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M9610035.TXT
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1996-01-30
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Document 0035
DOCN M9610035
TI Impact of immunodeficiency virus (HIV) on Fournier's gangrene:
observations in Zambia.
DT 9601
AU Elem B; Ranjan P; School of Medicine, University of Zambia, Lusaka.
SO Ann R Coll Surg Engl. 1995 Jul;77(4):283-6. Unique Identifier : AIDSLINE
MED/96005724
AB The results of a prospective study in the University Teaching Hospital,
Lusaka, Zambia, on the impact of Human Immunodeficiency Virus on the
incidence and prognosis of Fournier's gangrene is presented; Zambia has
been in the grip of an HIV epidemic since the early 1980s. A total of 10
patients with an average age of 32 years was observed during a 14-month
period (March 1992-April 1993); eight patients had associated HIV
infection. A contributory factor to the development of Fournier's
gangrene was also present in seven patients, of which six involved the
urinary tract. All patients were managed by early surgical debridement
under antibiotic cover. Two patients died, only one of whom had
associated HIV disease. This study has recorded a significant rise in
the prevalence of Fournier's gangrene in Zambia since the advent of the
HIV epidemic. It has also been documented that provided aggressive
treatment along established lines is initiated without delay, the
coexisting HIV infection does not adversely affect the prognosis of
Fournier's gangrene.
DE Adult Aged Aged, 80 and over AIDS-Related Opportunistic
Infections/*EPIDEMIOLOGY/PATHOLOGY/ SURGERY Fournier's
Gangrene/*EPIDEMIOLOGY/PATHOLOGY/SURGERY Human Incidence Infant Male
Middle Age Prognosis Prospective Studies Zambia/EPIDEMIOLOGY JOURNAL
ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).