Document 0835
 DOCN  M9470835
 TI    Acute arthritis and human immunodeficiency virus infection in Rwanda.
 DT    9409
 AU    Blanche P; Taelman H; Saraux A; Bogaerts J; Clerinx J; Batungwanayo J;
       Kagame A; Sicard D; Menkes CJ; Van de Perre P; Department of Internal
       Medicine, Centre Hospitalier de Kigali,; Rwanda.
 SO    J Rheumatol. 1993 Dec;20(12):2123-7. Unique Identifier : AIDSLINE
       MED/94285162
 AB    OBJECTIVE. To determine the etiology of acute arthritis observed in
       adults and to define its relationship with human immunodeficiency virus
       1 (HIV-1) infection in Kigali, capital city of Rwanda. METHODS. From
       September 1, 1989 until March 31, 1990 we conducted a study of all new
       patients admitted with acute arthritis to the outpatient and inpatient
       services of the Department of Internal Medicine at the Centre
       Hospitalier de Kigali, in Kigali, Rwanda, a city highly endemic for HIV
       infection. RESULTS. Thirty-six patients (27 men 9 women; mean age: 31
       years, range 18-65) were included in the study. Twenty-six (72%) were
       HIV seropositive. Two main diagnostic categories emerged, both strongly
       associated with HIV infection: (1) aseptic arthritis: 16 (44.5%)
       patients including 12 (33.5%) patients with spondyloarthropathy of whom
       10 (83%) were HIV seropositive, and 4 (11%) patients with HIV related
       arthritis, (2) septic arthritis: 11 (30%) patients of whom 9 (82%) were
       HIV seropositive, including 4 with gonococcal, 2 with staphylococcal, 1
       with Salmonella B and 2 with tuberculous arthritis. CONCLUSION. In an
       area highly endemic for HIV, acute arthritis should be considered a
       possible manifestation of HIV infection and should prompt HIV testing.
 DE    Acquired Immunodeficiency Syndrome/*COMPLICATIONS/*EPIDEMIOLOGY  Acute
       Disease  Adolescence  Adult  Aged  Arthritis,
       Infectious/*COMPLICATIONS/*EPIDEMIOLOGY  Female  Human  Male  Middle Age
       Rwanda/EPIDEMIOLOGY  Salmonella Infections/*COMPLICATIONS/*EPIDEMIOLOGY
       Staphylococcal Infections/*COMPLICATIONS/*EPIDEMIOLOGY  JOURNAL ARTICLE

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