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Acute arthritis and human immunodeficiency virus infection in Rwanda.
Blanche P; Taelman H; Saraux A; Bogaerts J; Clerinx J; Batungwanayo J;
September 30, 1994
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