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The emergence of concurrent HIV-1/AIDS and visceral leishmaniasis in Northeast Brazil
Journal article   Open access

The emergence of concurrent HIV-1/AIDS and visceral leishmaniasis in Northeast Brazil

E.T Nascimento, M.L.N Moura, J.W Queiroz, A.W Barroso, A.F Araujo, E.F Rego, M.E Wilson, R.D Pearson and S.M Jeronimo
Transactions of the Royal Society of Tropical Medicine and Hygiene, Vol.105(5), pp.298-300
2011
DOI: 10.1016/j.trstmh.2011.01.006
PMCID: PMC3090648
PMID: 21474157
url
https://doi.org/10.1016/j.trstmh.2011.01.006View
Published (Version of record) Open Access

Abstract

HIV has become increasingly prevalent in the Northeast region of Brazil where Leishmania infantum chagasi is endemic, and concurrent AIDS and visceral leishmaniasis (VL) has emerged. In this study, persons with HIV/AIDS and VL ( n = 17) had a mean age of 37.3 years (range 29–53 years) compared with 12.5 years (1–80 years) for persons with VL alone ( n = 2836). Males accounted for 88% of cases with concurrent VL and AIDS and 65% of those with VL alone. The mean CD4 count and antileishmanial antibody titre were lower and recurrence of VL and death were more likely with co-infection. Considering the prevalences of L.i. chagasi and HIV in the region, this may herald the emergence of an important public health problem.
Brazil AIDS Leishmania chagasi Co-infection HIV Visceral leishmaniasis

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