Pneumocystis carinii infection among human immunodeficiency virus (HIV) infected Myanmar patients.
Southeast Asian J Trop Med Public Health
;
2003 Sep; 34(3): 577-9
Artigo
em Inglês
| IMSEAR
| ID: sea-34965
ABSTRACT
A total of 60 HIV infected patients complaining of dry cough for at least two weeks and attending the Out-patient Department of the Specialist Hospital, Waibargi, were screened for Pneumocystis carinii. Induced sputum samples were examined with Giemsa and Gomori silver methenamine stains. P. carinii were detected in 18 patients (30%) with silver stain and 13 patients (21.7%) with Giemsa stain. The sensitivity and specificity of the Giemsa stain were 72.2% and 95.2%, respectively. The range of CD4 counts in P. carinii-positive patients was found to be 0-562/microl, and the mean CD4 count was 132.3/microl. Out of 18 P. carinii-positive cases, CD4 counts of 15 cases (83.3%) were <200/microl and those of 3 cases were >200/microl. Clinically, P. carinii-positive cases were associated with fever in 55.5%, with tightness of the chest in 38.9%, and with cyanosis and tightness of the chest in 11.1%. Co-infection with tuberculosis was found in 16.7%. Anti-pneumocystic prophylaxis is recommended for those patients with a CD4 count <200/microl. Giemsa staining could be used as an alternative diagnostic method for detecting P. carinii. This study documented the existing prevalence of P. carinii among HIV-infected Myanmar patients.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Pneumonia por Pneumocystis
/
Corantes Azur
/
Humanos
/
Prevalência
/
Taxa de Sobrevida
/
Sensibilidade e Especificidade
/
Coloração pela Prata
/
Infecções Oportunistas Relacionadas com a AIDS
/
Mianmar
/
Contagem de Linfócito CD4
Tipo de estudo:
Estudo diagnóstico
/
Estudo de prevalência
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Southeast Asian J Trop Med Public Health
Ano de publicação:
2003
Tipo de documento:
Artigo
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