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1996-03-09
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Document 0401
DOCN M9650401
TI [Autopsy findings in 70 AIDS patients who died in a department of
pneumology in Ivory Coast: impact of tuberculosis]
DT 9605
AU Domoua K; N'Dhatz M; Coulibaly G; Traore F; Konan JB; Lucas S; Beaumel
A; De Cock KM; Dago-Akribi A; Yapi A; Service de Pneumo-phtisiologie,
Centre Hospitalier Universitaire; de Treichville, Projet RETRO-CI, Cote
d'Ivoire.
SO Med Trop (Mars). 1995;55(3):252-4. Unique Identifier : AIDSLINE
MED/96141174
AB Based on autopsy findings in 70 patients infected by human
immunodeficiency virus (HIV) who died in the Pulmonology Department of
the Treichville University Hospital Center in Abidjan, Ivory Coast. the
authors assess the incidence of tuberculosis as the cause of death and
analyze the clinical, bacteriologic, and histologic features of the
disease. in this population. Pulmonary tuberculosis was the first cause
of death in this series accounting for 31 cases (44.2%). In 12 cases
(38.7%), microscopic identification failed during hospitalization and
the disease had been misdiagnosed as common bacterial pneumonia. In 29
cases (93.5%) pulmonary tuberculosis was associated with abdominal
involvement. In 17 cases (54.8%) involvement of more than two organs was
observed. Of the 60 abdominal sites detected during the autopsy of the
31 patients with pulmonary tuberculosis, there were 19 (31.3%) in lymph
nodes, 18 (30%) in the liver, 14 (23.3%) in the spleen, and 9 (14.9%) in
the kidneys. Histologic features were remarkable by the absence of
typical tuberculous granulomas. The findings of this study confirm the
high incidence of disseminated tuberculosis in patient infected by HIV
as noted in a number of previous studies.
DE Adolescence Adult Autopsy AIDS-Related Opportunistic
Infections/*MICROBIOLOGY/PATHOLOGY Cause of Death Cote d'Ivoire
Diagnostic Errors English Abstract Female Hospitals, University
Human Incidence Male Middle Age Prospective Studies
Tuberculosis/*MICROBIOLOGY/PATHOLOGY JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).