title: [Tuberculosis -HIV, a common and sensitive care in connection with a case of pleural tuberculosis revealing AIDS].
abstract: Tuberculosis is the most common disease inaugural of AIDS in France and HIV serology should be offered routinely when a tuberculosis case is diagnosed. Similarly, tuberculosis should also be sought before starting antiretroviral treatment. The case of pleural tuberculosis revealing AIDS presented here illustrates the difficulties of management of this co-infection due to polychemotherapy used to treat each of these pathologies causing drug interactions requiring dose adjustments and changes in treatment protocol and an increase in side effects. This is especially true when combining rifampicin and protease inhibitors and non-nucleoside reverse transcriptase inhibitors. On the other hand, resistance of Mycobacterium tuberculosis is possible in these patients coinfected by HIV particularly among migrants and in the case history of tuberculosis treatment.
authors.affiliation: CHRU de Tours, Service de bactériologie-virologie, Hôpital Bretonneau, Tours.
authors.forename: Vanessa
authors.initials: V
authors.lastname: Leang
authors.forename: Frédéric
authors.initials: F
authors.lastname: Bastides
authors.forename: Blandine
authors.initials: B
authors.lastname: Cattier
authors.forename: Bruno
authors.initials: B
authors.lastname: Lemmens
authors.forename: Francis
authors.initials: F
authors.lastname: Barin
authors.forename: Laurent
authors.initials: L
authors.lastname: Mereghetti
authors.forename: Alain
authors.initials: A
authors.lastname: Goudeau
authors.forename: Philippe
authors.initials: P
authors.lastname: Lanotte
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D005260:Female; D006801:Humans; D014396:Tuberculosis, Pleural / Q000150:complications*