AIDS in africa

To the Editor: In his excellent contribution about the clinical features of the acquired immunodeficiency syndrome (AIDS) in Uganda (Aug. 9 issue),¹ Dr. Goodgame reported a dramatic increase in the incidence of cerebral malaria at Mulago Hospital in the past few years, and most of the patients were seropositive for the human immunodeficiency virus type 1 (HIV-1). These results are not congruent with our data collected at Rubaga Hospital, a major mission hospital in Kampala. Access to hospitals in Kampala has become less complicated since 1986, and a clinical condition such as cerebral malaria is likely to require hospitalization. We.