Pedro-Botet J, Gutiérrez J, Miralles R, Coll J, Rubiés-Prat J
Department of Medicine, Hospital del Mar, Universidad Autónoma de Barcelona, Spain.
AIDS. 1992 Jan;6(1):91-3. doi: 10.1097/00002030-199201000-00012.
Three HIV-infected patients with active pulmonary non-disseminated tuberculosis and normal chest radiograph at clinical presentation and during follow-up are reported. Patients had cough and fever but no other specific symptoms. Löwenstein cultures of specimens from bronchoalveolar lavage in two cases and induced sputum in one yielded Mycobacterium tuberculosis.
The diagnosis of tuberculosis in HIV-infected patients depends greatly on clinical suspicion by the physician, because of its atypical presentation. Failure to perform appropriate diagnostic tests in HIV-infected patients who present with suspected pulmonary disease will result in underdiagnosis and undertreatment of tuberculosis.
报告了3例HIV感染患者，这些患者患有活动性肺部非播散性结核病，临床表现及随访期间胸部X线片均正常。患者有咳嗽和发热症状，但无其他特异性症状。2例患者支气管肺泡灌洗标本及1例患者诱导痰的罗氏培养均培养出结核分枝杆菌。
由于HIV感染患者结核病表现不典型，其诊断很大程度上依赖于医生的临床怀疑。对疑似肺部疾病的HIV感染患者未进行适当的诊断检查会导致结核病诊断不足和治疗不足。
