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British Medical Bulletin 54:383-393 (1998)
© 1998 The British Council

research-article

Acute bacterial infections and HIV disease

Charles F Gilks

Liverpool School of Tropical Medicine Liverpool L3 5QA, UK

Correspondence to Dr Charles F Gilks, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool 13 5QA, UK

Abstract

Some acute bacterial infections, notably those caused by the pneumococcus and the non-typhi salmonellae, have not traditionally been considered as leading diseases in tropical medicine, despite their ubiquitous distribution and impact on health. The HIV/AIDS epidemic is forcing a re-evaluation of this position because of their importance in immunosuppressed adults, particularly where exposure is high and treatment relatively inadequate. The problem of acute bacterial disease in HIV/AIDS is outlined in industrialised countries and contrasted with the problem in tropical countries. Specific insights into HIV-related pneumococcal disease and non-typhi salmonellosis that have come from work in the tropics are then discussed. These infections need now to be recognised as an important element of tropical medicine.


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C. F Gilks
HIV care in non-industrialised countries
Br. Med. Bull., September 1, 2001; 58(1): 171 - 186.
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