[Tuberculosis and AIDS. Study of 54 patients].
We present 54 cases of tuberculosis (TBC) and Acquired Immunodeficiency Syndrome (AIDS) that were observed during five years and represent 37% of our AIDS patients. TBC was diagnosed before AIDS in 7, after AIDS in 5 and simultaneously in 42. Eighty-seven per cent were intravenous drug users (IVDU) and no hemophilia cases were recorded. The tuberculin skin test (PPD) showed a reaction greater than 5 mm in 43%. Prophylaxis has not been used in any patient. TBC was localized in 39% and disseminated in 61%; the lung was the main organ involved. Diagnosis was established by culture in 42 cases and by pathology exam in 12 cases. Eighteen patients had multiple isolations, while 36 had a single one. Co-occurrence with other opportunistic infections was observed in 27 cases. Death related to TBC was seen in 3 patients, and there were no differences in survival between disseminated and localized presentations. Compliance of treatment was very low and follow-up was not achieved in large number of patients.
Aguirrebengoa
L
L
Cátedra de Patología Médica, Universidad del País Vasco.
Montejo
M
M
Urkijo
J C
JC
Urra
E
E
Gutiérrez
A
A
Mendoza
F
F
Zalacaín
R
R
González de Zárate
P
P
Aguirre
C
C
D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology* / Q000401:mortality; D000995:Antitubercular Agents / Q000627:therapeutic use; D015897:Comorbidity; D006801:Humans; D016867:Immunocompromised Host; D015994:Incidence; D015993:Life Tables; D009894:Opportunistic Infections / Q000453:epidemiology; D010349:Patient Compliance; D015995:Prevalence; D012189:Retrospective Studies; D013030:Spain / Q000453:epidemiology; D015819:Substance Abuse, Intravenous / Q000453:epidemiology; D014376:Tuberculosis / Q000188:drug therapy / Q000453:epidemiology* / Q000401:mortality
D000995:Antitubercular Agents
Tuberculosis y SIDA. Estudio de 54 pacientes.