Some recent additions to the library

Richard Calland &; Paul Graham (Eds), IDASA's Democracy Index — Democracy in the Time of Mbeki, Cape Town: Institute for Democracy in South Africa (IDASA), Cape Town, 2005, R150, 252 pages.

Pieter Wolvaardt, A Diplomat's Story: Apartheid and Beyond, 1969–1998, South Africa: Galago Publishing, 2005. ISBN 1–919854–15–0, R225, 336 pages.

Greg Mills, The Security Intersection: The Paradox of Power in an Age of Terror, Johannesburg: Wits University Press, 2005, 321 pages.

Hugh Pope, Sons of the Conquerors. The Rise of the Turkic World, New York: Overlook Duckworth, 2005. ISBN 1–58567–641–1. 413 pages.     

Neuropathology of human immunodeficiency virus infection: a forensic autopsy study in Dar Es Salaam, Tanzania

The objective of this study was to examine the neuropathological changes in the brain of patients infected with human immunodeficiency virus (HIV) in the Tanzanian capital Dar Es Salaam, and investigate whether the prevalence of different forms of HIV-related neuropathology varies from other countries. The subjects were patients with risk factors for HIV infection in whom forensic autopsies were performed between 1997 and 1999. In Dar Es Salaam, forensic autopsy constitutes more than 90% of all autopsies, because hospital autopsy is limited due to socio-cultural and religious reasons. HIV infection was identified in 52 of 143 patients selected from forensic autopsies. Neuropathological findings were observed in 31 of 52 HIV-infected patients; these include lymphocytic meningitis 19, bacterial meningitis 3, tuberculous brain abscess 3, cryptococcal meningitis 3, basal ganglia calcification 3, and toxoplasma encephalitis 1. HIV encephalitis, lymphoma, and cytomegalovirus encephalitis could not be found in this study. Whereas the findings should be interpreted cautiously because of possible autopsy bias and a low percentage of cases examined compared to the total number of HIV-infected patients in Tanzania, our observations provide information on the likely diagnostic possibilities to be considered in the evaluation and management of HIV-infected patients with neurological symptoms in Tanzania. In the face of decreased hospital autopsy, most studies have focused mainly on the end-stage HIV disease; forensic autopsy is a potential source of materials for studies on HIV disease spectrum at different stages.