Manifestaciones clínicas de la infección por el VIH en diferentes áreas geográficas | Enfermedades Infecciosas y Microbiología Clínica

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Las manifestaciones clínicas de la infección por el virus de la inmunodeficiencia humana (VIH) varían considerablemente según las diferentes áreas geográficas. Mientras en los países occidentales las enfermedades relacionadas con el VIH son bien conocidas, hay relativamente pocos estudios que describan las manifestaciones clínicas del VIH en países tropicales, donde vive la gran mayoría de los pacientes infectados por el VIH. Además, el VIH puede variar la historia natural de las enfermedades tropicales de diversas maneras, y éstas pueden tener un impacto en el curso de la infección por el VIH. En esta revisión, se describen las enfermedades oportunistas más relevantes que aparecen en pacientes con infección por el VIH/sida en África, América Latina y Asia, y se revisan las interacciones mutuas entre el VIH y las principales enfermedades tropicales propias de cada región.

Palabras clave:

VIH

Enfermedades oportunistas

Medicina tropical

The clinical manifestations of HIV infection vary widely in distinct geographical areas. While HIV-related disease has been well characterized in western countries, relatively few publications have described the clinical manifestations of these diseases in tropical areas, where the vast majority of HIV-infected people are concentrated. In addition, HIV infection may alter the natural history of tropical diseases in several ways and tropical diseases influence the course of HIV infection. The present review describes the major opportunistic infections afflicting people with HIV/AIDS in Africa, Latin America, and Asia and discusses the mutual interactions between HIV and the major tropical diseases.

Key words:

HIV

Opportunistic infections

Tropical medicine

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Bibliografía

[1.]

UNAIDS/World Health Organization. AIDS epidemic update, December 2006. [Acceso 6 diciembre 2006.] Disponible en: http://data.unaids.org/pub/EpiReport/2006/2006_EpiUpdate_en.pdf

[2.]

UNAIDS. HIV-related opportunistic diseases: UNAIDS technical update. October 1998. [Acceso 6 diciembre 2006.] Disponible en: http://www.who.int/3by5/en/opportu_en_pdf.pdf

[3.]

G. Harms, H. Feldmeier.

HIV infection and tropical parasitic diseases: deleterious interactions in both directions?.

Trop Med Int Health, 7 (2002), pp. 479-488

Medline

[4.]

G. Harms, H. Feldmeier.

The impact of HIV infection on tropical diseases.

Infect Dis Clin North Am, 19 (2005), pp. 121-135

http://dx.doi.org/10.1016/j.idc.2004.10.002 | Medline

[5.]

F.E. McCutchan.

Global epidemiology of HIV.

J Med Virol, 78 (2006), pp. S7-S12

http://dx.doi.org/10.1002/jmv.20599 | Medline

[6.]

J.F. Murray.

Pulmonary complications of HIV-1 infection among adults living in Sub-Saharan Africa.

Int J Tuberc Lung Dis, 9 (2005), pp. 826-835

Medline

[7.]

C.B. Holmes, E. Losina, R.P. Walensky, Y. Yazdanpanah, K.A. Freedberg.

Review of human immunodeficiency virus type 1-related opportunistic infections in sub-Saharan Africa.

Clin Infect Dis, 36 (2003), pp. 652-662

[8.]

A.D. Grant, J.E. Kaplan, K.M. De Cock.

Preventing opportunistic infections among human immunodeficiency virus-infected adults in African countries.

Am J Trop Med Hyg, 65 (2001), pp. 810-821

[9.]

C.A. Pettipher, A.S. Karstaedt, M. Hopley.

Prevalence and clinical manifestations of disseminated Mycobacterium avium complex infection in South Africans with acquired immunodeficiency syndrome.

Clin Infect Dis, 33 (2001), pp. 2068-2071

http://dx.doi.org/10.1086/323979 | Medline

[10.]

J. Frean, S. Arndt, D. Spencer.

High rate of Bartonella henselae infection in HIV-positive outpatients in Johannesburg, South Africa.

Trans R Soc Trop Med Hyg, 96 (2002), pp. 549-550

Medline

[11.]

A. Morris, J.D. Lundgren, H. Masur, P.D. Walzer, D.L. Hanson, T. Frederick, et al.

Current epidemiology of Pneumocystis pneumonia.

Emerg Infect Dis, 10 (2004), pp. 1713-1720

http://dx.doi.org/10.3201/eid1010.030985 | Medline

[12.]

L.A. Spacek, T.C. Quinn.

HIV/AIDS-related Problems in Developing Countries.

Cohen & Powderly: Infectious Diseases, 2.ª ed.,

[13.]

S.E. Hawes, C.W. Critchlow, M.A. Faye Niang, M.B. Diouf, A. Diop, P. Touré, et al.

