Table 2 Demographics and HIV status of patients suspected of central nervous system infection by aetiologies. Bolivia, 2017–2018. Data are presented as number (%).
Total | Male | Female | Children | Adults | HIV-positive | HIV-negative | SCZ | CBBA | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
n = 257 | n = 156 | n = 101 | n = 82 | n = 175 | n = 52 | n = 205 | n = 111 | n = 146 | |||||
no. (%) | no. (%) | no. (%) | p-value | no. (%) | no. (%) | p-value | no. (%) | no. (%) | p-value | no. (%) | no. (%) | p-value | |
CONFIRMED INFECTIOUS | 128 (49.8) | 87 (55.8) | 41 (40.6) | 0.017 | 38 (46.4) | 90 (51.4) | 0.447 | 36 (69.2) | 92 (44.9) | 0.002 | 50 (45.0) | 78 (53.4) | 0.183 |
Bacteria | 46 (17.9) | 30 (19.2) | 16 (15.8) | 0.489 | 23 (28.0) | 23 (13.1) | 0.004 | 1 (1.9) | 45 (22.0) | < 0.001 | 24 (21.6) | 22 (15.2) | 0.175 |
Streptococcus pneumoniae | 15 (5.8) | 10 (6.4) | 5 (5.0) | 0.626 | 7 (8.5) | 8 (4.6) | 0.206 | 0 (0.0) | 15 (7.3) | 0.044 | 7 (6.3) | 8 (5.5) | 0.779 |
Neisseria meningitidis | 2 (0.8) | 1 (0.6) | 1 (1.0) | 0.756 | 0 (0.0) | 2 (1.1) | 0.331 | 0 (0.0) | 2 (1.0) | 0.474 | 1 (0.9) | 1 (0.7) | 0.845 |
Haemophilus influenzae type b | 1 (0.4) | 1 (0.6) | 0 (0.0) | 0.42 | 1 (1.2) | 0 (0.0) | 0.143 | 0 (0.0) | 1 (0.5) | 0.614 | 1 (0.9) | 0 (0.0) | 0.25 |
Listeria monocytogenes | 3 (1.2) | 2 (1.3) | 1 (1.0) | 0.831 | 0 (0.0) | 3 (1.7) | 0.233 | 1 (1.9) | 2 (1.0) | 0.569 | 1 (0.9) | 2 (1.4) | 0.729 |
Treponema pallidum | 1 (0.4) | 0 (0.0) | 1 (1.0) | 0.213 | 1 (1.2) | 0 (0.0) | 0.143 | 0 (0.0) | 1 (0.5) | 0.614 | 1 (0.9) | 0 (0.0) | 0.25 |
Other bacteriaa | 24 (9.3) | 16 (10.3) | 8 (7.9) | 0.529 | 14 (17.1) | 10 (5.7) | 0.003 | 0 (0.0) | 24 (11.7) | 0.009 | 13 (11.7) | 11 (7.6) | 0.254 |
Mycobacteria | 33 (12.9) | 23 (14.7) | 10 (9.9) | 0.257 | 4 (4.9) | 29 (16.6) | 0.012 | 8 (15.4) | 25 (12.1) | 0.539 | 8 (7.2) | 25 (17.1) | 0.019 |
Mycobacterium tuberculosis | 29 (11.3) | 20 (12.8) | 9 (8.9) | 0.333 | 3 (3.7) | 26 (14.9) | 0.008 | 8 (15.4) | 21 (10.2) | 0.295 | 7 (6.3) | 22 (15.1) | 0.028 |
Mycobacterium spp. | 4 (1.6) | 3 (1.9) | 1 (1.0) | 0.555 | 1 (1.2) | 3 (1.7) | 0.765 | 0 (0.0) | 4 (1.9) | 0.31 | 1 (0.9) | 3 (2.0) | 0.459 |
Viruses | 14 (5.4) | 9 (5.8) | 5 (5.0) | 0.777 | 7 (8.6) | 7 (4.0) | 0.135 | 1 (1.9) | 13 (6.3) | 0.209 | 9 (8.1) | 5 (3.4) | 0.101 |
Rabies virus | 6 (2.3) | 4 (2.6) | 2 (2.0) | 0.762 | 4 (4.9) | 2 (1.1) | 0.064 | 0 (0.0) | 6 (2.9) | 0.212 | 5 (4.5) | 1 (0.7) | 0.044 |
Varicella-zoster virus | 6 (2.3) | 4 (2.6) | 2 (2.0) | 0.762 | 3 (3.7) | 3 (1.7) | 0.335 | 1 (1.9) | 5 (2.4) | 0.826 | 3 (2.7) | 3 (2.0) | 0.733 |
Herpes simplex 1 | 1 (0.4) | 1 (0.6) | 0 (0.0) | 0.42 | 0 (0.0) | 1 (0.6) | 0.492 | 0 (0.0) | 1 (0.5) | 0.614 | 1 (0.9) | 0 (0.0) | 0.25 |
