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Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
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Cognitive function in HIV-seropositive Nigerians without AIDS.

Fatai K Salawu1, Sunday A Bwala, Musa A Wakil

  • 1Department of Medicine, State Specialist Hospital, Maiduguri, Nigeria. dr_abdulsalawu@yahoo.com

Journal of the Neurological Sciences
|November 16, 2007
PubMed
Summary

Cognitive function in Nigerian adults with asymptomatic HIV infection showed differences compared to HIV-negative individuals. However, CD4 cell count did not correlate with these cognitive changes.

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Area of Science:

  • Neuroscience
  • Infectious Diseases
  • Public Health

Background:

  • Cognitive impairment in HIV-positive individuals varies globally.
  • Limited data exists on early HIV infection's cognitive impact in developing nations, particularly Nigeria.

Purpose of the Study:

  • To investigate cognitive differences between asymptomatic HIV-seropositive and HIV-seronegative Nigerians.
  • To determine if CD4 cell count explains cognitive variations in early HIV infection.

Main Methods:

  • Cross-sectional study involving 60 asymptomatic, treatment-naive HIV-positive subjects and matched controls.
  • The Community Screening Instrument for Dementia (CSI-D) was used to assess various cognitive domains.

Main Results:

  • HIV-positive subjects demonstrated significant differences in language, registration, attention, calculation, orientation, and motor response compared to controls.
  • No significant correlation was found between CD4 cell count and cognitive test scores in HIV-positive individuals.

Conclusions:

  • Asymptomatic HIV infection is associated with detectable cognitive changes in Nigerian adults.
  • Cognitive deficits in early HIV infection are not explained by the degree of immunosuppression (CD4 count) in this population.