Increased risk of high-grade cervical squamous intraepithelial lesions and invasive cervical cancer among African women with human immunodeficiency virus type 1 and 2 infections.

J Infect Dis, 188 (2003), pp. 555-563

http://dx.doi.org/10.1086/376996 | Medline

[14.]

K.C. Katz, S.L. Walmsley, A.G. McLeod, J.S. Keystone, A.S. Detsky.

Clinical problem-solving. Where are you from?.

N Engl J Med, 346 (2002), pp. 764-767

http://dx.doi.org/10.1056/NEJMcps3461002 | Medline

[15.]

L. Slutsker, B.J. Marston.

HIV and malaria: interactions and implications.

Curr Opin Infect Dis, 20 (2007), pp. 3-10

http://dx.doi.org/10.1097/QCO.0b013e328012c5cd | Medline

[16.]

E.F. Kjetland, P.D. Ndhlovu, E. Gomo, T. Mduluza, N. Midzi, L. Gwanzura, et al.

Association between genital schistosomiasis and HIV in rural Zimbabwean women.

AIDS, 20 (2006), pp. 593-600

http://dx.doi.org/10.1097/01.aids.0000210614.45212.0a | Medline

[17.]

J. Cohen.

HIV/AIDS: Latin America & Caribbean. Overview: the overlooked epidemic.

Science, 313 (2006), pp. 468-469

http://dx.doi.org/10.1126/science.313.5786.468 | Medline

[18.]

E.D. Moreira Junior, N. Silva, C. Brites, E.M. Carvalho, J.C. Bina, R. Badaro, et al.

Characteristics of the acquired immunodeficiency syndrome in Brazil.

Am J Trop Med Hyg, 48 (1993), pp. 687-692

Medline

[19.]

A. Villasis-Keever, M.S. Rangel-Frausto, G. Ruiz-Palacios, S. Ponce de Leon-Rosales.

Clinical manifestations and survival trends during the first 12 years of the AIDS epidemic in Mexico.

Arch Med Res, 32 (2001), pp. 62-65

Medline

[20.]

V. Nobre, E. Braga, A. Rayes, J.C. Serufo, P. Godoy, N. Nunes, et al.

Opportunistic infections in patients with AIDS admitted to an university hospital of the Southeast of Brazil.

Rev Inst Med Trop Sao Paulo, 45 (2003), pp. 69-74

Medline

[21.]

P. Cahn, W.H. Belloso, J. Murillo, G. Prada-Trujillo.

AIDS in Latin America.

Infect Dis Clin North Am, 14 (2000), pp. 185-209

Medline

[22.]

L. Chacin-Bonilla, J. Estévez, F. Monsalve, L. Quijada.

Cyclospora cayetanensis infections among diarrheal patients from Venezuela.

Am J Trop Med Hyg, 65 (2001), pp. 351-354

Medline

[23.]

V. Pintado, R. López-Vélez.

HIV-associated visceral leishmaniasis.

Clin Microbiol Infect, 7 (2001), pp. 291-300

Medline

[24.]

J. Wheat.

Endemic Mycoses in AIDS: a clinical review.

Clin Microbiol Rev, 8 (1995), pp. 146-159

Medline

[25.]

K. Ruxrungtham, T. Brown, P. Phanuphak.

HIV/AIDS in Asia.

Lancet, 364 (2004), pp. 69-82

http://dx.doi.org/10.1016/S0140-6736(04)16593-8 | Medline

[26.]

N. Kumarasamy, S. Vallabhaneni, T.P. Flanigan, K.H. Mayer, S. Solomon.

Clinical profile of HIV in India.

Indian J Med Res, 121 (2005), pp. 377-394

Medline

[27.]

J.P. Narain, Y.R. Lo.

Epidemiology of HIV-TB in Asia.

Indian J Med Res, 120 (2004), pp. 277-289

Medline

[28.]

J.K. Maniar, A.R. Chitale, A. Miskeen, K. Shah, A. Maniar.

Penicillium marneffei infection: an AIDS-defining illness.

Indian J Dermatol Venereol Leprol, 71 (2005), pp. 202-204

Medline

[29.]

N. Vanittanakom, C.R. Cooper Jr, M.C. Fisher, T. Sirisanthana.

Penicillium marneffei infection and recent advances in the epidemiology and molecular biology aspects.

Clin Microbiol Rev, 19 (2006), pp. 95-110

[30.]

W. Chierakul, V. Wuthiekanun, W. Chaowagul, P. Amornchai, A.C. Cheng, N.J. White, et al.

Short report: disease severity and outcome of melioidosis in HIV coinfected individuals.

Am J Trop Med Hyg, 73 (2005), pp. 1165-1166

Medline

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