Table 2.
Immunosuppressing conditions and comorbidities of visceral leishmaniasis patients diagnosed in public hospitals in Mainland Portugal in 2010–2020
| Immunosuppression, % (n) | |
|---|---|
| Yes | 60.6 |
| (134/221) | |
| Unknown/Not reported | 8.1 |
| (18/221) | |
| HIV infection/AIDS | |
| Yes, % (n) | 53.5 |
| (108/202) | |
| Median CD4 cell count, /µL (IQI) | 59.0 |
| [21.5–127.0] | |
| CD4 cell count < 200/µL, % (n) | 85.1 |
| (86/101) | |
| Detectable viral load, % (n) | 65.6 |
| (63/96) | |
| Median viral load, cp/mL (IQI) | 80,000 |
| [220–631,400] | |
| Chronic pharmacologic immunosuppression, % ( n ) | |
| Inflammatory/autoimmune diseases | 10.8 |
| (21/194) | |
| Anti-TNFα containing regimen | 11.8 |
| (2/17) | |
| Methotrexate ± corticosteroid | 58.8 |
| (10/17) | |
| Isolated corticosteroid | 23.5 |
| (4/17) | |
| Othera | 5.9 |
| (1/17) | |
| Solid organ transplantb | 2.3 |
| (4/173) | |
| Chronic dysfunction/condition, % ( n ) | |
| Diabetes mellitus | 7.9 |
| (14/178) | |
| Chronic kidney disease | 12.5 |
| (22/178) | |
| Chronic liver disease | 13.3 |
| (24/181) | |
| Chronic pulmonary disease | 5.1 |
| (9/178) | |
| Chronic heart failure | 3.9 |
| (7/181) | |
IQI Interquartile interval, HIV Human immunodeficiency virus, AIDS Acquired Immunodeficiency syndrome, TNF Tumor Necrosis Factor
aAzathioprine + corticosteroid n = 1, mycophenolate mofetil + corticosteroid n = 1
bKidney n = 3, liver n = 1