Visceral Leishmaniasis and HIV coinfection in East Africa.
Visceral Leishmaniasis (VL) is an important protozoan opportunistic disease in HIV patients in endemic areas. East Africa is second to the Indian subcontinent in the global VL caseload and first in VL-HIV coinfection rate. Because of the alteration in the disease course, the diagnostic challenges, a...
Published in: | PLoS Neglected Tropical Diseases |
---|---|
Main Authors: | , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Public Library of Science (PLoS)
2014
|
Subjects: | |
Online Access: | https://doi.org/10.1371/journal.pntd.0002869 https://doaj.org/article/b81253e516604553a086efb0f8994931 |
id |
ftdoajarticles:oai:doaj.org/article:b81253e516604553a086efb0f8994931 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:b81253e516604553a086efb0f8994931 2023-05-15T15:02:55+02:00 Visceral Leishmaniasis and HIV coinfection in East Africa. Ermias Diro Lutgarde Lynen Koert Ritmeijer Marleen Boelaert Asrat Hailu Johan van Griensven 2014-06-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0002869 https://doaj.org/article/b81253e516604553a086efb0f8994931 EN eng Public Library of Science (PLoS) http://europepmc.org/articles/PMC4072530?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0002869 https://doaj.org/article/b81253e516604553a086efb0f8994931 PLoS Neglected Tropical Diseases, Vol 8, Iss 6, p e2869 (2014) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2014 ftdoajarticles https://doi.org/10.1371/journal.pntd.0002869 2022-12-31T00:23:26Z Visceral Leishmaniasis (VL) is an important protozoan opportunistic disease in HIV patients in endemic areas. East Africa is second to the Indian subcontinent in the global VL caseload and first in VL-HIV coinfection rate. Because of the alteration in the disease course, the diagnostic challenges, and the poor treatment responses, VL with HIV coinfection has become a very serious challenge in East Africa today. Field experience with the use of liposomal amphotericin B in combination with miltefosine, followed by secondary prophylaxis and antiretroviral drugs, looks promising. However, this needs to be confirmed through clinical trials. Better diagnostic and follow-up methods for relapse and prediction of relapse should also be looked for. Basic research to understand the immunological interaction of the two infections may ultimately help to improve the management of the coinfection. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Indian PLoS Neglected Tropical Diseases 8 6 e2869 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Ermias Diro Lutgarde Lynen Koert Ritmeijer Marleen Boelaert Asrat Hailu Johan van Griensven Visceral Leishmaniasis and HIV coinfection in East Africa. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Visceral Leishmaniasis (VL) is an important protozoan opportunistic disease in HIV patients in endemic areas. East Africa is second to the Indian subcontinent in the global VL caseload and first in VL-HIV coinfection rate. Because of the alteration in the disease course, the diagnostic challenges, and the poor treatment responses, VL with HIV coinfection has become a very serious challenge in East Africa today. Field experience with the use of liposomal amphotericin B in combination with miltefosine, followed by secondary prophylaxis and antiretroviral drugs, looks promising. However, this needs to be confirmed through clinical trials. Better diagnostic and follow-up methods for relapse and prediction of relapse should also be looked for. Basic research to understand the immunological interaction of the two infections may ultimately help to improve the management of the coinfection. |
format |
Article in Journal/Newspaper |
author |
Ermias Diro Lutgarde Lynen Koert Ritmeijer Marleen Boelaert Asrat Hailu Johan van Griensven |
author_facet |
Ermias Diro Lutgarde Lynen Koert Ritmeijer Marleen Boelaert Asrat Hailu Johan van Griensven |
author_sort |
Ermias Diro |
title |
Visceral Leishmaniasis and HIV coinfection in East Africa. |
title_short |
Visceral Leishmaniasis and HIV coinfection in East Africa. |
title_full |
Visceral Leishmaniasis and HIV coinfection in East Africa. |
title_fullStr |
Visceral Leishmaniasis and HIV coinfection in East Africa. |
title_full_unstemmed |
Visceral Leishmaniasis and HIV coinfection in East Africa. |
title_sort |
visceral leishmaniasis and hiv coinfection in east africa. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2014 |
url |
https://doi.org/10.1371/journal.pntd.0002869 https://doaj.org/article/b81253e516604553a086efb0f8994931 |
geographic |
Arctic Indian |
geographic_facet |
Arctic Indian |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 8, Iss 6, p e2869 (2014) |
op_relation |
http://europepmc.org/articles/PMC4072530?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0002869 https://doaj.org/article/b81253e516604553a086efb0f8994931 |
op_doi |
https://doi.org/10.1371/journal.pntd.0002869 |
container_title |
PLoS Neglected Tropical Diseases |
container_volume |
8 |
container_issue |
6 |
container_start_page |
e2869 |
_version_ |
1766334820726603776 |