Title
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Increased risk for severe malaria in HIV-1infected adults, Zambia
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Author
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Abstract
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To determine whether HIV-1 infection and HIV-1related immunosuppression were risk factors for severe malaria in adults with some immunity to malaria, we conducted a casecontrol study in Luanshya, Zambia, during December 2005March 2007. For each case-patient with severe malaria, we selected 2 matched controls (an adult with uncomplicated malaria and an adult without signs of disease). HIV-1 infection was present in 93% of case-patients, in 52% of controls with uncomplicated malaria, and in 45% of asymptomatic controls. HIV-1 infection was a highly significant risk factor for adults with severe malaria compared with controls with uncomplicated malaria (odds ratio [OR] 12.6, 95% confidence interval [CI] 2.078.8, p = 0.0005) and asymptomatic controls (OR 16.6, 95% CI 2.5111.5, p = 0.0005). Persons with severe malaria were more likely to have a CD4 count <350/μL than were asymptomatic controls (OR 23.0, 95% CI 3.35158.00, p<0.0001). |
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Language
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English
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Source (journal)
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Emerging infectious diseases / National Center for Infectious Diseases. Centers for Disease Control and Prevention. - Atlanta, Ga
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Publication
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Atlanta, Ga
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2009
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ISSN
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1080-6040
1080-6059
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DOI
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10.3201/EID1505.081009
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Volume/pages
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15
:5
(2009)
, p. 749-755
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ISI
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000265518800009
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Full text (Publisher's DOI)
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Full text (open access)
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