Abstract
In Abidjan, HIV prevalence has been estimated at 20% in outpatients attending community clinics. Documenting causes of fever in HIV-infected adult outpatients may help to improve care in these centres with limited facilities. Prospective study. We describe all diagnoses and treatments made during febrile episodes in HIV-infected adults participating in the ANRS 059 trial and followed up in a dedicated outpatient centre. Causes of fever could be identified in half of the 269 febrile episodes. Bacterial diseases were the leading identified cause of fever in all CD4 cell count strata (53, 56 and 43% of identified causes in episodes with CD4 count < 200 x 106/l, 200-499 x 106/l, and >or= 500 x 106/l, respectively), followed by malaria (5, 22, and 38%, respectively). Among febrile bacterial diseases, respiratory tract infections and enteritis accounted for 62% of organ involvement, and Streptococcus pneumoniae and non-typhi Salmonella represented 69% of isolated bacterial strains. In these bacterial episodes, an early empirical antibacterial treatment was associated with shorter duration of hospitalization and fever. In the 19 episodes leading to death (7%), the two leading diagnoses were atypical mycobacteriosis (26%) and acute une...Continue Reading
References
Sep 1, 1990·Lancet·C F GilksP G Waiyaki
Dec 1, 1993·AIDS·S B LucasC Giordano
Sep 1, 1993·The Journal of Infectious Diseases·D J VugiaS B Lucas
Mar 1, 1993·The American Review of Respiratory Disease·G KamanfuP Aubry
Nov 1, 1995·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·J ClerinxP Van de Perre
Mar 16, 1996·Lancet·C F GilksF A Plummer
Jul 1, 1996·American Journal of Respiratory and Critical Care Medicine·C L DaleyJ F Murray
Jan 1, 1997·Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology : Official Publication of the International Retrovirology Association·F RanaS J Lucas
Sep 26, 1997·AIDS·A D GrantA E Greenberg
Dec 2, 1998·AIDS·N JonesK Klugman
Dec 22, 1998·Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology : Official Publication of the International Retrovirology Association·F N SsaliJ L Johnson
Jan 14, 1999·The American Journal of Tropical Medicine and Hygiene·Y GermaniJ Morvan
May 8, 1999·Lancet·H S Horowitz
May 8, 1999·Lancet·X AnglaretR Salamon
May 8, 1999·Lancet·S Z WiktorA E Greenberg
Apr 14, 2000·The Journal of Infectious Diseases·L K ArchibaldW R Jarvis
Apr 19, 2000·Lancet·J A ScottK Marsh
Jul 21, 2000·Lancet·N FrenchC F Gilks
Sep 29, 2000·Lancet·J WhitworthA Ojwiya
Jun 21, 2001·AIDS·M BadriG Maartens
Citations
Sep 11, 2007·European Journal of Epidemiology·Sylvie Deuffic-BurbanYazdan Yazdanpanah
Feb 1, 2007·AIDS Research and Human Retroviruses·Christine DanelXavier Anglaret
Jan 11, 2008·AIDS Research and Human Retroviruses·Catherine SeylerXavier Anglaret
Jul 22, 2009·AIDS Research and Human Retroviruses·Christine DanelXavier Anglaret
Apr 5, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Karen H KeddyUNKNOWN Group for Enteric, Respiratory, and Meningeal Disease Surveillance in South Africa (GERMS-SA)
Sep 9, 2004·AIDS·Dominique BonardXavier Anglaret
Oct 21, 2006·AIDS·Kirsten HewittNeil French
May 16, 2007·AIDS·Catherine SeylerXavier Anglaret
Apr 5, 2005·American Journal of Respiratory and Critical Care Medicine·Catherine SeylerXavier Anglaret
Nov 1, 2013·Malaria Journal·Dennis Adu-GyasiSeth Owusu-Agyei
Oct 3, 2012·PloS One·Lisa J WhiteNicholas P J Day
Feb 20, 2007·Bulletin of the World Health Organization·Albert MingaUNKNOWN ANRS 1220 Study Group
Jan 1, 2006·African Journal of Traditional, Complementary, and Alternative Medicines : AJTCAM·W Mamidou KonéM Dosso
Apr 10, 2014·Journal of the International AIDS Society·Charlotte LewdenUNKNOWN IeDEA West Africa Collaboration
Jan 1, 2014·BMC Infectious Diseases·Yao AboXavier Anglaret
Jul 14, 2007·Médecine et maladies infectieuses·G Martin-BlondelB Marchou
Dec 2, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Ibironke O OlofinWafaie W Fawzi
Oct 15, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Paula E BrentlingerTroy D Moon
Jun 10, 2006·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Christine DanelXavier Anglaret
Feb 11, 2011·Tropical Medicine & International Health : TM & IH·K Tayler-SmithA D Harries
Nov 26, 2003·Acta Tropica·Eric Kassa-KelembhoPierre Minssart
Jan 28, 2006·The Lancet Infectious Diseases·Paula E BrentlingerMark A Micek
Jan 6, 2017·PLoS Neglected Tropical Diseases·Ifeanyi Valentine UcheAllan Saul
Feb 25, 2003·AIDS·Xavier AnglaretUNKNOWN ANRS 1203 Study Group
Sep 9, 2020·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·N Boillat-BlancoV D'Acremont
Jun 20, 2021·Travel Medicine and Infectious Disease·Bilé Cyrille Hervé EhounoudFlorence Fenollar
Jun 28, 2011·The Lancet Infectious Diseases·Clara FlateauGilles Pialoux