T-lymphocytopaenia, opportunistic infections and pathological findings in Ghanaian AIDS patients and their sexual partners.
Identifieur interne : 000C62 ( Ncbi/Merge ); précédent : 000C61; suivant : 000C63T-lymphocytopaenia, opportunistic infections and pathological findings in Ghanaian AIDS patients and their sexual partners.
Auteurs : N K Ayisi [Ghana] ; E K Wiredu ; T. Sata ; C. Nyadedzor ; V K Tsiagbe ; M. Newman ; C N Cofie ; K. TaneguchiSource :
- East African medical journal [ 0012-835X ] ; 1997.
Descripteurs français
- KwdFr :
- Adulte, Apoptose, Cause de décès, Enfant, Femelle, Ghana, Humains, Infections opportunistes liées au SIDA (anatomopathologie), Lymphocytes T, Lymphopénie (virologie), Mâle, Partenaire sexuel, Rapport CD4-CD8, Syndrome d'immunodéficience acquise (), Syndrome d'immunodéficience acquise (immunologie), Syndrome d'immunodéficience acquise (sang), VIH-1 (Virus de l'Immunodéficience Humaine de type 1), VIH-2 (Virus de l'Immunodéficience Humaine de type 2), Études cas-témoins.
- MESH :
- anatomopathologie : Infections opportunistes liées au SIDA.
- immunologie : Syndrome d'immunodéficience acquise.
- sang : Syndrome d'immunodéficience acquise.
- virologie : Lymphopénie.
- Adulte, Apoptose, Cause de décès, Enfant, Femelle, Ghana, Humains, Lymphocytes T, Mâle, Partenaire sexuel, Rapport CD4-CD8, Syndrome d'immunodéficience acquise, VIH-1 (Virus de l'Immunodéficience Humaine de type 1), VIH-2 (Virus de l'Immunodéficience Humaine de type 2), Études cas-témoins.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- AIDS-Related Opportunistic Infections (pathology), Acquired Immunodeficiency Syndrome (blood), Acquired Immunodeficiency Syndrome (complications), Acquired Immunodeficiency Syndrome (immunology), Adult, Apoptosis, CD4-CD8 Ratio, Case-Control Studies, Cause of Death, Child, Female, Ghana, HIV-1, HIV-2, Humans, Lymphopenia (virology), Male, Sexual Partners, T-Lymphocytes.
- MESH :
- geographic : Ghana.
- blood : Acquired Immunodeficiency Syndrome.
- complications : Acquired Immunodeficiency Syndrome.
- immunology : Acquired Immunodeficiency Syndrome.
- pathology : AIDS-Related Opportunistic Infections.
- virology : Lymphopenia.
- Adult, Apoptosis, CD4-CD8 Ratio, Case-Control Studies, Cause of Death, Child, Female, HIV-1, HIV-2, Humans, Male, Sexual Partners, T-Lymphocytes.
Abstract
Ninety-nine patients at Center for Disease Control (CDC) clinical stage IV were studied. Twelve (12.12%) of these patients turned out to be HIV seronegative. Ten out of the 12 HIV negative patients were immunocompetent whereas the other two had proportional decreases in both CD4+ and CD8+ T-lymphocytes. HIV-1, HIV-2, and dual infection, were detected in 51.5%, 2%, and 22.2% respectively of clinical AIDS patients. The other 12.12% of clinical AIDS patients were indeterminate for HIV antibodies. All HIV positive patients with the exception of two, were immunocompromised with respect to CD4+ and CD8+ T-lymphocyte counts. Two healthy spouses and three children of patients who died from the disease were seronegative for HIV antibodies. Herpes simplex virus type 2 (HSV-2) and cytomegalovirus (CMV) antibody titres were higher in HIV infected than uninfected blood. Patients with chronic diarrhoea, lymphadenopathy, pneumonia, and tuberculosis, either alone or in combination of two or more of such symptoms, were found to be more likely to be confirmed by serology and immunology as definitive AIDS patients in Ghana. In postmortem studies on 20 patients, pneumonia due to tuberculosis constituted the major cause of death. Toxoplasmosis, cytomegaloviral eosophagitis and enteritis, and cryptococcosis were the major opportunistic infections detected. Programmed cell death (apoptosis) was found by the DNA gel electrophoresis method to be an unlikely major mechanism of accelerated culture induced death of PBMCs from CDC stage IV AIDS patients.
