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The Journal of the Royal Society for the Promotion of Health, Vol. 123, No. 2, 117-119 (2003)
DOI: 10.1177/146642400312300217

Prevalence of HIV-1 infection among patients with leprosy and pulmonary tuberculosis in a semi-arid region, Nigeria

A E Moses

Department of Immunology and Infectious Diseases, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria, amoses264{at}yahoo.com

K A Adelowo

Department of Immunology and Infectious Diseases, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria

B B Ajayi

Department of Immunology and Infectious Diseases, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria

Much evidence exists on pulmonary tuberculosis (PTB) as a presenting feature of HIV infection or AIDS-related complex, while few reports exist of a direct association between HIV infection and leprosy.

This study was carried out to see whether or not an association between leprosy and HIV infection existed, similar to that of PTB in the region of Maiduguri, Nigeria.

Of 105 patients with leprosy, 11(10.5%) were positive for HIV antibody. Of 58 patients with suspected PTB, 11(19%) were positive for HIV antibody. Twenty-seven (47%) of the 58 had active PTB, with results of sputum smear and culture positive for mycobacterium, and six of these (22.2%) were also positive for HIV antibody. Odds ratios (OR) obtained by conditional logistic regression (matched) analysis were 3.52 (95%, CI 1.03-12.07) and 2.53 (95%, CI 1.04-6.15) for association between HIV-1 and PTB and leprosy, respectively. HIV infection was more prevalent among leprosy patients aged under 30 years, OR=4.25 (95%, CI 1.25-14.42). The prevalence of HIV-1 infection was at borderline significance, higher in PTB and leprosy patients than in blood donors, Fisher’s exact test (two-tailed) p=0.07 and p=0.05, respectively.

Key Words: HIV infection • leprosy • pulmonary tuberculosis • Nigeria


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