Herpes simplex 2 | 1 (0.4) | 0 (0.0) | 1 (1.0) | 0.213 | 0 (0.0) | 1 (0.6) | 0.492 | 0 (0.0) | 1 (0.5) | 0.614 | 0 (0.0) | 1 (0.7) | 0.382 |
Fungi | 16 (6.2) | 12 (7.7) | 4 (4.0) | 0.226 | 3 (3.7) | 13 (7.4) | 0.244 | 12 (23.1) | 4 (2.0) | < 0.001 | 5 (4.5) | 11 (7.5) | 0.319 |
Cryptococcus neoformans | 10 (3.9) | 8 (5.1) | 2 (2.0) | 0.202 | 0 (0.0) | 10 (5.7) | 0.027 | 7 (13.5) | 3 (1.5) | < 0.001 | 5 (4.5) | 5 (3.4) | 0.657 |
Cryptococcus spp. | 6 (2.3) | 4 (2.6) | 2 (2.0) | 0.762 | 3 (3.7) | 3 (1.7) | 0.335 | 5 (9.6) | 1 (0.5) | < 0.001 | 0 (0.0) | 6 (4.1) | 0.031 |
Parasites | 9 (3.5) | 7 (4.5) | 2 (2.0) | 0.285 | 0 (0.0) | 9 (5.1) | 0.037 | 9 (17.3) | 0 (0.0) | < 0.001 | 2 (1.8) | 7 (4.7) | 0.131 |
Toxoplasma gondii | 5 (1.9) | 4 (2.6) | 1 (1.0) | 0.372 | 0 (0.0) | 5 (2.8) | 0.122 | 5 (9.6) | 0 (0.0) | < 0.001 | 2 (1.8) | 3 (2.0) | 0.884 |
Trypanosoma cruzi | 3 (1.2) | 2 (1.3) | 1 (1.0) | 0.831 | 0 (0.0) | 3 (1.7) | 0.233 | 3 (5.8) | 0 (0.0) | < 0.001 | 0 (0.0) | 3 (2.0) | 0.129 |
Taenia solium | 1 (0.4) | 1 (0.6) | 0 (0.0) | 0.42 | 0 (0.0) | 1 (0.6) | 0.493 | 1 (1.9) | 0 (0.0) | 0.047 | 0 (0.0) | 1 (0.7) | 0.382 |
Co-infections | 10 (3.9) | 6 (3.8) | 4 (4.0) | 0.963 | 1 (1.2) | 9 (5.1) | 0.129 | 5 (9.6) | 5 (2.5) | 0.017 | 2 (1.8) | 8 (5.5) | 0.131 |
S. pneumoniae + Cytomegalovirus | 1 (0.4) | 1 (0.6) | 0 (0.0) | 0.42 | 1 (1.2) | 0 (0.0) | 0.143 | 0 (0.0) | 1 (0.5) | 0.614 | 1 (0.9) | 0 (0.0) | 0.25 |
S. pneumoniae + Cryptococcus spp. | 1 (0.4) | 1 (0.6) | 0 (0.0) | 0.42 | 0 (0.0) | 1 (0.6) | 0.493 | 0 (0.0) | 1 (0.5) | 0.614 | 0 (0.0) | 1 (0.7) | 0.382 |
M. tuberculosis + C. neoformans | 1 (0.4) | 1 (0.6) | 0 (0.0) | 0.42 | 0 (0.0) | 1 (0.6) | 0.493 | 1 (1.9) | 0 (0.0) | 0.047 | 0 (0.0) | 1 (0.7) | 0.382 |
M. tuberculosis + other bacteriab | 4 (1.5) | 2 (1.3) | 2 (2.0) | 0.659 | 0 (0.0) | 4 (2.3) | 0.168 | 1 (1.9) | 3 (1.5) | 0.811 | 0 (0.0) | 4 (2.7) | 0.078 |
C. neoformans + Trypanosoma cruzi | 2 (0.8) | 1 (0.6) | 1 (1.0) | 0.756 | 0 (0.0) | 2 (1.1) | 0.331 | 2 (3.9) | 0 (0.0) | 0.005 | 1 (0.9) | 1 (0.7) | 0.845 |
T. gondii + Epstein-Barr | 1 (0.4) | 0 (0.0) | 1 (1.0) | 0.213 | 0 (0.0) | 1 (0.6) | 0.493 | 1 (1.9) | 0 (0.0) | 0.047 | 0 (0.0) | 1 (0.7) | 0.382 |
PROBABLE AND POSSIBLE INFECTIOUS | 28 (10.9) | 14 (9.0) | 14 (13.9) | 0.219 | 6 (7.3) | 22 (12.6) | 0.208 | 10 (19.2) | 18 (8.8) | 0.031 | 10 (9.0) | 18 (12.4) | 0.397 |
NON-INFECTIOUS | 55 (21.4) | 28 (17.9) | 27 (26.7) | 0.093 | 21 (25.6) | 34 (19.4) | 0.26 | 0 (0.0) | 55 (26.8) | < 0.001 | 24 (21.6) | 31 (21.2) | 0.94 |
Anti-NMDAR | 3 (1.2) | 1 (0.6) | 2 (2.0) | 0.329 | 2 (2.4) | 1 (0.6) | 0.194 | 0 (0.0) | 3 (1.5) | 0.38 | 2 (1.8) | 1 (0.7) | 0.409 |
UNKNOWN | 46 (17.9) | 27 (17.3) | 19 (18.8) | 0.759 | 17 (20.7) | 29 (16.6) | 0.417 | 6 (11.6) | 40 (19.5) | 0.18 | 27 (24.4) | 19 (13.0) | 0.019 |