[Tuberculous pleurisy followed by bronchial cancer in a patient with HIV infection].
Both clinical and radiologic manifestations can have unusual figures in patients with acquired immunodeficiency syndrome (AIDS). Infectious involvement, as in particularly tuberculosis, may simulate a neoplasm, and vice versa. We report a case of a tubercular pleuresy followed 14 months later by a lung cancer in a patient infected with the human immunodeficiency virus (HIV). This observation pose the delicate diagnostic problem of a recurred endobronchial tuberculosis we describe the chest roentgenograms and the computed tomography-scans patterns. We give the place of both of them. We call attention to the valuable rôle of the endobronchial endoscopy in the differential diagnosis between a recurrence of the tuberculosis or a lung cancer. This case demonstrate quite well that thoracic complications in AIDS are multiple and can be variable in the course of the disease. That command a definite exploration for an appropriate diagnosis and treatment.
N'Gbesso
R D
RD
Service de Radiologie, CHU Yopougon.
Adou
A
A
N'Goan
A M
AM
Diabate
K
K
Keita
A K
AK
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis*; D000230:Adenocarcinoma / Q000209:etiology*; D001984:Bronchial Neoplasms / Q000209:etiology*; D015497:HIV-1; D015498:HIV-2; D006801:Humans; D008297:Male; D008875:Middle Aged; D014396:Tuberculosis, Pleural / Q000209:etiology*