Abstract

Visceral leishmaniasis and HIV coinfection: time for concerted action.

Highlights

  • HIV coinfection of Visceral leishmaniasis (VL) has been identified as one of the emerging challenges for VL control [3]

  • HIV infection of Leishmania-exposed individuals dramatically increases the risk of progression from asymptomatic infection towards disease (VL) and, VL accelerates HIV disease progression

  • Whereas HIV fuelled the re-emergence of VL in Southern Europe in the 1990s, this problem is severe in some areas of eastern Africa, in northern Ethiopia

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Summary

Introduction

HIV coinfection of VL has been identified as one of the emerging challenges for VL control [3]. Whereas HIV fuelled the re-emergence of VL in Southern Europe in the 1990s, this problem is severe in some areas of eastern Africa, in northern Ethiopia. Up to 40% of VL patients were HIV coinfected in this region [3,4,5]. There are indications that coinfection rates are increasing in India, typically seen amongst migrant labourers, who are traveling from the poor, rural VLendemic areas to the major cities [9].

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