PubMed: 9557423
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Sata</name></author><author><name sortKey="Nyadedzor, C" sort="Nyadedzor, C" uniqKey="Nyadedzor C" first="C" last="Nyadedzor">C. Nyadedzor</name></author><author><name sortKey="Tsiagbe, V K" sort="Tsiagbe, V K" uniqKey="Tsiagbe V" first="V K" last="Tsiagbe">V K Tsiagbe</name></author><author><name sortKey="Newman, M" sort="Newman, M" uniqKey="Newman M" first="M" last="Newman">M. Newman</name></author><author><name sortKey="Cofie, C N" sort="Cofie, C N" uniqKey="Cofie C" first="C N" last="Cofie">C N Cofie</name></author><author><name sortKey="Taneguchi, K" sort="Taneguchi, K" uniqKey="Taneguchi K" first="K" last="Taneguchi">K. Taneguchi</name></author></analytic><series><title level="j">East African medical journal</title><idno type="ISSN">0012-835X</idno><imprint><date when="1997" type="published">1997</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS-Related Opportunistic Infections (pathology)</term><term>Acquired Immunodeficiency Syndrome (blood)</term><term>Acquired Immunodeficiency Syndrome (complications)</term><term>Acquired Immunodeficiency Syndrome (immunology)</term><term>Adult</term><term>Apoptosis</term><term>CD4-CD8 Ratio</term><term>Case-Control Studies</term><term>Cause of Death</term><term>Child</term><term>Female</term><term>Ghana</term><term>HIV-1</term><term>HIV-2</term><term>Humans</term><term>Lymphopenia (virology)</term><term>Male</term><term>Sexual Partners</term><term>T-Lymphocytes</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Apoptose</term><term>Cause de décès</term><term>Enfant</term><term>Femelle</term><term>Ghana</term><term>Humains</term><term>Infections opportunistes liées au SIDA (anatomopathologie)</term><term>Lymphocytes T</term><term>Lymphopénie (virologie)</term><term>Mâle</term><term>Partenaire sexuel</term><term>Rapport CD4-CD8</term><term>Syndrome d'immunodéficience acquise ()</term><term>Syndrome d'immunodéficience acquise (immunologie)</term><term>Syndrome d'immunodéficience acquise (sang)</term><term>VIH-1 (Virus de l'Immunodéficience Humaine de type 1)</term><term>VIH-2 (Virus de l'Immunodéficience Humaine de type 2)</term><term>Études cas-témoins</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Infections opportunistes liées au SIDA</term></keywords><keywords scheme="MESH" qualifier="blood" xml:lang="en"><term>Acquired Immunodeficiency Syndrome</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Acquired Immunodeficiency Syndrome</term></keywords><keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Syndrome d'immunodéficience acquise</term></keywords><keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Acquired Immunodeficiency Syndrome</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>AIDS-Related Opportunistic Infections</term></keywords><keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Syndrome d'immunodéficience acquise</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Lymphopénie</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Lymphopenia</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Apoptosis</term><term>CD4-CD8 Ratio</term><term>Case-Control Studies</term><term>Cause of Death</term><term>Child</term><term>Female</term><term>HIV-1</term><term>HIV-2</term><term>Humans</term><term>Male</term><term>Sexual Partners</term><term>T-Lymphocytes</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Apoptose</term><term>Cause de décès</term><term>Enfant</term><term>Femelle</term><term>Ghana</term><term>Humains</term><term>Lymphocytes T</term><term>Mâle</term><term>Partenaire sexuel</term><term>Rapport CD4-CD8</term><term>Syndrome d'immunodéficience acquise</term><term>VIH-1 (Virus de l'Immunodéficience Humaine de type 1)</term><term>VIH-2 (Virus de l'Immunodéficience Humaine de type 2)</term><term>Études cas-témoins</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Ninety-nine patients at Center for Disease Control (CDC) clinical stage IV were studied. Twelve (12.12%) of these patients turned out to be HIV seronegative. Ten out of the 12 HIV negative patients were immunocompetent whereas the other two had proportional decreases in both CD4+ and CD8+ T-lymphocytes. HIV-1, HIV-2, and dual infection, were detected in 51.5%, 2%, and 22.2% respectively of clinical AIDS patients. The other 12.12% of clinical AIDS patients were indeterminate for HIV antibodies. All HIV positive patients with the exception of two, were immunocompromised with respect to CD4+ and CD8+ T-lymphocyte counts. Two healthy spouses and three children of patients who died from the disease were seronegative for HIV antibodies. Herpes simplex virus type 2 (HSV-2) and cytomegalovirus (CMV) antibody titres were higher in HIV infected than uninfected blood. Patients with chronic diarrhoea, lymphadenopathy, pneumonia, and tuberculosis, either alone or in combination of two or more of such symptoms, were found to be more likely to be confirmed by serology and immunology as definitive AIDS patients in Ghana. In postmortem studies on 20 patients, pneumonia due to tuberculosis constituted the major cause of death. Toxoplasmosis, cytomegaloviral eosophagitis and enteritis, and cryptococcosis were the major opportunistic infections detected. Programmed cell death (apoptosis) was found by the DNA gel electrophoresis method to be an unlikely major mechanism of accelerated culture induced death of PBMCs from CDC stage IV AIDS patients.