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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Cryptoccocal meningitis and HIV in the era of HAART in Côte d'Ivoire
Medecine et Maladies Infectieuses, Volume 42, No. 8, Year 2012
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Description
Objective: The authors had for aim to describe the management of cryptococcal meningitis in HIV infected adults, in Ivory Coast. Patients and methods: A retrospective study was made from January 1, 2005 to December 31, 2008 on the files of consecutive hospitalized patients presenting with cryptococcal meningitis, at the Treichville University Hospital, Infectious and tropical diseases department (Abidjan). The socio-demographic, clinical, and biological aspects as well as the outcome were analyzed. Results: Eighty patients presenting with cryptococcal meningitis, (2.6% of hospitalized patients) were included: 41 men (51.25%) and 39 women (48.75%); mean age: 40 years (range 26 to 58 years). The delay before consultation was 5.4 days, range 2-12 days). The mains symptoms were headache (83.7%), fever (63.7%), and consciousness disorders (60%). Meningo-encephalitis accounted for 75% of the clinical presentations; 54 patients (67.5%) were naive of antiretroviral treatment (mean CD4: 45/mm3 (range 5-103/mm3), while 26 (32.5%) had received antiretrovirals before presenting with cryptococcal meningitis (Nadir CD4=81/mm3). Amphotericin B relayed by fluconazole was prescribed to 86.2% of the patients, associated with a therapeutic lumbar puncture for 30 patients. The death rate was 41.2%. Conclusion: In spite of antiretroviral treatment availability in Ivory Coast, cryptococcal meningitis remains frequent with a high death rate. This study stresses the importance of early management to improve the prognosis. © 2012.
Authors & Co-Authors
Aoussi, Eba François
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
Ehui, Eboi
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
Dembélé, Jean Paul
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
Kolia-Diafouka, P.
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
Elloh, N. F.
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
Ouattara, Ismaèl Songda
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
Tanon, Koffi Aristophane
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
Doumbia, Adama A.
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
Adou-Bryn, K. D.
Cote D'ivoire, Abidjan
Unité de Formation et de Recherche Des Sciences Médicales
Eholié, Serge Paul
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
Bissagnéné, Emmanuel
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
Statistics
Citations: 11
Authors: 11
Affiliations: 2
Identifiers
Doi:
10.1016/j.medmal.2012.05.012
ISSN:
0399077X
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cohort Study
Study Locations
Ivory Coast
Participants Gender
Male
Female