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Acute arthritis and human immunodeficiency virus infection in Rwanda.


J Rheumatol. 1993 Dec;20(12):2123-7. Unique Identifier : AIDSLINE

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.

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


Information in this article was accurate in September 30, 1994. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.