Abstract:
:Zimbabwe is a high prevalence area for HIV infection, and provides opportunities for studying complications of AIDS in both antiretroviral naive and treated groups of patients. Figures for HIV prevalence are among the highest in the world, but the number of people receiving treatment is very small. Economic and political factors contribute to this important health crisis. Opportunistic diseases as a whole and their relative frequencies of presentation in southern Africa are discussed, emphasizing the lead role of tuberculosis. The limited data that do exist regarding neurological complications in Zimbabwe are summarized, and combined with anecdotal experience from practicing clinicians. Opportunistic infections in the nervous system are very common, the most important being cryptococcal meningitis, causing half of all adult meningitis in the country. Tuberculous and bacterial meningitis have also become more common and carry a high mortality in HIV-infected people in Zimbabwe. Intracranial mass lesions, including tuberculoma, bacterial abscesses and toxoplasmosis encephalitis are less common and difficult to diagnose in the absence of stereotactic biopsy. Spinal tuberculosis and transverse myelitis are the most frequent causes of spinal cord opportunistic infections. Peripheral neuropathy is probably similar in presentation to that seen elsewhere, whereas dementia is less frequently recognized.
journal_name
J Neuroviroljournal_title
Journal of neurovirologyauthors
Mielke Jdoi
10.1080/13550280500511766subject
Has Abstractpub_date
2005-01-01 00:00:00pages
23-5eissn
1355-0284issn
1538-2443pii
J008V5R591352104journal_volume
11 Suppl 3pub_type
杂志文章,评审abstract::Although no longer considered therapeutically beneficial, antiretroviral treatment interruptions (TIs) still occur frequently among patients with human immunodeficiency virus (HIV) infection for a variety of reasons. TIs typically result in viral rebound and worsening immunosuppression, which in turn are risk factors ...
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