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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
HIV-associated central nervous system disease in patients admitted at the douala general hospital between 2004 and 2009: A retrospective study
AIDS Research and Treatment, Volume 2013, Article 709810, Year 2013
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Description
Background. Studies on HIV-associated central nervous system (CNS) diseases in Cameroon are rare. The aim of this study was to describe the clinical presentation, identify aetiological factors, and determine predictors of mortality in HIV patients with CNS disease. Methods. From January 1, 2004 and December 31, 2009, we did at the Douala General Hospital a clinical case note review of 672 admitted adult (age ≥ 18 years) HIV-1 patients, and 44.6% (300/672) of whom were diagnosed and treated for HIV-associated CNS disease. Results. The mean age of the study population was 38.1±13.5 years, and median CD4 count was 49 cells/mm3 (interquartile range (QR): 17-90). The most common clinical presentations were headache (83%), focal signs (40.6%), and fever (37.7%). Toxoplasma encephalitis and cryptococcal meningitis were the leading aetiologies of HIV-associated CNS disease in 32.3% and 25% of patients, respectively. Overall mortality was 49%. Primary central nervous system lymphoma (PCNSL) and bacterial meningitis had the highest case fatality rates of 100% followed by tuberculous meningitis (79.8%). Low CD4 count was an independent predictor of fatality (AOR: 3.2, 95%CI: 2.0-5.2). Conclusions. HIV-associated CNS disease is common in Douala. CNS symptoms in HIV patients need urgent investigation because of their association with diseases of high case fatality. © 2013 Henry Namme Luma et al.
Authors & Co-Authors
Luma, Henry Namme
Cameroon, Douala
Douala General Hospital
Cameroon, Yaounde
Université de Yaoundé I
Tchaleu, Benjamin Clet Nguenkam
Cameroon, Douala
Douala General Hospital
Cameroon, Bangangté
Université Des Montagnes
Temfack, Elvis
Cameroon, Douala
Douala General Hospital
Doualla, Marie Solange
Cameroon, Douala
Douala General Hospital
Cameroon, Yaounde
Université de Yaoundé I
Ndenga, Daniela Pamela Ntchankam
Cameroon, Bangangté
Université Des Montagnes
Mapoure-Njankouo, Yacouba
Cameroon, Douala
Douala General Hospital
Cameroon, Douala
University of Douala
Njamnshi, Alfred Kongnyu
Cameroon, Yaounde
Université de Yaoundé I
Cameroon, Yaounde
Central Hospital of Yaounde Fmbs
Djientcheu, Vincent De Paul
Cameroon, Yaounde
Université de Yaoundé I
Cameroon, Yaounde
Central Hospital of Yaounde Fmbs
Statistics
Citations: 29
Authors: 8
Affiliations: 5
Identifiers
Doi:
10.1155/2013/709810
e-ISSN:
20901259
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Cohort Study
Study Locations
Cameroon