ABSTRACT
Dans le present travail; les auteurs ont etudie 4.214 dossiers de malades admis en Soins Intensifs de Medecine Interne des Cliniques Universitaires de Kinshasa entre le 1er janvier 1984 et le 31 decembre 1993. Leur analyse a montre que 48 patients (soit 1;14 pour cent) ont ete hospitalises pour neuropaludisme. Les adolescents ainsi que les adultes jeunes ont ete les groupes les plus touches. Un traitement precoce et adequat a la quinine a permis une evolution tres favorable dans la plupart des cas (62;5 pour cent)
Subject(s)
Adult , Malaria , Malaria/drug therapy , Malaria/epidemiologyABSTRACT
La presente etude recherche les causes frequentes de la fievre associee a l'infection a VIH dans une zone tropicale. Prospective; elle porte sur 64 patients dont 23 hommes et 41 femmes hospitalises pour une fievre isolee ou associee a d'autres symptomes. Le bilan clinique et paraclinique retient: le paludisme (40 pour cent); la tuberculose pulmonaire (37;5 pour cent); la cryptococcose neuro-meningee et la toxoplasmose cerebrale (12;5 pour cent chacune); la fievre typhoide (7;8 pour cent); le sarcomede kaposi (6;2 pour cent); l'infection urinaire a Escherichia coli (4;7 pour cent); la trypanosomiase humaine africaine et les salmonelloses mineures (1;6 pour cent chacune). La courbe de la fievre au cours de l'infection a VIH n'a aucune allure pathognomonique
Subject(s)
Acquired Immunodeficiency Syndrome , Fever/etiology , HIV InfectionsABSTRACT
PIP: In less than a decade, AIDS has spread throughout Africa. The authors review what is known about the current situation of HIV infection in Africa, with emphasis upon sub-Saharan Africa, and identify questions and challenges for AIDS control and prevention in the 1990s. Well-conducted random cluster surveys have shown that in some urban centers as many as one adult in three is infected, but that in other countries less than 1% of the population is infected. There are many different HIV/AIDS epidemics interwoven across the continent, although the prevailing modes of HIV transmission are identical throughout Africa. Patterns of behavior vary widely across Africa. There are major differences between and even within African countries in the rate of spread of HIV, the level of presumed stabilized seroprevalence rate, the male-to-female ratio of AIDS cases and the number of people with HIV infection, the spread of the epidemic to rural areas, and the socioeconomic groups involved. Many different behavioral, biological, and social factors explain this heterogeneity. It remains clear, however, that AIDS is exacting a heavy toll upon many African populations. Even in a city as recently affected as Abidjan, AIDS has become the leading cause of death in adult men, and second only to deaths related to pregnancy and abortion in women. The vast majority of Africans infected with HIV remain deprived not only of any antiretroviral therapy, but also of treatment of many opportunistic infections and sometimes of the most basic care. Community support for AIDS patients is developing in a few areas with large numbers of cases.^ieng
Subject(s)
Acquired Immunodeficiency Syndrome/epidemiology , Acquired Immunodeficiency Syndrome/economics , Acquired Immunodeficiency Syndrome/prevention & control , Africa/epidemiology , HumansSubject(s)
Acquired Immunodeficiency Syndrome/epidemiology , Hospitals , Population Surveillance/methods , Acquired Immunodeficiency Syndrome/mortality , Adolescent , Adult , Chi-Square Distribution , Democratic Republic of the Congo/epidemiology , Feasibility Studies , Female , Humans , Incidence , Male , Program EvaluationSubject(s)
Coronary Angiography , Coronary Disease/diagnosis , Exercise Test , Adult , Aged , Angina Pectoris/diagnosis , Angina Pectoris/diagnostic imaging , Coronary Disease/diagnostic imaging , Female , Heart Rate , Humans , Male , Medical History Taking , Middle Aged , Myocardial Infarction/diagnosis , Myocardial Infarction/diagnostic imagingABSTRACT
Twenty-seven cases of ruptured chordae tendineae have been discovered during surgery for mitral regurgitation (9,3 %) : the highest incidence of ruptured chordae tendineae has been found among pure mitral insufficiency (36 %). In thirteen cases, the rupture was isolated, without any other valvular lesion. The syndrome described as characteristic of rupture was present in one third of our patients : isolated cases do not differ clinically from the others but for a more frequent acute evolution. In pure or predominant mitral regurgitation, surgery seems needed when clinical aggravation, acute or progressive, cannot be explained by arrhythmia, anaemia, pulmonary embolism, hyperthyroidism.
