Enterobacteriaceae bacteriemia in human deficiency virus seropositive in patients at Bobo-Dioulasso hospital (Burkina Faso): study of 26 cases.

Objective - The authors had for aim to assess the occurrence, the clinical and bacteriological features, and the outcome of Enterobacteriaceae bactere mia in HIV patients, in the Bobo-Dioulasso Hospital. Material and methods -A retrospective study of HIV seropositive adult in-pa tients admitted from December 1994 to January 1996 was carried out Results - Twenty six cases of Enterobacteriaceae bacteremia associated with HIV infection were observed The sex-ratio was 2.7 and the mean age was 34 years. These 26 cases represent 5.7% of HIV in-patients over the study time . Fever; diarrhea, wasting, and oral thrush were the main clinical findings . Salmonella typhi and Salmonella paratyphi made up 76.9% of the isolates. E. coli was found in three cases (11.5%). K. pneumoniae, S. flexneri, H. al vei were isolated once respectively (3.84%). Sensibility of salmonella spec ies to antibiotics was good. Other gram negative isolates were often resist ant to Aminopenicillins. Associated diseases account for the high mortality (53%). (C) 2000 Editions scientifiques et medicales Elsevier SAS.