High HIV seroprevalence among patients with pyomyositis in Northern Uganda

Summary With the aim of correlating pyomyositis with HIV infection, we have carried out a case‐control comparison of HIV seroprevalence among patients affected by pyomyositis and an age and sex‐matched control group of healthy subjects. Over a one‐year period, 35 patients with pyomyositis, 20 male a...

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Veröffentlicht in:Tropical medicine & international health 1996-04, Vol.1 (2), p.210-212
Hauptverfasser: Ansaloni, L., Acaye, G. L., Re, M. C.
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Acaye, G. L.
Re, M. C.
description Summary With the aim of correlating pyomyositis with HIV infection, we have carried out a case‐control comparison of HIV seroprevalence among patients affected by pyomyositis and an age and sex‐matched control group of healthy subjects. Over a one‐year period, 35 patients with pyomyositis, 20 male and 15 female, mean age 28.31 years, were admitted to Dr Ambrosoli Memorial Hospital of Kalongo (Kitgum District, Northern Uganda). Among these patients, II were HIV‐antibody‐positive, with a seroprevalence of 31.42%. In the age and sex‐matched control group of 35 healthy subjects, selected in the same period from volunteers admitted to the surgical ward for orthopaedic trauma, two were HIV‐antibody‐positive, with a seroprevalence of 5.71%. The matched analysis produced a Mantel‐Haenszel matched odds ratio of 5.50 and a maximum likelihood estimate of OR (MLE) of 5.50 (exact 95% confidence limits for MLE=1.20
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L. ; Re, M. C.</creator><creatorcontrib>Ansaloni, L. ; Acaye, G. L. ; Re, M. C.</creatorcontrib><description>Summary With the aim of correlating pyomyositis with HIV infection, we have carried out a case‐control comparison of HIV seroprevalence among patients affected by pyomyositis and an age and sex‐matched control group of healthy subjects. Over a one‐year period, 35 patients with pyomyositis, 20 male and 15 female, mean age 28.31 years, were admitted to Dr Ambrosoli Memorial Hospital of Kalongo (Kitgum District, Northern Uganda). Among these patients, II were HIV‐antibody‐positive, with a seroprevalence of 31.42%. In the age and sex‐matched control group of 35 healthy subjects, selected in the same period from volunteers admitted to the surgical ward for orthopaedic trauma, two were HIV‐antibody‐positive, with a seroprevalence of 5.71%. The matched analysis produced a Mantel‐Haenszel matched odds ratio of 5.50 and a maximum likelihood estimate of OR (MLE) of 5.50 (exact 95% confidence limits for MLE=1.20&lt;OR&lt;51.07). Among the II HIV‐seropositive patients, 9 (81.8%) fulfilled the World Health Organization (WHO) clinical case definition (CCD) for AIDS, compared with 1 of twenty‐four (4.1%) HIV‐negatives. The chi‐square test for difference in fulfilling the CCD for AIDS between patients with pyomyositis seropositive and seronegative gave a statistically significant result (P&lt;0.0001). The authors conclude that pyomyositis is a bacterial infection very significantly associated with HIV infection, to be considered a strong sign of stage III–IV of HIV disease.</description><identifier>ISSN: 1360-2276</identifier><identifier>EISSN: 1365-3156</identifier><identifier>DOI: 10.1111/j.1365-3156.1996.tb00028.x</identifier><identifier>PMID: 8665386</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; AIDS/HIV ; Biological and medical sciences ; Case-Control Studies ; Chi-Square Distribution ; Child ; Comorbidity ; Female ; HIV infection ; HIV Seroprevalence ; human immunodeficiency virus ; Humans ; Immunodeficiencies ; Immunodeficiencies. 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L.</creatorcontrib><creatorcontrib>Re, M. C.