Vidal Pla R, Roca Tey R, Miravitlles M, de Gracia J, Nubiola A R
Servicio de Neumología, Hospital General Vall d'Hebron, Barcelona.
Med Clin (Barc). 1990 Jul 7;95(6):221-3.
We report a microepidemic of tuberculosis (TBC) in a family of 12 members, 4 of which were parenteral drug abusers and 3 had anti-human immunodeficiency virus (HIV) antibodies. Four new cases were simultaneously diagnosed in the investigation of the contacts of a patient with extrapulmonary tuberculosis and acquired immunodeficiency syndrome. We review the requirements for the development of these epidemic outbreaks, both in noninfected communities and in the family contacts, where positive anti-HIV antibodies may increase the risk. We emphasize the importance of a systematic study of contacts in these families and the indication of chemoprophylaxis in all those sharing the same household, without age limit.
我们报告了一个由12名成员组成的家庭中发生的结核病（TBC）小范围流行情况，其中4人是注射吸毒者，3人有抗人类免疫缺陷病毒（HIV）抗体。在对一名肺外结核和获得性免疫缺陷综合征患者的接触者进行调查时，同时诊断出4例新病例。我们回顾了在未感染社区以及家庭接触者中发生这些疫情暴发的条件，其中抗HIV抗体呈阳性可能会增加风险。我们强调对这些家庭中的接触者进行系统研究的重要性，以及对所有同住一户的人（无年龄限制）进行化学预防的指征。
