title: Parasternum pleural-cutaneous fistula in a severely immunosuppressed HIV-positive patient.
abstract: Pleural tuberculosis occurs in 30% of patients with tuberculosis, and the percentage of patients with tuberculosis pleural effusions is comparable to human immunodeficiency virus HIV-positive and HIV-negative individuals, although pleural tuberculosis is rare in HIV-positive patients with CD4+ counts < 200 cells/mm(3). Pleural tuberculosis in HIV-positive patients is likely to happen in young patients, and is more frequent in intravenous drug abusers, with more acid-fast bacilli identifiable in pleural tissue. We report a rare case of pleural tuberculosis in a severely immunosuppressed HIV-positive patient, presented as two parasternum pleural-cutaneous fistula.
authors.affiliation: Internal Medicine Department, Conjunto Hospitalar do Mandaqui, São Paulo, SP, Brazil.
authors.forename: André
authors.initials: A
authors.lastname: Gulinelli
authors.forename: Diogo Oliveira
authors.initials: DO
authors.lastname: Toledo
authors.forename: Antonio Pereira
authors.initials: AP
authors.lastname: Coelho-Neto
authors.forename: Roseane Pôrto
authors.initials: RP
authors.lastname: Medeiros
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000188:drug therapy; D000328:Adult; D018791:CD4 Lymphocyte Count; D017577:Cutaneous Fistula / Q000175:diagnosis*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D014396:Tuberculosis, Pleural / Q000175:diagnosis* / Q000188:drug therapy