Piersantelli N, Guida B; International Conference on AIDS.
Int Conf AIDS. 1989 Jun 4-9; 5: 424 (abstract no. Th.B.P.51).
Dpt.Inf.Dis.Galliera Hosp.Genoa, Italy
OBJECTIVE: To study pulmonary Mycobacterium tuberculosis (Mt) infection in AIDS patients (pts). METHODS: In 42 cases of AIDS from June 86 to June 88 we observed 10 male pts affected by pulmonary tuberculosis: they were heroin-addicts aging from 28 to 40. RESULTS: Bacteriological tests were positive for Mt in sputum (3 cases), in b.a.l. (4), in pleural (1) and in gastric fluid (2). The X-ray and CT examinations have shown a high frequency of medium and/or basal pulmonary infiltrates (8pts) and only one pulmonary cavitation. Only the last developed PPD positive. In 9/10 of the pts the 67-Ga scintigraphy proved the mediastinum involvement. The recovery occurred in 8/10 of the pts, they had X-ray modification in 60 days and bacteriological negativization in nearly 35 days. CONCLUSION: -In our country, at the opposite of USA, tuberculosis is often a pulmonary complication (23%) even if it isn't diagnostic for AIDS;- their X-ray patterns are typographically unusual;- the diagnosis may be complicated by the coexisting other opportunistic infections- the long-term therapeutic response is satisfactory in spite of immunodeficiency;- the high frequency of pulmonary tuberculosis suggest opportunity anti-Mt prophylaxis in early stages of HIV infection in narcotic-addicts.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- HIV Infections
- Humans
- Infection
- Lung
- Male
- Mycobacterium avium-intracellulare Infection
- Mycobacterium tuberculosis
- Opportunistic Infections
- Sputum
- Tuberculosis
- Tuberculosis, Pulmonary
- diagnosis
- therapy
Other ID:
UI: 102178066
From Meeting Abstracts