Zygomycosis (mucormycosis) and HIV infection: report of three cases and review

Article Abstract:

Zygomycosis may be the initial presentation of AIDS in HIV-positive drug users. Zygomycosis is a fungal infection. Researchers describe three HIV-infected patients who were diagnosed with zygomycosis. All had a history of injection drug use. A literature search revealed 12 more cases for a total of 15. Thirteen had AIDS and all had a CD4+ T cell count below 400. Nine were active injection drug users. Three had low levels of white blood cells prior to the infection, but none of the other patients had the usual risk factors for zygomycosis. In eight cases, zygomycosis was the initial diagnosis that brought their HIV status to the physician's attention. In almost all cases, tissue biopsy was necessary to diagnose the infection. All of the patients received the antifungal drug amphotericin and six were also treated surgically. The combination of surgery and medication appears to be the most effective treatment for this condition.

Case studies, Complications and side effects, AIDS (Disease), Mucormycosis

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Predictors of HIV infection among newly sentenced male prisoners

Article Abstract:

HIV infection among newly sentenced male prison inmates can be predicted by their race and behavioral histories. Researchers surveyed 975 prisoners and anonymously tested them for HIV infection. Overall, 6% were HIV-positive. Injecting drug users were 19 times as likely to have HIV. The disease was substantially more common in blacks, Hispanics, those with previous sexually transmitted diseases, and those with psychiatric illnesses. Seventy-one percent of HIV-positive prisoners honestly reported their infected status. HIV risk reduction education should be emphasized in prisons.

Health aspects, Demographic aspects, Surveys, HIV infection, Drug addicts, Drug abusers, Prisoners

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Acceptance and adherence with antiretroviral therapy among HIV-infected women in a correctional facility

Article Abstract:

A good physician-patient relationship and satisfaction with the health care system may improve HIV patients' compliance with their medication. Researchers analyzed the characteristics of 102 HIV-infected female prisoners, about 75% of whom were taking antiviral drugs. Sixty-two percent of these women were compliant with their therapy. They were more likely to trust the medication, to have a good relationship with their doctor and have an emotional support system.

Evaluation, Women, Drug therapy, Patient compliance, Beliefs, opinions and attitudes, HIV infection in women

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