D019353:Endemic Diseases; D005260:Female; D006660:Histoplasmosis / Q000453:epidemiology*; D006801:Humans; D008297:Male; D012307:Risk Factors; D012959:Socioeconomic Factors; D062206:Spatial Analysis