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El Fane M, Sodqi M, Lamdini H, Marih L, Lahsen AO, Chakib A, El Filali KM. [Central Neurological Diagnosis in Patients Infected with HIV in the Infectious Diseases Unit of University Hospital of Casablanca, Morocco]. ACTA ACUST UNITED AC 2019; 111:24-30. [PMID: 30763499 DOI: 10.3166/bspe-2018-0004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2017] [Accepted: 11/22/2017] [Indexed: 11/20/2022]
Abstract
The aim of this work is to study the epidemiology of central neurological system (CNS) diagnosed in the population of people living with HIV in the department of infectious diseases in UHC Ibn Rochd of Casablanca from January 2005 to May 2015. The demographic and clinical profile along with the outcome of these patients were studied. The data were collected from Nadis software. Three hundred and eighty-seven patients were admitted for CNS diagnosis, out of 3496 people living with HIV admitted during this time period, i.e., a prevalence of 11%. The sex ratio (M/F) was 1.27. The average age was 39 years (± 7). Neurological involvement was indicative of HIV infection in 225 cases (68.8%). Neurological disorders were dominated by headache (70%), focal neurological syndrome (35%), and meningeal syndrome (30%). CNS diagnosis noted were CNS tuberculosis (37%), cerebral toxoplasmosis (30%), and cryptococcal meningitis (20%). The median CD4 T-lymphocyte was 184 cells/mm3. Infection with severe immunosuppression was progressive multifocal leucoencephalitis, cryptococcal meningitis, and primary cerebral lymphoma. Lethality was 39%. In the department of infectious diseases of the UHC, the main cause of death among HIV-infected patients is tuberculosis. Collaboration between the national tuberculosis and AIDS programs has been established to improve the detection and management of these patients.
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Affiliation(s)
- M El Fane
- Service des maladies infectieuses, CHU de Ibn Rochd, Casablanca, Maroc ; Faculté de médecine et de pharmacie, université Ibn Zohr, Agadir, Maroc.,Faculté de médecine et de pharmacie, université Ibn Zohr, Agadir, Maroc
| | - M Sodqi
- Service des maladies infectieuses, CHU de Ibn Rochd, Casablanca, Maroc.,Faculté de médecine et de pharmacie, université Ibn Zohr, Agadir, Maroc
| | - H Lamdini
- Service des maladies infectieuses, CHU de Ibn Rochd, Casablanca, Maroc.,Faculté de médecine et de pharmacie, université Ibn Zohr, Agadir, Maroc
| | - L Marih
- Service des maladies infectieuses, CHU de Ibn Rochd, Casablanca, Maroc.,Faculté de médecine et de pharmacie, université Ibn Zohr, Agadir, Maroc
| | - A Oulad Lahsen
- Service des maladies infectieuses, CHU de Ibn Rochd, Casablanca, Maroc.,Faculté de médecine et de pharmacie, université Ibn Zohr, Agadir, Maroc
| | - A Chakib
- Service des maladies infectieuses, CHU de Ibn Rochd, Casablanca, Maroc.,Faculté de médecine et de pharmacie, université Ibn Zohr, Agadir, Maroc
| | - K Marhoum El Filali
- Service des maladies infectieuses, CHU de Ibn Rochd, Casablanca, Maroc.,Faculté de médecine et de pharmacie, université Ibn Zohr, Agadir, Maroc
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Dollo I, Marih L, El Fane M, Es-Sebbani M, Sodqi M, Oulad Lahsen A, Chakib A, El Kadioui F, Hamdani A, El Mabrouki MJ, Soussi Abdallaoui M, Karima Z, Hassoune S, Maaroufi A, Marhoum El Filali K. [Retrospective study of neuromeningeal cryptococcosis in patients infected with HIV in the infectious diseases unit of university hospital of Casablanca, Morocco]. J Mycol Med 2016; 26:331-336. [PMID: 27520534 DOI: 10.1016/j.mycmed.2016.06.