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">9557423</PMID><DateCreated><Year>1998</Year><Month>05</Month><Day>14</Day></DateCreated><DateCompleted><Year>1998</Year><Month>05</Month><Day>14</Day></DateCompleted><DateRevised><Year>2006</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0012-835X</ISSN><JournalIssue CitedMedium="Print"><Volume>74</Volume><Issue>12</Issue><PubDate><Year>1997</Year><Month>Dec</Month></PubDate></JournalIssue><Title>East African medical journal</Title><ISOAbbreviation>East Afr Med J</ISOAbbreviation></Journal><ArticleTitle>T-lymphocytopaenia, opportunistic infections and pathological findings in Ghanaian AIDS patients and their sexual partners.</ArticleTitle><Pagination><MedlinePgn>784-91</MedlinePgn></Pagination><Abstract><AbstractText>Ninety-nine patients at Center for Disease Control (CDC) clinical stage IV were studied. Twelve (12.12%) of these patients turned out to be HIV seronegative. Ten out of the 12 HIV negative patients were immunocompetent whereas the other two had proportional decreases in both CD4+ and CD8+ T-lymphocytes. HIV-1, HIV-2, and dual infection, were detected in 51.5%, 2%, and 22.2% respectively of clinical AIDS patients. The other 12.12% of clinical AIDS patients were indeterminate for HIV antibodies. All HIV positive patients with the exception of two, were immunocompromised with respect to CD4+ and CD8+ T-lymphocyte counts. Two healthy spouses and three children of patients who died from the disease were seronegative for HIV antibodies. Herpes simplex virus type 2 (HSV-2) and cytomegalovirus (CMV) antibody titres were higher in HIV infected than uninfected blood. Patients with chronic diarrhoea, lymphadenopathy, pneumonia, and tuberculosis, either alone or in combination of two or more of such symptoms, were found to be more likely to be confirmed by serology and immunology as definitive AIDS patients in Ghana. In postmortem studies on 20 patients, pneumonia due to tuberculosis constituted the major cause of death. Toxoplasmosis, cytomegaloviral eosophagitis and enteritis, and cryptococcosis were the major opportunistic infections detected. Programmed cell death (apoptosis) was found by the DNA gel electrophoresis method to be an unlikely major mechanism of accelerated culture induced death of PBMCs from CDC stage IV AIDS patients.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ayisi</LastName><ForeName>N K</ForeName><Initials>NK</Initials><AffiliationInfo><Affiliation>Virology Unit, Noguchi Memorial Institute for Medical Research, University of Ghana, Legon, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wiredu</LastName><ForeName>E K</ForeName><Initials>EK</Initials></Author><Author ValidYN="Y"><LastName>Sata</LastName><ForeName>T</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Nyadedzor</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Tsiagbe</LastName><ForeName>V K</ForeName><Initials>VK</Initials></Author><Author ValidYN="Y"><LastName>Newman</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Cofie</LastName><ForeName>C N</ForeName><Initials>CN</Initials></Author><Author ValidYN="Y"><LastName>Taneguchi</LastName><ForeName>K</ForeName><Initials>K</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Kenya</Country><MedlineTA>East Afr Med J</MedlineTA><NlmUniqueID>0372766</NlmUniqueID><ISSNLinking>0012-835X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CitationSubset>J</CitationSubset><CitationSubset>X</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D017088" MajorTopicYN="N">AIDS-Related Opportunistic Infections</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000163" MajorTopicYN="N">Acquired Immunodeficiency Syndrome</DescriptorName><QualifierName UI="Q000097" MajorTopicYN="N">blood</QualifierName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000276" MajorTopicYN="N">immunology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017209" MajorTopicYN="N">Apoptosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016516" MajorTopicYN="N">CD4-CD8 Ratio</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002423" MajorTopicYN="N">Cause of Death</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005869" MajorTopicYN="N" Type="Geographic">Ghana</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015497" MajorTopicYN="Y">HIV-1</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015498" MajorTopicYN="Y">HIV-2</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008231" MajorTopicYN="N">Lymphopenia</DescriptorName><QualifierName UI="Q000821" MajorTopicYN="Y">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012747" MajorTopicYN="Y">Sexual