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2.
J Int Assoc Provid AIDS Care ; 16(5): 494-498, 2017.
Article in English | MEDLINE | ID: mdl-28555517

ABSTRACT

BACKGROUND: With the wide usage of highly active antiretroviral therapy, the morbidity and mortality due to HIV have declined gradually. The aim of our study was to determine the cause of mortality among HIV-infected patients and the factors causing early death. METHODS: Using medical records of 73 inpatients who are dead, data were collected and analyzed using SPSS version 19 (IBM SPSS Statistics). Chi-square test was performed to determine the factors contributing to early death. A P value <.05 was considered significant. RESULTS: Among 73 deaths, 50 (68.5%) were AIDS related and 23 (31.5%) were non-AIDS related. The most common opportunistic infection causing death was Pneumocystis carinii pneumonia. Early deaths were strongly attributed to low CD4 counts at admission (<100 cells), antiretroviral therapy-naive status, late presentation, and fewer admissions ( P value <.05). CONCLUSION: Although AIDS-defining illness remains the main cause of death in HIV, there is significant number of deaths due to non-HIV-related causes.


Subject(s)
HIV Infections/mortality , Adult , CD4 Lymphocyte Count , Female , HIV Infections/complications , HIV Infections/epidemiology , HIV Infections/immunology , Humans , India/epidemiology , Male , Middle Aged , Retrospective Studies , Young Adult
3.
Am J Trop Med Hyg ; 93(5): 1066-7, 2015 Nov.
Article in English | MEDLINE | ID: mdl-26304923

ABSTRACT

Infection due to Chromobacterium violaceum is rare. Diagnosis may be delayed since Chromobacterium sepsis may mimic melioidosis, especially in melioidosis-endemic areas. Management of Chromobacterium infection is challenging given the propensity of this pathogen to cause visceral abscesses, drug resistance, and relapse. Mortality rates are high despite treatment. We report a case of C. violaceum septicemia in an immunocompetent adult from south India, who was successfully treated with combination antibiotic therapy. Physicians in tropical and subtropical regions must be aware of C. violaceum infection as it can mimic melioidosis.


Subject(s)
Anti-Bacterial Agents/therapeutic use , Chromobacterium/isolation & purification , Ciprofloxacin/therapeutic use , Imipenem/administration & dosage , Sepsis/drug therapy , Abscess , Female , Humans , India , Melioidosis/microbiology , Middle Aged , Sepsis/microbiology , Treatment Outcome
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