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  • Title: [Tuberculosis in patients with HIV infection].
    Author: del Arco C, García-Polo I, Santos I, Ortega O, Herraiz C, Quijano Y, Noguerado A.
    Journal: An Med Interna; 1989 Dec; 6(12):633-4. PubMed ID: 2491473.
    Abstract:
    28 cases of tuberculosis in patients infected with HIV, 22 of them having AIDS criteria (CDC 87), are presented. Tuberculosis was the first diagnosis criteria in 34% of the cases 68% were I.V.U., 25% homosexuals and 7% heterosexual. Half of the patients had disseminated tuberculosis and the other half had localised disease with a high frequency of pulmonary setting. The most frequent symptoms were fever and constitutional syndrome (92% and 91%). The patient's chest X-rays showed few cavitations and infiltrates and frequently had mediastinal and/or hilar (22%) lymphatic gland enlargement. The study of lymphocyte populations showed levels of CD4 lower than 400 in 79% of the cases. The response to treatment was favorable in 16 patients and only 3 died of tuberculosis.
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