Estudo de fatores de risco, sororreatividade e perfil clínico de pacientes HIV/Aids co-infectados com Toxoplasma gondii em Natal, Rio Grande do Norte
Toxoplasma gondii is the main etiological agent responsible for central nervous system involvement in HIV / AIDS patients. The screening of patients with HIV / AIDS related to the positivity for T. gondii, associated to the determination of the number of CD4+ T lymphocytes, may help to reduce the mo...
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| Formato: | Dissertação |
| Idioma: | por |
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Brasil
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/22615 |
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| Resumo: | Toxoplasma gondii is the main etiological agent responsible for central nervous system involvement in HIV / AIDS patients. The screening of patients with HIV / AIDS related to the positivity for T. gondii, associated to the determination of the number of CD4+ T lymphocytes, may help to reduce the morbidity and mortality related to this co-infection. The present study had as general objective to evaluate the frequency of T. gondii infection in HIV positive patients and to correlate clinical, serological and epidemiological aspects. For this, 179 HIV positive patients were evaluated at the Hospital Giselda Trigueiro. Serological tests were performed using the ELISA technique, while the clinical and epidemiological analyzes occured through research in medical records and questionnaire application, respectively. In addition, molecular analysis was performed by PCR in peripheral blood samples from 11 HIV patients hospitalized with neurotoxoplasmosis (suspected or confirmed). Our results indicate a high rate of T. gondii infection among patients with HIV / AIDS (83.8%), being detected neurotoxoplasmosis (11.7%) and ocular toxoplasmosis (3.35%). The presence of cats and raw salad ingestion were identified as risk factors, increasing the chance of acquiring the infection in 2.6 and 3.4 times, respectively. The most frequent clinical manifestations among all patients affected by cerebral toxoplasmosis consisted of: paresis / hemiparesis (65.62%), headache (37.50%) and changes in consciousness (28.12%). Besides that, among hospitalized HIV / AIDS patients, neurotoxoplasmosis was due to latent infection reactivation. The molecular evaluation presented limitations on the diagnosis of neurotoxoplasmosis. It is concluded that the accomplishment of this work allowed an epidemiological and clinical characterization of the toxoplasmosis in HIV / AIDS patients of Rio Grande do Norte, being a pioneer study in the region. |
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