TOXODFA: Cerebral Toxoplasmosis and AIDS
Study Details
Study Description
Brief Summary
With a HIV incidence much higher in the DFA than in European French territory, this disease is a major public health problem in these areas, especially in French Guiana.
Cerebral toxoplasmosis is a priority among the opportunistic infections in AIDS patients from the DFA because of its frequency (French West Indies) and of its lethality (French Guiana).
The diagnosis of cerebral toxoplasmosis may be difficult because based only on presumptive clinical and radiological features. The response to specific antitoxoplasmic therapy confirms a posteriori the diagnosis.
In reference to the data collected by the Biological Resource Centre Toxoplasma, in particular in French Guiana, we think that T. gondii strains reactivating in AIDS patients from DFA are genetically different from those reactivating in AIDS patients from Europe, with an increased capacity for dissemination via peripheral blood in the first ones. This more frequent or more prolonged parasitemia could facilitate the diagnosis of cerebral toxoplasmosis by PCR test from peripheral blood samples in AIDS patients from the French departments of America.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Outcome Measures
Primary Outcome Measures
Secondary Outcome Measures
- Isolation, genetic typing and storage of T. gondii strains collected among AIDS patients with cerebral toxoplasmosis from the DFA. [3 years]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Adult patient (> 18 years)
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Patient being informed and accepting to participate in the study with signature of informed consent
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HIV positive serology
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Clinical and radiological suspicion of cerebral toxoplasmosis justifying the start of specific antitoxoplasmic therapy
Exclusion Criteria:
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Protected patient
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Patient uncovered by social insurance
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Specific antitoxoplasmic therapy already initiated since 72h or more
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Service des Maladies Infectieuses - CHU de Pointe à Pitre | Pointe À Pitre | Guadeloupe | France | |
2 | Services Maladies Infectieuses et Tropicales- CHU Fort-de-France | Fort-de-France | France | ||
3 | Dermatologie et CISIH- CH Andrée Rosemon | Guyane-Française | France | ||
4 | Maladies Infectieuses et Tropicales - CH Andrée Rosemon | Guyane-Française | France | ||
5 | Médecine- CH Ouest Guyanais | Guyane-Français | France |
Sponsors and Collaborators
- University Hospital, Limoges
Investigators
- Study Director: Daniel AJZENBERG, PharmD, PhD, CHU Limoges
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- I07009