Important note: Information in this article was accurate in 1983. The state of the art may have changed since the publication date.
[Acquired immunologic deficiency syndrome, opportunistic infections and homosexuality. Presentation of 3 cases studied in Switzerland]
Schweiz Med Wochenschr. 1982 Nov 20;112(47):1682-7. Unique Identifier : AIDSLINE MED/83092937 Francioli P; Vogt M; Schadelin J; Clement F; Russi E; Delacretaz F; Perret C; Glauser MP
Abstract:
Three cases of multiple opportunistic infections in previously healthy homosexual males were observed in 3 different University Hospitals in Switzerland. Two of the patients died. Infections were multiple, with P. carinii pneumonia (3 cases), chronic mucocutaneous ulcers probably due to Herpes simplex virus (2 cases), mucosal candidiasis (2 cases) and disseminated infections due to cytomegalovirus (1 case) and Mycobacterium avium (1 case). All patients had depressed cellular immunity with marked lymphopenia. These cases are similar to those recently observed in the United States, but two of the patients had never been to the USA although both had vacationed in Haiti where the syndrome has been described. These patients illustrate that this new syndrome should also be suspected outside the USA when a patient (especially a male homosexual) presents with persistent fever of unknown origin and develops opportunistic infections without obvious underlying disease.
Keywords: Adult Brain Diseases/ETIOLOGY Candidiasis/ETIOLOGY Case Report Cytomegalovirus Infections/ETIOLOGY English Abstract Herpes Simplex/ETIOLOGY *Homosexuality Human Hypersensitivity, Delayed/IMMUNOLOGY Immunologic Deficiency Syndromes/*COMPLICATIONS Lymphopenia/ETIOLOGY Male Middle Age Pneumonia, Pneumocystis carinii/ETIOLOGY Switzerland Toxoplasmosis/ETIOLOGY JOURNAL ARTICLE
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