Iribarren JA, Oyarbide I, Arrizabalaga J, Rodriguez F, Von Wichmann MA, Idigoras P, Mentxaka B; International Conference on AIDS.
Int Conf AIDS. 1994 Aug 7-12; 10: 127 (abstract no. PA0127).
Unidad de Enf. Infecciosas, Hospital Aranzazu, San Sebastian, Spain.
OBJECTIVES: To evaluate the etiology of FUO in patients with HIV infection (PWHIV). To study the utility of empiric antituberculosis therapy in patients with FUO and negative diagnostic investigations, in an area with high incidence of tuberculosis infection (Basque Country, Spain). METHODS: Retrospective study of the FUO episodes of the PWHIV admitted to the UEI between 1988 and 1993. A protocol of the FUO study has been followed. Different levels of assurance has been considered in the diagnosis. In cases of FUO without diagnosis, empiric antituberculosis therapy is begun, and the evolution and the survival are evaluated. RESULTS: Eighty tree episodes of FOU that accomplished the inclusion criteria have been picked up. Next table shows the diagnoses. DIAGNOSIS: TABULAR DATA, SEE ABSTRACT VOLUME. Two patients had 2 diagnosis and in one of them tree were found. Among the 21 cases of "probable" TB and the 11 "possibles", 28 of 32 had been followed a minimum of 12 months, not having new FUO episodes. CONCLUSIONS: In our country, TB is the most frecuent etiology of FUO in PWHIV. There is a very important subgroup of patients, in whom, after a rasonably wide study of their FUO, no diagnosis is achieved, and however they respond to antituberculosis therapy. It is necessary to implement prophylaxis of TB in patients with HIV and tuberculosis coinfection.
Publication Types:
Keywords:
- AIDS Vaccines
- Acquired Immunodeficiency Syndrome
- Antitubercular Agents
- Biomedical Research
- Communicable Diseases
- HIV Infections
- HIV Seropositivity
- Hospitalization
- Humans
- Incidence
- Retrospective Studies
- Spain
- Tuberculosis
- diagnosis
- therapy
Other ID:
UI: 102208186
From Meeting Abstracts