Suzi Lyons1, Hans Veeken, Jean Long. 1. Department of Public Health and Epidemiology, UCD, National University of Ireland, Dublin, Ireland. suzanne.lyons@ucd.ie
Abstract
OBJECTIVES: To identify characteristics that increased the risk of mortality in Ethiopian visceral leishmaniasis patients in a treatment programme managed by Médecins sans Frontières, in Tigray, Northern Ethiopia. METHODS: Retrospective review of a cohort of 791 patients treated for visceral leishmaniasis. RESULTS: The cohort displayed all the classical signs and symptoms of the disease. The case fatality rate was 18.5% (146) (95% CI: 15.8-21.3%). Logistic regression showed that individuals who experienced at least one episode of vomiting or haemorrhage were more likely to die than those who did not. A subcohort of individuals who tested human immunodeficiency virus (HIV)-positive were more than four times more likely to die than those who tested HIV-negative (OR 4.5, 95% CI: 1.8-11.4). CONCLUSION: This study identifies characteristics associated with death in this population and highlights the devastating effect of co-infection with visceral leishmaniasis and HIV in the African context.
OBJECTIVES: To identify characteristics that increased the risk of mortality in Ethiopian visceral leishmaniasispatients in a treatment programme managed by Médecins sans Frontières, in Tigray, Northern Ethiopia. METHODS: Retrospective review of a cohort of 791 patients treated for visceral leishmaniasis. RESULTS: The cohort displayed all the classical signs and symptoms of the disease. The case fatality rate was 18.5% (146) (95% CI: 15.8-21.3%). Logistic regression showed that individuals who experienced at least one episode of vomiting or haemorrhage were more likely to die than those who did not. A subcohort of individuals who tested human immunodeficiency virus (HIV)-positive were more than four times more likely to die than those who tested HIV-negative (OR 4.5, 95% CI: 1.8-11.4). CONCLUSION: This study identifies characteristics associated with death in this population and highlights the devastating effect of co-infection with visceral leishmaniasis and HIV in the African context.
Authors: Stanislaw Gorski; Simon M Collin; Koert Ritmeijer; Kees Keus; Francis Gatluak; Marius Mueller; Robert N Davidson Journal: PLoS Negl Trop Dis Date: 2010-06-08
Authors: M Echchakery; J Nieto; S Boussaa; N El Fajali; S Ortega; K Souhail; H Aajly; C Chicharro; E Carrillo; J Moreno; A Boumezzough Journal: Parasitol Res Date: 2018-02-24 Impact factor: 2.289