Opportunistic infections (OI) in patients with AIDS in central United States: differences from from large metropolitan areas. NLM AIDSLINE Important note: Information in this article was accurate in 1992. The state of the art may have changed since the publication date.

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Opportunistic infections (OI) in patients with AIDS in central United States: differences from from large metropolitan areas.

Abstr Annu Meet Am Soc Microbiol. 1991 May 5-9;91:336 (abstract no. T-15). Unique Identifier : AIDSLINE ASM91/0280292
Woods GL; Goldsmith JC; University of Nebraska Medical Center (UNMC), Omaha, NE.

Abstract: AIDS cases from the central United States in areas with less than or equal to 500,000 population are increasing; thus an awareness of the prevalence of infections in more rural locations is important to disease management and prevention. Of 102 adults (94 males, 8 females) with AIDS cared for at UNMC (7/83-12/89), 12% were diagnosed elsewhere; 35 are alive, 7 were lost to follow-up, 60 died; there were 10 blacks, 1 American Indian, 2 Hispanics, and 89 Caucasians. The presumed mode of HIV transmission was sexual for 84, blood-borne for 15, unknown for 3. Of 88 with greater than or equal to 1 OI, 64 had greater than or equal to 1 episode of P. carinii, and CMV was detected in 46; each was equally prevalent in those with sexual and blood-borne HIV transmission. A mycobacteria was detected in 32: 5 M. kansasii (all fatal), 16 M. avium-intracellulare, 9 M. tuberculosis, of whom 8 had sexual HIV transmission, which differs from the blood-borne mode in large urban centers. Cryptococcosis developed in 16 (16%), nocardiosis in 4, and aspergillosis in 3, rates higher than reported in larger, coastal cities. Cryptosporidiosis was diagnosed once. Other viral and pyogenic bacterial infections and toxoplasmosis were uncommon.
Keywords: Acquired Immunodeficiency Syndrome/*COMPLICATIONS Adult Aspergillosis/COMPLICATIONS Cryptococcosis/COMPLICATIONS Cytomegalovirus/ISOLATION & PURIF Ethnic Groups Female Human HIV Infections/TRANSMISSION Male Mycobacterium/ISOLATION & PURIF Nocardia Infections/COMPLICATIONS Opportunistic Infections/COMPLICATIONS/*EPIDEMIOLOGY/MICROBIOLOGY Pneumonia, Pneumocystis carinii/ETIOLOGY Racial Stocks Sex Behavior United States/EPIDEMIOLOGY ABSTRACTKWDacquiredimmunodeficiencysyndrome/
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Copyright © 1992 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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