Cryptoccocal meningitis and HIV in the era of HAART in Côte d'Ivoire

E F Aoussi1, E Ehui, J P Dembélé

  • 1Service des maladies infectieuses et tropicales, CHU de Treichville, 01 BP V3, Abidjan 01, Côte d'Ivoire. ebaaoussi@hotmail.com

Insights

Cryptococcal meningitis is common in HIV-infected adults in Ivory Coast, with a high mortality rate. Early management of cryptococcal meningitis is crucial for improving patient outcomes.

Area of Science:

  • Infectious Diseases
  • Neurology
  • Public Health

Background:

  • Cryptococcal meningitis is a significant opportunistic infection in individuals with Human Immunodeficiency Virus (HIV).
  • Management strategies and outcomes for cryptococcal meningitis in resource-limited settings require further elucidation.

Purpose of the Study:

  • To describe the clinical management and outcomes of cryptococcal meningitis among HIV-infected adults in Ivory Coast.

Main Methods:

  • A retrospective study analyzed data from 80 hospitalized patients with cryptococcal meningitis between 2005 and 2008.
  • Data collected included socio-demographic, clinical, and biological characteristics, treatment regimens, and patient outcomes.

Main Results:

  • The study included 80 patients (51.25% male, mean age 40 years) with cryptococcal meningitis, representing 2.6% of hospitalizations.
  • Common symptoms included headache (83.7%), fever (63.7%), and altered consciousness (60%). 67.5% were not on antiretroviral therapy (ART) with low CD4 counts.
  • The mortality rate was high at 41.2%, despite treatment with Amphotericin B and fluconazole in most cases.

Conclusions:

  • Cryptococcal meningitis remains a frequent and often fatal complication in HIV-infected adults in Ivory Coast, even with ART availability.
  • The high mortality rate underscores the critical need for prompt diagnosis and effective management strategies to improve prognosis.
Abstract

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