Laroche R, Floch J J, Kadende P, Kamanfu G
Service de Santé des Armées, Centre Hospitalier de Kamengé, Bujumbura, Burundi.
Med Trop (Mars). 1988 Oct-Dec;48(4):359-66.
The authors describe their experience of the infection by the virus of the human immunodeficiency HIV-1 in Burundi. The acquired immunodeficiency syndrome was brought to light in 1983 by the emergence of cryptococcal meningitis, Kaposi's sarcomas, disseminated candidiasis. 109 cases of infection by the virus of the human immunodeficiency (HIV) AIDS related complex, or acquired immunodeficiency syndromes, were observed in 8 months and are related in this paper. The authors elucidate the spread and amplify the role played by lorry drivers. The frequency of recent case history: tuberculosis, zona, sexually transmitted diseases (41%). Clinical manifestations have been studied according to their clinical stage: 28 patients are AIDS related complex (25%), 81 are acquired immunodeficiency syndrome. One have to notice the frequency of tuberculosis at the stage of acquired immunodeficiency syndrome, of digestive parasitoses, not only coccidiosis, but also strongyloidiasis and colonic amoebiasis, cryptococcal meningitis, and encephalopathies caused by the virus of human immunodeficiency (HIV) at the period of AIDS. Lethal evolution is fast: 28 out of the 81 AIDS were observed up to their end, occurring in less than 60 days, as an average. Lastly, numerous opportunistic infections cannot be diagnosed because the lack of technical facilities.
作者描述了他们在布隆迪关于人类免疫缺陷病毒HIV-1感染的经历。1983年,随着隐球菌性脑膜炎、卡波西肉瘤、播散性念珠菌病的出现,获得性免疫缺陷综合征被发现。在8个月内观察到109例人类免疫缺陷病毒(HIV)感染的艾滋病相关综合征或获得性免疫缺陷综合征病例,并在本文中进行了阐述。作者阐明了其传播情况,并强调了卡车司机所起的作用。近期病史的发生率:结核病、带状疱疹、性传播疾病(41%)。已根据临床阶段对临床表现进行了研究:28例为艾滋病相关综合征(25%),81例为获得性免疫缺陷综合征。必须注意到在获得性免疫缺陷综合征阶段结核病的发生率,以及消化系统寄生虫病的发生率,不仅有球虫病,还有类圆线虫病和结肠阿米巴病、隐球菌性脑膜炎,以及在艾滋病时期由人类免疫缺陷病毒(HIV)引起的脑病。致死进程很快:81例艾滋病患者中有28例被观察到直至死亡,平均发生时间不到60天。最后,由于缺乏技术设施,许多机会性感染无法得到诊断。