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  • Title: Clinical study of HIV disease in the lower area of northern Thailand in 1994.
    Author: Swasdisevi A.
    Journal: J Med Assoc Thai; 1994 Aug; 77(8):440-3. PubMed ID: 7876766.
    Abstract:
    Seventy-seven HIV-positive patients admitted to Budhachinaraj Hospital between February and July 1994 were studied. The sex ratio between male and female was 4.1:1 The majority of cases were sexually transmitted. There were 25 cases of symptomatic HIV and 52 cases of full-blown AIDS. The treatment in this study was both medical and psychological. Cryptococcal infection is common in the lower area of northern provinces. Zidovudine has not been widely used. The AIDS patients died of P. carinii pneumonia, cryptococcal meningitis, tuberculous meningitis and toxoplasmic encephalitis respectively. A psychiatrist/drug abuse specialist reviewed the medical records of 77 HIV-positive patients aged 15-61 at Budhachinaraj Hospital in Phitsanulok, Northern Thailand, during February-July 1994 to determine the HIV disease situation in Phitsanulok and the nearby provinces. (The first HIV-positive IV drug user in Phitsanulok was identified in June 1988.) The sex ratio between male and female was 4.1:1 (i.e., 62 males and 15 females). 55 of the 77 patients were 20-39 years old. All but one HIV-positive patients were Thai. Leading occupations were farmer/gardener (27) and worker (27). 62 had completed primary school. Most of the HIV-positive patients were from Phitsanulok (46), followed by those from Sukothai (10). 52 patients had full-blown AIDS, the leading opportunistic infections being cryptococcal meningitis (23), Pneumocystis carinii pneumonia (13), and pulmonary tuberculosis (10). Seven of nine cases of advanced HIV disease had CD4 cell counts under 50 cells/cubic mm and two had under 150 cells/cu. mm. 15 HIV cases died of opportunistic infections.
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