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2016] [Revised: 06/21/2016] [Accepted: 06/24/2016] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To report the cases of neuromeningeal cryptococcosis and to describe the clinical, paraclinical, therapeutic and outcomes of patients. PATIENTS AND METHODS Retrospective study of 43 patients infected with HIV admitted from January first 2010 to June 30th 2015 in the infectious disease unit of UHC Ibn Rochd, for neuromeningeal cryptococcus. RESULTS The mean frequency of neuromeningeal cryptococcosis in patients infected with HIV was 1.4%. The mean age was 39 years and a sex ratio of 1.38. The mean CD4 count was 70 cells/mm3. The diagnosis of HIV was revealed by neuromeningeal cryptococcus in 77% of cases. Fifteen days interval was reported between the first symptom and hospital admission. Headache (77%) was the most represented clinical sign. The cerebrospinal fluid analysis showed hypoglycorachy (67%), hyperproteinorachy (65%) and lymphocytosis (63%). Chinese ink direct examination for Cryptococcus neoformans in CSF was positive in 86% of cases and all cases were positive after culture on Sabouraud's medium. Patients were treated with monotherapy amphotericin B (42%) or fluconazole (28%) and bitherapy amphotéricine B/fluconazole (28%). Fatal evolution was observed in 60% of cases. CONCLUSION Neuromeningeal cryptococcosis remains a severe opportunistic infection in HIV patients with a heavy mortality rate.
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Affiliation(s)
- I Dollo
- Service des maladies infectieuses, CHU Ibn Rochd, Casablanca, Maroc.
| | - L Marih
- Service des maladies infectieuses, CHU Ibn Rochd, Casablanca, Maroc
| | - M El Fane
- Service des maladies infectieuses, CHU Ibn Rochd, Casablanca, Maroc
| | - M Es-Sebbani
- Service des maladies infectieuses, CHU Ibn Rochd, Casablanca, Maroc
| | - M Sodqi
- Service des maladies infectieuses, CHU Ibn Rochd, Casablanca, Maroc
| | - A Oulad Lahsen
- Service des maladies infectieuses, CHU Ibn Rochd, Casablanca, Maroc
| | - A Chakib
- Service des maladies infectieuses, CHU Ibn Rochd, Casablanca, Maroc
| | - F El Kadioui
- Laboratoire de parasitologie-mycologie, CHU Ibn Rochd, Casablanca, Maroc
| | - A Hamdani
- Laboratoire de parasitologie-mycologie, CHU Ibn Rochd, Casablanca, Maroc
| | - M J El Mabrouki
- Laboratoire de parasitologie-mycologie, CHU Ibn Rochd, Casablanca, Maroc
| | | | - Z Karima
- Laboratoire d'épidémiologie, FACULTE de médecine de pharmacie de Casablanca, Casablanca, Maroc
| | - S Hassoune
- Laboratoire d'épidémiologie, FACULTE de médecine de pharmacie de Casablanca, Casablanca, Maroc
| | - A Maaroufi
- Laboratoire d'épidémiologie, FACULTE de médecine de pharmacie de Casablanca, Casablanca, Maroc
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Fayssel N, Bensghir R, Ouladlahsen A, Abdelghaffar H, Sodqi M, Lahlou K, Benjelloun S, Marhoum El Filali K, Ezzikouri S, Wakrim L. Association of CD209L tandem repeats polymorphism with susceptibility to human immunodeficiency virus-1 infection, disease progression, and treatment outcomes: a Moroccan cohort study. Clin Microbiol Infect 2014; 21:513.e1-5. [PMID: 25656622 DOI: 10.1016/j.cmi.2014.12.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2014] [Revised: 12/05/2014] [Accepted: 12/11/2014] [Indexed: 01/07/2023]
Abstract
In order to investigate the association between length variation of the CD209L neck region and human immunodeficiency virus (HIV)-1 susceptibility, disease progression, and treatment response outcomes, we genotyped 139 HIV-1-seropositive and 109 seronegative individuals. The heterozygous genotype 6/5 showed a significant increased risk of HIV-1 infection (OR 3.03, 95% CI 0.99-9.33, p 0.046). Moreover, after highly active antiretroviral therapy (HAART), HIV-1-seropositive individuals carrying the 6/5, 7/5 and 7/7 genotypes and alleles 5, 6 and 7 showed good CD4(+) T-cell recovery. In addition, individuals with the 7/5, 6/6 and 7/7 genotypes showed a significant decrease in viral load during the treatment period as compared with baseline (p < 0.05). Interestingly, we found that alleles 4 and 6 were associated with protection against AIDS progression. D209L variation may influence susceptibility to HIV-1, response to treatment, and disease progression.
