Toxoplasma encephalitis in AIDS patients in São Paulo during 1988 and 1991. A comparative retrospective analysis
We conducted a retrospective analysis of Toxoplasma encephalitis patients from Instituto de Infectologia Emílio Ribas, the main AIDS hospital of São Paulo, Brazil, during two different stages of the HIV epidemics, in 1988 (38 patients) and 1991 (33 patients). There were AIDS-related demographic diff...
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ftdoajarticles:oai:doaj.org/article:d09900fe4bfb44b286887054d78a927a 2024-09-09T19:27:04+00:00 Toxoplasma encephalitis in AIDS patients in São Paulo during 1988 and 1991. A comparative retrospective analysis Luciana Neves PASSOS Orlando Florentino de ARAÚJO FILHO Heitor Franco de ANDRADE JUNIOR 2000-06-01T00:00:00Z https://doaj.org/article/d09900fe4bfb44b286887054d78a927a EN eng Universidade de São Paulo (USP) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652000000300006&tlng=en https://doaj.org/toc/1678-9946 1678-9946 https://doaj.org/article/d09900fe4bfb44b286887054d78a927a Revista do Instituto de Medicina Tropical de São Paulo, Vol 42, Iss 3, Pp 141-145 (2000) Toxoplasma encephalitis AIDS Clinical picture Prognosis Death rate Toxoplasma gondii Central Nervous System Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2000 ftdoajarticles 2024-08-05T17:49:30Z We conducted a retrospective analysis of Toxoplasma encephalitis patients from Instituto de Infectologia Emílio Ribas, the main AIDS hospital of São Paulo, Brazil, during two different stages of the HIV epidemics, in 1988 (38 patients) and 1991 (33 patients). There were AIDS-related demographic differences, but the clinical presentation and diagnostic efficiency were similar, usually based on tomography and clinical response to therapy, with a clear distinction from other CNS infections, based on clinical and laboratory findings. Specific serologic studies were performed less often in 1991, with a high frequency of therapy change. The direct acute death rate from Toxoplasma encephalitis was high during both periods, i.e. 8/38 in 1988 and 10/33 in 1991. The direct acute death rate for the patients from the two periods as a whole was 25.4% (18/71), related to the time of HIV infection, absence of fever and presence of meningeal irritation at presentation, blood leukocytes higher than 10,000/mm³ and blood lymphocytes lower than 350/mm³. Toxoplasma encephalitis is a preventable disease when adequate prophylactic therapy is used and is relatively easy to treat in diagnosed HIV patients. Unfortunately, this severe and deadly disorder is the HIV diagnostic disease in several patients, and our data support the need for careful management of these patients, especially in those countries with a high toxoplasmosis prevalence where AIDS is concurrent with economic and public health problems. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
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language |
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topic |
Toxoplasma encephalitis AIDS Clinical picture Prognosis Death rate Toxoplasma gondii Central Nervous System Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Toxoplasma encephalitis AIDS Clinical picture Prognosis Death rate Toxoplasma gondii Central Nervous System Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Luciana Neves PASSOS Orlando Florentino de ARAÚJO FILHO Heitor Franco de ANDRADE JUNIOR Toxoplasma encephalitis in AIDS patients in São Paulo during 1988 and 1991. A comparative retrospective analysis |
topic_facet |
Toxoplasma encephalitis AIDS Clinical picture Prognosis Death rate Toxoplasma gondii Central Nervous System Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
We conducted a retrospective analysis of Toxoplasma encephalitis patients from Instituto de Infectologia Emílio Ribas, the main AIDS hospital of São Paulo, Brazil, during two different stages of the HIV epidemics, in 1988 (38 patients) and 1991 (33 patients). There were AIDS-related demographic differences, but the clinical presentation and diagnostic efficiency were similar, usually based on tomography and clinical response to therapy, with a clear distinction from other CNS infections, based on clinical and laboratory findings. Specific serologic studies were performed less often in 1991, with a high frequency of therapy change. The direct acute death rate from Toxoplasma encephalitis was high during both periods, i.e. 8/38 in 1988 and 10/33 in 1991. The direct acute death rate for the patients from the two periods as a whole was 25.4% (18/71), related to the time of HIV infection, absence of fever and presence of meningeal irritation at presentation, blood leukocytes higher than 10,000/mm³ and blood lymphocytes lower than 350/mm³. Toxoplasma encephalitis is a preventable disease when adequate prophylactic therapy is used and is relatively easy to treat in diagnosed HIV patients. Unfortunately, this severe and deadly disorder is the HIV diagnostic disease in several patients, and our data support the need for careful management of these patients, especially in those countries with a high toxoplasmosis prevalence where AIDS is concurrent with economic and public health problems. |
format |
Article in Journal/Newspaper |
author |
Luciana Neves PASSOS Orlando Florentino de ARAÚJO FILHO Heitor Franco de ANDRADE JUNIOR |
author_facet |
Luciana Neves PASSOS Orlando Florentino de ARAÚJO FILHO Heitor Franco de ANDRADE JUNIOR |
author_sort |
Luciana Neves PASSOS |
title |
Toxoplasma encephalitis in AIDS patients in São Paulo during 1988 and 1991. A comparative retrospective analysis |
title_short |
Toxoplasma encephalitis in AIDS patients in São Paulo during 1988 and 1991. A comparative retrospective analysis |
title_full |
Toxoplasma encephalitis in AIDS patients in São Paulo during 1988 and 1991. A comparative retrospective analysis |
title_fullStr |
Toxoplasma encephalitis in AIDS patients in São Paulo during 1988 and 1991. A comparative retrospective analysis |
title_full_unstemmed |
Toxoplasma encephalitis in AIDS patients in São Paulo during 1988 and 1991. A comparative retrospective analysis |
title_sort |
toxoplasma encephalitis in aids patients in são paulo during 1988 and 1991. a comparative retrospective analysis |
publisher |
Universidade de São Paulo (USP) |
publishDate |
2000 |
url |
https://doaj.org/article/d09900fe4bfb44b286887054d78a927a |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista do Instituto de Medicina Tropical de São Paulo, Vol 42, Iss 3, Pp 141-145 (2000) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652000000300006&tlng=en https://doaj.org/toc/1678-9946 1678-9946 https://doaj.org/article/d09900fe4bfb44b286887054d78a927a |
_version_ |
1809896576075694080 |