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  • Title: [Tuberculosis and HIV infection in a general hospital in Brazzaville].
    Author: M'Boussa J.
    Journal: Rev Mal Respir; 1989; 6(2):155-9. PubMed ID: 2727369.
    Abstract:
    To understand the change in disease encountered since the appearance of the epidemic of AIDS, two enquiries have been carried out in the only service for pulmonary tuberculosis in Brazzaville which previously had exclusively treated cases of tuberculosis. The first enquiry showed that amongst 104 patients hospitalised over a 15 month period for respiratory disease and having the clinical criteria for AIDS ultimately confirmed by positive serology for HIV, 46 (44%) were suffering from tuberculosis, 47 (45%) from acute respiratory infections which diminished with simple antibiotic treatment and 11 (11%) with pulmonary disorders whose aetiology could not be exactly specified. The latter 11 patients died from disorders suggestive of opportunistic disease. A second enquiry has been carried out on a sample 86 patients selected at random amongst hospitalised patients. It showed that amongst 48 tuberculous patients 7 were seropositive for HIV and that amongst 38 patients suffering from pulmonary disease 14 were seropositive (36.8%). To understand the change in disease which has become apparent since the onslaught of the AIDS epidemic, 2 enquiries have been made in Brazzaville. This facility which had previously treated tuberculosis cases is now the only service for pulmonary tuberculosis. Among 104 patients hospitalized over a 15 month period for respiratory disease and who were ultimately confirmed as displaying clinical signs of AIDS by positive serology for HIV, there were 46 (44%) who suffered from tuberculosis, 47 (45%) who suffered from acute respiratory infections which improved with simple antibiotic treatment, and 11 (11%) with pulmonary disorders whose etiology could not be specified. These 11 patients died from disorders which were suggestive of opportunistic infections. A 2nd enquiry carried out on a sample of 86 patients selected at random among hospitalized patients showed that among 48 tuberculosis patients, 7 were seropositive for HIV and that among 38 suffering from pulmonary disease, 14 (36.8%) were seropositive. (author's modified)
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