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Affiliation(s)
- N Fayssel
- Virology Unit, Immunovirology Laboratory, Pasteur Institute of Morocco, Casablanca, Morocco
| | - R Bensghir
- Laboratoire de Biochimie, Environnement & Agroalimentaire, Université Hassan II, Facultédes Sciences et Techniques, Mohammedia-Casablanca, Morocco
| | - A Ouladlahsen
- Laboratoire de Biochimie, Environnement & Agroalimentaire, Université Hassan II, Facultédes Sciences et Techniques, Mohammedia-Casablanca, Morocco
| | - H Abdelghaffar
- Service des Maladies Infectieuses, CHU Ibn Rochd, Casablanca, Morocco
| | - M Sodqi
- Laboratoire de Biochimie, Environnement & Agroalimentaire, Université Hassan II, Facultédes Sciences et Techniques, Mohammedia-Casablanca, Morocco
| | - K Lahlou
- Virology Unit, Immunovirology Laboratory, Pasteur Institute of Morocco, Casablanca, Morocco
| | - S Benjelloun
- Virology Unit, Viral Hepatitis Laboratory, Pasteur Institute of Morocco, Casablanca, Morocco
| | - K Marhoum El Filali
- Laboratoire de Biochimie, Environnement & Agroalimentaire, Université Hassan II, Facultédes Sciences et Techniques, Mohammedia-Casablanca, Morocco
| | - S Ezzikouri
- Virology Unit, Viral Hepatitis Laboratory, Pasteur Institute of Morocco, Casablanca, Morocco.
| | - L Wakrim
- Virology Unit, Immunovirology Laboratory, Pasteur Institute of Morocco, Casablanca, Morocco.
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Gonzalez Sanchidrian S, Cebrian Andrada CJ, Jimenez Herrero MC, Deira Lorenzo JL, Labrador Gomez PJ, Marin Alvarez JP, Garcia-Bernalt Funes V, Gallego Dominguez S, Castellano Cervino I, Gomez-Martino Arroyo JR, Parapiboon W, Boonsom P, Stadler T, Raddatz A, Poppleton A, Hubner W, Fliser D, Klingele M, Rosa J, Sydor A, Krzanowski M, Chowaniec E, Sulowicz W, Vidal E, Mergulhao C, Pinheiro H, Sette L, Amorim G, Fernandes G, Valente L, Ouaddi F, Tazi I, Mabrouk K, Zamd M, El Khayat S, Medkouri G, Benghanem M, Ramdani B, Dabo G, Badaoui L, Ouled Lahcen A, Sosqi M, Marih L, Chakib A, Marhoum El Filali K, Oliveira MJC, Silva Junior G, Sampaio AM, Montenegro B, Alves MP, Henn GAL, Rocha HAL, Meneses GC, Martins AMC, Sanches TR, Andrade LC, Seguro AC, Liborio AB, Daher EF, Haase M, Robra BP, Hoffmann J, Isermann B, Henkel W, Bellomo R, Ronco C, Haase-Fielitz A, Kee YK, Kim YL, Kim EJ, Park JT, Han SH, Yoo TH, Kang SW, Choi KH, Oh HJ, Dharmendra P, Vinay M, Mohit M, Rajesh G, Dhananjai A, Pankaj B, Campos P, Pires A, Inchaustegui