Lado Lado F L, Barrio Gómez E, Cabarcos Ortiz de Barrón A, Carballo Arceo E, Sánchez Leira J, Pérez del Molino M L, Antúnez López J R
Servicio de Medicina Interna, Complexo Hospitalario Universitario, Facultad de Medicina, Santiago de Compostela, La Coruña.
An Med Interna. 1998 Aug;15(8):415-20.
To analyze the clinical characteristics and diagnose of tuberculosis in patients infected by human immunodeficiency virus in our setting.
We have revised the clinical, microbiological and histological characteristics of 92 cases diagnosed tuberculosis in seropositive patients, during a span time of 128 months.
Of them, 71 were male and most of them (81.5%) were intravenous drugs users. The most (93.4%) were sintomatic when tuberculosis was diagnosed mainly fever and general and respiratory sintomatology. The most common signs were the presence of lymphadenopathies and hepatomegaly. The tuberculosis affected mainly pulmonary and ganglionary system. 34 cases had only pulmonary pathology, 24 extrapulmonary, 25 pulmonary and extrapulmonary and 9 miliary. The tuberculosis diagnose was based in microbiologic criteris. The most frequent source, as histologic critery, has been the ganglionary tissue.
The only or associated pulmonary forms are more frequent. The most commonly extrapulmonary form is the ganglionary localization. The most of diagnose methods were obtained from respiratory tract and lymphadenopathy samples.