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[Human immunodeficiency virus infection associated with tuberculosis].

R M Musella1, J P Castagnino, L Weber

  • 1Departamento de Medicina, Hospital Francisco J. Muñiz, Buenos Aires, Argentina.

Medicina
|January 1, 1990
PubMed
Summary

This study investigated the link between HIV infection and tuberculosis (TB) in 130 inpatients. A 3.1% prevalence of HIV was found among TB patients, with favorable outcomes reported.

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Area of Science:

  • Infectious Diseases
  • Immunology
  • Public Health

Background:

  • Investigating the co-occurrence of Human Immunodeficiency Virus (HIV) infection and Tuberculosis (TB) is crucial for understanding disease progression and patient management.
  • This study aimed to detect an association between HIV and TB in a cohort of hospitalized TB patients.

Observation:

  • 130 tuberculosis inpatients were analyzed, with 95.4% presenting advanced pulmonary TB.
  • Serum anti-HIV antibodies were detected in 4 individuals (3.1%) using ELISA and confirmed by immunoblotting.
  • Risk factors for HIV infection were present in 12 individuals, with 4 testing positive, aligning with high-risk population data.

Findings:

  • Three males and one female, all with varying degrees of pulmonary TB, tested positive for HIV.

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  • No significant immunological disturbances or AIDS-related alterations were observed in the HIV-positive TB patients.
  • Clinical, radiological, and bacteriological outcomes were favorable for the HIV-infected individuals, despite one case of isoniazid-induced toxidermia.

    • Implications:

    • The findings suggest a notable prevalence of HIV among TB patients, highlighting the importance of co-infection screening.
    • Early detection and management of HIV in TB patients can lead to favorable clinical outcomes.
    • This research underscores the need for integrated care strategies for patients with co-existing HIV and TB infections.