The emergence of concurrent HIV-1/AIDS and visceral leishmaniasis in Northeast Brazil
- PMID: 21474157
- PMCID: PMC3090648
- DOI: 10.1016/j.trstmh.2011.01.006
The emergence of concurrent HIV-1/AIDS and visceral leishmaniasis in Northeast Brazil
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.
Copyright © 2011 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.
Conflict of interest statement
References
-
- Montalban C, Martinez-Fernandez R, Calleja JL, Garcia-Diaz JD, Rubio R, Dronda F, et al. Visceral leishmaniasis (kala-azar) as an opportunistic infection in patients infected with the human immunodeficiency virus in Spain. Rev Infect Dis. 1989;11:655–660. - PubMed
-
- Desjeux P. Global control and Leishmania HIV co-infection. Clin Dermatol. 1999;17:317–325. - PubMed
-
- Daher EF, Fonseca PP, Gerhard ES, Leitão TM, Silva Júnior GB. Clinical and epidemiological features of visceral leishmaniasis and HIV co-infection in fifteen patients from Brazil. J Parasitol. 2009;95:652–655. - PubMed
-
- Badaró R, Jones TC, Lorenço R, Cerf BJ, Sampaio D, Carvalho EM, et al. A prospective study of visceral leishmaniasis in an endemic area of Brazil. J Infect Dis. 1986;154:639–649. - PubMed
-
- Costa CH, Pereira HF, Araújo MV. Visceral leishmaniasis epidemic in the State of Piauí, Brazil, 1980–1986 [in Portuguese] Rev Saude Publica. 1990;24:361–372. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Medical
Research Materials