</creatorcontrib><title>High HIV seroprevalence among patients with pyomyositis in Northern Uganda</title><title>Tropical medicine &amp; international health</title><addtitle>Trop Med Int Health</addtitle><description>Summary With the aim of correlating pyomyositis with HIV infection, we have carried out a case‐control comparison of HIV seroprevalence among patients affected by pyomyositis and an age and sex‐matched control group of healthy subjects. Over a one‐year period, 35 patients with pyomyositis, 20 male and 15 female, mean age 28.31 years, were admitted to Dr Ambrosoli Memorial Hospital of Kalongo (Kitgum District, Northern Uganda). Among these patients, II were HIV‐antibody‐positive, with a seroprevalence of 31.42%. In the age and sex‐matched control group of 35 healthy subjects, selected in the same period from volunteers admitted to the surgical ward for orthopaedic trauma, two were HIV‐antibody‐positive, with a seroprevalence of 5.71%. The matched analysis produced a Mantel‐Haenszel matched odds ratio of 5.50 and a maximum likelihood estimate of OR (MLE) of 5.50 (exact 95% confidence limits for MLE=1.20&lt;OR&lt;51.07). Among the II HIV‐seropositive patients, 9 (81.8%) fulfilled the World Health Organization (WHO) clinical case definition (CCD) for AIDS, compared with 1 of twenty‐four (4.1%) HIV‐negatives. The chi‐square test for difference in fulfilling the CCD for AIDS between patients with pyomyositis seropositive and seronegative gave a statistically significant result (P&lt;0.0001). 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Immunoglobulinopathies</topic><topic>Immunopathology</topic><topic>Likelihood Functions</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myositis - epidemiology</topic><topic>Odds Ratio</topic><topic>pyomyositis</topic><topic>Staphylococcal Infections - epidemiology</topic><topic>Suppuration</topic><topic>Tropical medicine</topic><topic>Uganda - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ansaloni, L.</creatorcontrib><creatorcontrib>Acaye, G. L.</creatorcontrib><creatorcontrib>Re, M. C.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Tropical medicine &amp; international health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ansaloni, L.</au><au>Acaye, G. L.</au><au>Re, M. C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High HIV seroprevalence among patients with pyomyositis in Northern Uganda</atitle><jtitle>Tropical medicine &amp; international health</jtitle><addtitle>Trop Med Int Health</addtitle><date>1996-04</date><risdate>1996</risdate><volume>1</volume><issue>2</issue><spage>210</spage><epage>212</epage><pages>210-212</pages><issn>1360-2276</issn><eissn>1365-3156</eissn><abstract>Summary With the aim of correlating pyomyositis with HIV infection, we have carried out a case‐control comparison of HIV seroprevalence among patients affected by pyomyositis and an age and sex‐matched control group of healthy subjects. Over a one‐year period, 35 patients with pyomyositis, 20 male and 15 female, mean age 28.31 years, were admitted to Dr Ambrosoli Memorial Hospital of Kalongo (Kitgum District, Northern Uganda). Among these patients, II were HIV‐antibody‐positive, with a seroprevalence of 31.42%. In the age and sex‐matched control group of 35 healthy subjects, selected in the same period from volunteers admitted to the surgical ward for orthopaedic trauma, two were HIV‐antibody‐positive, with a seroprevalence of 5.71%. The matched analysis produced a Mantel‐Haenszel matched odds ratio of 5.50 and a maximum likelihood estimate of OR (MLE) of 5.50 (exact 95% confidence limits for MLE=1.20&lt;OR&lt;51.07). Among the II HIV‐seropositive patients, 9 (81.8%) fulfilled the World Health Organization (WHO) clinical case definition (CCD) for AIDS, compared with 1 of twenty‐four (4.1%) HIV‐negatives. The chi‐square test for difference in fulfilling the CCD for AIDS between patients with pyomyositis seropositive and seronegative gave a statistically significant result (P&lt;0.0001). The authors conclude that pyomyositis is a bacterial infection very significantly associated with HIV infection, to be considered a strong sign of stage III–IV of HIV disease.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>8665386</pmid><doi>10.1111/j.1365-3156.1996.tb00028.x</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
AIDS/HIV
Biological and medical sciences
Case-Control Studies
Chi-Square Distribution
Child
Comorbidity
Female
HIV infection
HIV Seroprevalence
human immunodeficiency virus
Humans
Immunodeficiencies
Immunodeficiencies. Immunoglobulinopathies
Immunopathology
Likelihood Functions
Male
Medical sciences
Middle Aged
Myositis - epidemiology
Odds Ratio
pyomyositis
Staphylococcal Infections - epidemiology
Suppuration
Tropical medicine
Uganda - epidemiology
title High HIV seroprevalence among patients with pyomyositis in Northern Uganda
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