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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Pneumocystis carinii pneumonia in Zimbabwe
The Lancet, Volume 346, No. 8985, Year 1995
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Description
Summary. Pneumocystis carinii pneumonia (PCP) is said to be rare in Africa, with reported rates of 0-22% in human- immunodeficiency-virus (HIV) infected individuals with respiratory symptoms. Over one year in a central hospital in southern Africa, 64 HIV-infected patients with acute diffuse pneumonia unresponsive to penicillin and sputum smear-negative for acid-fast bacilli underwent fibreoptic bronchoscopy. Bronchoalveolar lavage fluid was assessed for bacteria, fungi, Pneumocystis carinii, and mycobacteria. 21 patients (33%) had PCP and 24 (39%) had tuberculosis; 6 of these had both infections. 5 patients had Kaposi's sarcoma (KS) associated with PCP, tuberculosis, or another infection, in 1 patient KS was the only finding, and in 21 no pathogen was identified. A logistic regression model was used to assess clinical, radiographic, and arterial blood gas predictors of PCP and tuberculosis. Fine reticulonodular shadowing on the chest radiograph (nodular component <1 mm) was the strongest independent predictor of PCP (odds ratio 8·5 [95% Cl 6·1-10·9]). A respiratory rate of more than 40/min was the best clinical predictor of PCP (odds ratio 11·2 [95% Cl 8·8-13·6]). Median CD4+ T cell count for all cases of PCP was 134/μL (range 5-355) and for tuberculosis without PCP 206/μL (range 61-787). In resource-limited countries, a regionally appropriate management algorithm is required. © 1995.
Authors & Co-Authors
Malin, Adam S.
Zimbabwe, Harare
University of Zimbabwe
Gwanzura, Lovemore K.Z.
Zimbabwe, Harare
University of Zimbabwe
Robertson, Valerie J.
Zimbabwe, Harare
University of Zimbabwe
Musvaire, Praise
Zimbabwe, Harare
University of Zimbabwe
Mason, Peter R.
Zimbabwe, Harare
University of Zimbabwe
Klein, S.
Zimbabwe, Harare
University of Zimbabwe
Statistics
Citations: 114
Authors: 6
Affiliations: 1
Identifiers
Doi:
10.1016/S0140-6736(95)91862-0
ISSN:
01406736
Research Areas
Cancer
Health System And Policy
Infectious Diseases
Study Design
Case-Control Study
Study Locations
Zimbabwe