Parasitic infections associated with HIV/AIDS in the Caribbean
Bulletin of the Pan American Health Organization (PAHO)
; 29(2),jun. 1995
Article
| PAHOIRIS
| ID: phr-26901
Biblioteca responsável:
US1.1
ABSTRACT
This review article seeks to highlight the significance for the Caribbean of major parasitic infections associated with AIDS, encourage awareness of these opportunistic parasites, and promote familiarity with appropriate diagnostic techniques and their clinical relevance. Specific agents considered include Pneumocystis carinnii; Toxoplasma gondii; the enteric coccidians Cryptosporidium spp., Isospora belli, and Cyclospora cayetanensis; the hemoflagellates Leishmania spp. and Trypanosoma cruzi; the fungi Histoplasma capsulatum and Cryptococcus neoformans; the nematode Strongyloides stercoralis; and the mite Sarcoptes scabiei. These disease agents can be divided into two groups, the immune-regulated "endogenous" parasites (the protozoans P. carinii and T. gondii, and posibly the roundworm S. stercoralis) and intracellular parasites (including the enteric coccidia, hemoflagellates, and fungi). Both in the Caribbean and elsewhere, the endogenous parasites (particularly P. carinii and T. gondii) are the most troublesome for AIDS patients, partly because they are likely to be transmitted and establish a bening immunoregulated presence early in the subject's life. Indeed, health management programs for AIDS patients often routinely include P. carinii prophylaxis, since nearly all such patients who survive long enough are expected to experience an episode of acute P. carinii infection. In contrast, there is no known epidemiologic association between AIDS and strongyloidiasis in the Caribbean, and the prevalence there of potentially opportunistic hemoflagellates such as Leishmania spp. and Trypanosona cruzi is relatively low (AU)
Texto completo:
1
Coleções:
04-international_org
Base de dados:
PAHOIRIS
Assunto principal:
Doenças Parasitárias
/
Infecções Pneumocócicas
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Pneumonia por Pneumocystis
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Toxoplasmose
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Infecções Oportunistas Relacionadas com a AIDS
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Região do Caribe
Tipo de estudo:
Risk_factors_studies
Ano de publicação:
1995
Tipo de documento:
Article