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- Title
ulcers in a primary health clinic in Rwanda: impact of HIV infection on diagnosis and ulcer healing (1986-1992).
- Authors
Bogaerts, Jos; Kestens, Luc; Van Dyck, Eddy; Tello, Waldina Martinez; Akingeneye, Jeannette; Mukantabana, Véronique
- Abstract
During 1986-88 and 1990-92, 1025 (97%) out of 1057 genital ulcer patients in Kigali, Rwanda, were tested for HIV antibodies and for infection with Treponema pallidum, Haemophilus ducreyi and herpes simplex virus. Overall, 57% of men and 80% of women had antibodies to HIV-1. The most frequent laboratory diagnoses were chancroid (27%), syphilis (19%) and genital herpes (19%) among men and syphilis (35%), genital herpes (23%) and chancroid (20%) among women. HIV-1 seroprevalence increased sharply over time among men but not among women. The clinical presentation of ulcers as well as laboratory diagnoses were similar in the HIV-1 seropositive and seronegative groups. The relative frequency of all laboratory diagnoses remained unchanged over time. HIV-1 seropositivity had no impact on ulcer healing. Advanced immunodeficiency was diagnosed among 12% of the HIV-1 seropositive patients and was significantly associated with increasing age and genital herpes.
- Subjects
GENITALIA infections; TREPONEMA pallidum; HAEMOPHILUS ducreyi; HERPESVIRUS diseases; HIV infections; IMMUNOGLOBULINS
- Publication
International Journal of STD & AIDS, 1998, Vol 9, Issue 11, p706
- ISSN
0956-4624
- Publication type
Article
- DOI
10.1258/0956462981921242