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Association between Taenia solium infection and HIV/AIDS in northern Tanzania: a matched cross sectional-study

Infectious Diseases of Poverty 2016年第1期5卷 1022-1036页

作者： Veronika Schmidt Christian Kositz karl-heinz herbinger Hélène Carabin Bernard Ngowi Ezra Naman Patricia P.Wilkins John Noh William Matuja Andrea Sylvia Winkler Department of Neurology University HospitalKlinikum rechts der IsarTechnical University Munich(TUM)Ismaninger Str.2281675 MunichGermany Department of Infectious Diseases and Tropical Medicine(DITM) Medical Center of the University of MunichMunichGermany Department of Biostatistics and Epidemiology University of Oklahoma Health Sciences CenterOklahoma CityUSA Muhimbili Medical Research Centre National Institute for Medical Research(NIMR)Dar es SalaamTanzania HIV Care and Treatment Centre Haydom Lutheran HospitalHaydomTanzania Division of Parasitic Diseases and Malaria Center for Global HealthCenters for Disease Control and Prevention(CDC)AtlantaUSA Department of Neurology Muhimbili University of Health and Allied SciencesDar es SalaamTanzania Centre of Global Health University of OsloOsloNorway

Background:The frequency of Taenia solium,a zoonotic helminth,is increasing in many countries of sub-Saharan Africa,where the prevalence of the human immunodeficiency virus(HIV)is also ***,little is known about how these two infections *** aim of this study was to compare the proportion of HIV positive(+)and negative(−)individuals who are infected with Taenia solium(TSOL)and who present with clinical and neurological manifestations of cysticercosis(CC).Methods:In northern Tanzania,170 HIV+individuals and 170 HIV–controls matched for gender,age and village of origin were *** staging and serological tests for TSOL antibodies(Ab)and antigen(Ag)were ***(NCC)was determined by computed tomography(CT)using standard diagnostic *** manifestations were confirmed by a standard neurological *** addition,demographic,clinical and neuroimaging data were ***,CD4^(+)cell counts as well as information on highly active antiretroviral treatment(HAART)were ***:No significant differences between HIV+and HIV–individuals regarding the sero-prevalence of taeniosis-Ab(0.6%vs 1.2%),CC-Ab(2.4%vs 2.4%)and CC-Ag(0.6%vs 0.0%)were detected.A total of six NCC cases(3 HIV+and 3 HIV–)were detected in the group of matched *** individuals(1 HIV+and 1 HIV–)presented with headaches as the main symptom for NCC,and four with asymptomatic *** the HIV+group,TSOL was not associated with CD4+cell counts,HAART duration or HIV ***:This study found lower prevalence of taeniosis,CC and NCC than had been reported in the region to *** low level of infection may have resulted in an inability to find cross-sectional associations between HIV status and TSOL infection or *** sample sizes will be required in future studies conducted in that area to conclude if HIV influences the way NCC manifests itself.

关键词： Taenia solium Taeniosis Cysticercosis Neurocysticercosis HIV AIDS Co-infection Helminth Tapeworm Prevalence

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