What is the association between amebiasis and HIV/AIDS?

Updated: Jul 19, 2019
  • Author: Vinod K Dhawan, MD, FACP, FRCPC, FIDSA; Chief Editor: Michael Stuart Bronze, MD  more...
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Several studies have evaluated the association of amebiasis with AIDS. [31, 32, 33, 34, 35, 36] The impact of the AIDS pandemic on the prevalence of invasive amebiasis remains controversial. Some reports suggest that invasive amebiasis is not increased among patients with HIV infection [37] ; however, others suggest that amebic liver abscess is an emerging parasite infection in individuals with HIV infection in disease-endemic areas, as well as in non–disease-endemic areas. [38, 38]

Of 31 patients with amebic liver abscess at Seoul National University Hospital from 1990 to 2005, 10 (32%) were HIV-positive. [39] In a case-control study of persons seeking voluntary counseling and testing for HIV infection, homosexual activity, fecal-oral contamination, lower educational achievement, and older age were associated with increased risk of amebiasis. [40]

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