Document 0143
 DOCN  M9580143
 TI    Viral infections: musculoskeletal infection in the human
       immunodeficiency virus (HIV) infected patient.
 DT    9506
 AU    Jellis JE; University of Zambia, School of Medicine, Lusaka.
 SO    Baillieres Clin Rheumatol. 1995 Feb;9(1):121-32. Unique Identifier :
       AIDSLINE MED/95246149
 AB    HIV disease has reached epidemic proportions in Africa over the last
       decade and is severely stretching the health services of the many poor
       countries of the region. Increased sepsis during fracture surgery and
       the late infection of implants impels us to rethink many standard
       methods of treatment. Musculoskeletal infections, including tropical
       pyomyositis and long bone haematogenous osteomyelitis, are now common
       manifestations of advanced HIV disease in adults. Despite their severe
       infections, such patients may survive for more than 5 years and
       certainly cannot be written off as terminally ill. Treatment is often
       prolonged and, in the case of osteomyelitis, may necessitate amputation.
       These patients now occupy many of the available orthopaedic beds.
 DE    Adolescence  Adult  Africa/EPIDEMIOLOGY  Child, Preschool  Female
       Fractures/*COMPLICATIONS/EPIDEMIOLOGY  Human  HIV
       Infections/*COMPLICATIONS/EPIDEMIOLOGY  Infant  Male  Middle Age
       Myositis/*COMPLICATIONS/EPIDEMIOLOGY
       Osteomyelitis/*COMPLICATIONS/EPIDEMIOLOGY  Prosthesis-Related
       Infections/COMPLICATIONS/EPIDEMIOLOGY  JOURNAL ARTICLE

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