Partners</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013601" MajorTopicYN="Y">T-Lymphocytes</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="PIP">132901</OtherID><OtherID Source="POP">00276197</OtherID><OtherAbstract Type="PIP" Language="eng"><AbstractText>Since HIV infection was first diagnosed in Ghana in 1986, the incidence of HIV infection has increased steadily in the country over the years. Until 1990, most people infected with HIV in Ghana were infected with HIV-2. However, in 1990, most people tested were found to be dually infected with HIV-1 and HIV-2, and recently, most HIV-infected people in Ghana are only HIV-1 positive. Findings are presented from the study of 99 US Centers for Disease Control and Prevention (CDC) clinical stage IV AIDS patients. Polymerase chain reaction assay identified 12 of these patients as HIV-seronegative. HIV-1, HIV-2, and dual infection were identified in 51.5%, 2%, and 22.2% of clinical AIDS patients, respectively, with the remaining patients being indeterminate for HIV antibodies. All but 2 HIV-positive patients were immunocompromised with regard to CD4+ and CD8+ T-lymphocyte counts. 2 healthy spouses and 3 children of patients who died from AIDS were seronegative for HIV antibodies. Herpes simplex virus type 2 and cytomegalovirus antibody titers were higher in HIV-infected than in uninfected blood. Patients with chronic diarrhea, lymphadenopathy, pneumonia, and tuberculosis (TB), either alone or in combination of 2 or more such symptoms, were more likely to be confirmed by serology and immunology as definitive AIDS patients in this study. Pneumonia due to TB was the major cause of death identified through postmortem studies conducted upon 20 patients. Toxoplasmosis, cytomegaloviral esophagitis and enteritis, and cryptococcosis were the major opportunistic infections detected. Programmed cell death was probably not a major mechanism of accelerated culture-induced death of peripheral blood mononuclear cells.</AbstractText></OtherAbstract><KeywordList Owner="PIP"><Keyword MajorTopicYN="Y">Acquired Immunodeficiency Syndrome</Keyword><Keyword MajorTopicYN="N">Africa</Keyword><Keyword MajorTopicYN="N">Africa South Of The Sahara</Keyword><Keyword MajorTopicYN="N">Behavior</Keyword><Keyword MajorTopicYN="Y">Causes Of Death</Keyword><Keyword MajorTopicYN="Y">Clients</Keyword><Keyword MajorTopicYN="N">Demographic Factors</Keyword><Keyword MajorTopicYN="N">Developing Countries</Keyword><Keyword MajorTopicYN="N">Diseases</Keyword><Keyword MajorTopicYN="N">English Speaking Africa</Keyword><Keyword MajorTopicYN="N">Ghana</Keyword><Keyword MajorTopicYN="Y">Hiv Infections</Keyword><Keyword MajorTopicYN="N">Infections</Keyword><Keyword MajorTopicYN="N">Mortality</Keyword><Keyword MajorTopicYN="N">Organization And Administration</Keyword><Keyword MajorTopicYN="N">Population</Keyword><Keyword MajorTopicYN="N">Population Dynamics</Keyword><Keyword MajorTopicYN="N">Program Activities</Keyword><Keyword MajorTopicYN="N">Programs</Keyword><Keyword MajorTopicYN="Y">Research Report</Keyword><Keyword MajorTopicYN="Y">Respiratory Infections</Keyword><Keyword MajorTopicYN="N">Sex Behavior</Keyword><Keyword MajorTopicYN="Y">Sexual Partners</Keyword><Keyword MajorTopicYN="Y">Signs And Symptoms</Keyword><Keyword MajorTopicYN="N">Viral Diseases</Keyword><Keyword MajorTopicYN="N">Western Africa</Keyword></KeywordList><GeneralNote Owner="PIP">TJ: EAST AFRICAN MEDICAL JOURNAL.</GeneralNote></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1998</Year><Month>4</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1998</Year><Month>4</Month><Day>29</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1998</Year><Month>4</Month><Day>29</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">9557423</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Ghana</li></country><region><li>Région du Grand Accra</li></region><settlement><li>Accra</li><li>Legon (Ghana)</li></settlement><orgName><li>Université du Ghana</li></orgName></list><tree><noCountry><name sortKey="Cofie, C N" sort="Cofie, C N" uniqKey="Cofie C" first="C N" last="Cofie">C N Cofie</name><name sortKey="Newman, M" sort="Newman, M" uniqKey="Newman M" first="M" last="Newman">M. Newman</name><name sortKey="Nyadedzor, C" sort="Nyadedzor, C" uniqKey="Nyadedzor C" first="C" last="Nyadedzor">C. Nyadedzor</name><name sortKey="Sata, T" sort="Sata, T" uniqKey="Sata T" first="T" last="Sata">T. Sata</name><name sortKey="Taneguchi, K" sort="Taneguchi, K" uniqKey="Taneguchi K" first="K" last="Taneguchi">K. Taneguchi</name><name sortKey="Tsiagbe, V K" sort="Tsiagbe, V K" uniqKey="Tsiagbe V" first="V K" last="Tsiagbe">V K Tsiagbe</name><name sortKey="Wiredu, E K" sort="Wiredu, E K" uniqKey="Wiredu E" first="E K" last="Wiredu">E K Wiredu</name></noCountry><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Ayisi, N K" sort="Ayisi, N K" uniqKey="Ayisi N" first="N K" last="Ayisi">N K Ayisi</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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