International Journal of Research in Medical Sciences | October 2015 | Vol 3 | Issue 10 Page 2549
International Journal of Research in Medical Sciences
Ebot WO et al. Int J Res Med Sci. 2015 Oct;3(10):2549-2552
www.msjonline.org pISSN 2320-6071 | eISSN 2320-6012
Research Article
Liver function tests of HIV/AIDS patients at the nylon district hospital,
Douala, Cameroon
Walter O. Ebot
1
*, Eric A. Achidi
1
, Henri-Lucien F. Kamga
2
, Anna L. Njunda
1
,
Tobias O. Apinjoh
3
INTRODUCTION
In 2013, an estimated 35 million people were reported to
have lived with the human immunodeficiency virus
(HIV).
1
The first AIDS case in Cameroon was reported in
1985.
2
At the end of 2013, the prevalence of HIV/AIDS
in Cameroon was estimated to be 5.4% with people aged
between 15 and 49 years the most commonly infected.
3
Although antiretroviral therapy (ART) has led to
dramatic improvements in the survival of HIV infected
patients on treatment in resource-limited settings, it has
been associated with both short- and long-term toxicities
including hepatotoxicity, which may be life threatening.
4-
6
Liver enzymes elevations of varying degree are
common among HIV seropositive patients receiving all
classes of highly active antiretroviral therapy (HAART)
ABSTRACT
Background: Antiretroviral therapy (ART) which substantially reduces morbidity and mortality in human
immunodeficiency virus (HIV) seropositive patients has been associated with hepatotoxicity. This study was aimed at
investigating the effects of HIV infection and ART on liver function amongst HIV seropositive patients in Douala,
Cameroon.
Methods: A cross- sectional study was conducted from March to August, 2012 at the Nylon District Hospital,
Douala. Demographic data were collected using a structured questionnaire. Serum alanine and aspartate
aminotransferases (ALT and AST), alkaline phosphatase (ALP) and gamma glutamyl transferase (GGT) activities
were determined using colorimetric techniques.
Results: The mean age of the study participants was 37.9 ± 6.02 years. A majority of the study participants (68.0%)
were females. The mean CD4+ T lymphocyte cell count of HIV/AIDS patients on ART was significantly higher than
the ART- naïve patients (p<0.05). The mean serum AST and ALT activities of ART-naïve patients were significantly
higher than the control subjects (p<0.05). Similarly, the mean serum transaminases and GGT activities of HIV/AIDS
patients on ART were significantly higher than the control subjects (p<0.05). The mean serum ALP and GGT
activities of HIV/AIDS patients receiving ART were significantly higher than the ART- naïve patients (p<0.05).
Conclusions: The present study provides evidence to suggest that both infection with HIV and treatment with ART
are associated with liver injury.
Keywords: Human immunodeficiency virus, Antiretroviral therapy, Liver function enzymes, Hepatotoxicity
1
Department of Medical Laboratory Science, Faculty of Health Science, University of Buea, Buea, Cameroon
2
Department of Medical Laboratory Science, Faculty of Health Science, University of Bamenda, Bamenda, Cameroon
3
Department of Biochemistry and Molecular Biology, Faculty of Science, University of Buea, Buea, Cameroon
Received: 29 August 2015
Accepted: 09 September 2015
*Correspondence:
Dr. Walter O. Ebot,
E-mail: ebotwally@yahoo.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20150788