del Arco C, García-Polo I, Santos I, Ortega O, Herraiz C, Quijano Y, Noguerado A
An Med Interna. 1989 Dec;6(12):633-4.
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.
