A clinical and pathological comparison of the WHO and CDC case definitions for AIDS in Kinshasa, Zaïre: is passive surveillance valid?

Objectives: To compare the specificity of the World Health Organization (WHO) and Centers for Disease Control and Prevention (CDC) case definitions for AIDS in autopsy cases from Zaïre.

Setting: Mama Yemo Hospital and University Hospital morgues in Kinshasa, and Karawa Hospital in Equateur Region, Zaïre.

Methods: Autopsy cases with a clinical diagnosis of AIDS on the death certificate or chart were studied.

HIV-1 seropositivity and mortality at University Hospital, Kinshasa, Zaire, 1987.

This study examines the impact of HIV-1 infection and AIDS on 500 of 563 consecutive deaths at University Hospital, Kinshasa, Zaire, in late 1987. HIV-1 seroprevalence was 31% for the entire population and 43% for the 247 adults. Forty-two (38%) of the 110 HIV-1-seropositive adult deaths occurred in those between the ages of 25 and 34 years.

[Lymphoma and Schistosoma mansoni schistosomiasis. Report of 1 case].

A Burkitt's type of lymphocytic lymphoma associated with Schistosoma mansoni intestinal schistosomiasis was diagnosed in a 14 year old Zairian girl. The literature concerning this association is reviewed and discussed and various pathogenic hypotheses are proposed.