L, Avdoshina S, Villevalde S, Kobalava Z, Mukhopadhyay P, Das B, Mukherjee D, Mishra R, Kar M, Biswas NM, Onuigbo M, Agbasi N, Ponce D, Albino BB, Balbi AL, Klin P, Zambrano C, Gutierrez LM, Varela Falcon L, Zeppa F, Bilbao A, Klein F, Raffaele P, Chang KY, Park HS, Kim HW, Choi BS, Park CW, Yang CW, Jin DC, Checherita IA, Peride I, David C, Radulescu D, Ciocalteu A, Niculae A, Balbi A, Goes C, Buffarah M, Xavier P, Ponce D, Karimi SM, Cserep G, Gannon D, Sinnamon K, Saudan P, Alves C, De La Fuente V, Ponte B, Carballo S, Rutschmann O, Martin PY, Stucker F, Rosa J, Sydor A, Krzanowski M, Chowaniec E, Sulowicz W, Saurina A, Pardo V, Barba N, Jovell E, Pou M, Esteve V, Fulquet M, Duarte V, Ramirez De Arellano M, Sun IO, Yoon HJ, Kim JG, Lee KY, Tiranathanagul K, Sallapant S, Eiam-Ong S, Treeprasertsuk S, Peride I, Radulescu D, David C, Niculae A, Checherita IA, Geavlete B, Ciocalteu A, Ando M, Shingai N, Morito T, Ohashi K, Nitta K, Duarte DB, Silva Junior G, Vanderlei LA, Bispo RKA, Pinheiro ME, Daher EF, Ponce D, Si Nga H, Paes A, Medeiros P, Balbi A, Gentil TMS, Assis LS, Amaral AP, Alvares VRCA, Scaranello KLRS, Soeiro EMD, Castanho V, Castro I, Laranja SM, Barreto S, Molina M, Silvisk M, Pereira BJ, Izem A, Mabrouk K, Amer Mhamed D, El Khayat SS, Zamd M, Medkouri G, Benghanem M, Ramdani B, Donadio C, Klimenko A, Villevalde S, Kobalava Z, Andreoli MC, Souza NK, Ammirati AL, Matsui TN, Naka EL, Carneiro FD, Ramos AC, Lopes RK, Dias ES, Coelho MP, Afonso RC, Ferraz-Neto BH, Almeida MD, Durao M, Batista MC, Monte JC, Pereira VG, Santos OP, Santos BC, Klimenko A, Villevalde S, Kobalava Z, Silva VC, Raimann JG, Nerbass FB, Vieira MA, Dabel P, Richter A, Callegari J, Carter M, Levin NW, Winchester JF, Kotanko P, Pecoits-Filho R, Gjyzari A, Thereska N, Barbullushi M, Koroshi A, Petrela E, Mumajesi S, Kim YL, Kee YK, Han JS, Oh HJ, Park JT, Han SH, Yoo TH, Kang SW, Simone S, Scrascia G, Montemurno E, Rotunno C, Mastro F, Gesualdo L, Paparella D, Pertosa G, Lopes D, Santos C, Cunha C, Gomes AM, Coelho H, Seabra J, Qasem A, Farag S, Hamed E, Emara M, Bihery A, Pasha H, Mukhopadhyay P, Chhaya S, Mukhopadhyay G, Das C, Silva Junior G, Vieira APF, Lima LLL, Nascimento LS, Daher EF, Zawiasa A, Ko Odziejska M, Bia Asiewicz P, Nowak D, Nowicki M. CLINICAL ACUTE KIDNEY INJURY 2. Nephrol Dial Transplant 2014. [DOI: 10.1093/ndt/gfu164] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
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