[Tuberculosis among HIV infected patients].
The aim of study was to determine clinical presentation and outcome of tuberculosis among patients infected with human immunodeficiency virus type 1 (HIV-1). During 2001-2006, 36 cases of tuberculosis (TB) was recognized in 33 patients infected with HIV. The majority of patients were men infected with HIV in through intravenous drug using and had a CD4 cell count <200cells/microl at the time of TB diagnosis. The most frequent form of TB was pulmonary localization and lymphadenitis as extrapulmonary localization. Meningitis was recognized in two cases. The diagnosis was confirmed by positive culture for mycobacteria and PCR in 34/36 patients. Mycobacterial smears were positive in 2/36 cases, the skin test reaction with nodule >5mm was positive in 60% cases. Immune reconstruction syndrome was recognized in 4 patients.
Klinika i Katedra Chorób Zakaźnych i Hepatologii CM UMK. a.olczak@wsoz.pl
Anita
A
Olczak
Edyta
E
Grabczewska
Dorota
D
Kozielewicz
Bozena
B
Gorzelak
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis*; D000328:Adult; D018791:CD4 Lymphocyte Count; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D011044:Poland; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D012307:Risk Factors; D012680:Sensitivity and Specificity; D014388:Tuberculosis, Lymph Node / Q000175:diagnosis* / Q000382:microbiology; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis* / Q000382:microbiology