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M9550092.TXT
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1995-03-04
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Document 0092
DOCN M9550092
TI [A case of pulmonary tuberculosis with HIV infection--review of 5 cases
in Japan]
DT 9505
AU Koyama R; Nakanishi F; Katoh S; Hokkaido Prefecture Sapporo Kitano
Hospital, Japan.
SO Kekkaku. 1994 Nov;69(11):693-8. Unique Identifier : AIDSLINE
MED/95139535
AB Recently we encountered a case of pulmonary tuberculosis with HIV
infection. The patient was 54-years old male. His chief complaints were
anemia, emaciation and severe diarrhea. He was admitted to our hospital
on September 18, 1992. He had been diagnosed in another clinic as having
pulmonary tuberculosis before the admission to our hospital. His chest
films taken on admission revealed homogeneous infiltrates with
cavitation in right upper lobe. Serial chest X-rays consisted with the
findings of post-primary tuberculosis. Sputum smear for acid fast
bacilli was positive. From his clinical manifestations and life-history,
we had a suspicion that he had infected with HIV. Laboratory findings
were as follows: serum albumin level was 1.9 g/dl, CRP was 10.2 mg/dl,
serological tests for HIV were positive by EIA, IFA and western blott
method, total lymphocyte count was 819/microliters, CD4+ T lymphocyte
count was 120/microliter CD4+/CD8+ ratio was 0.2. He was treated with
AZT, isoniazid, streptomycin and rifampicin. The disease progressed
rapidly and interstitial pneumonia, jaundice and clouding of
consciousness appeared at the terminal stage. He expired on October 14,
1992. In this paper, the authors reported a case of pulmonary
tuberculosis with HIV infection and also reviewed 5 cases of pulmonary
tuberculosis associated with HIV in Japan.
DE Adult Case Report English Abstract Female Human HIV
Infections/*COMPLICATIONS Male Middle Age Tuberculosis,
Pulmonary/*COMPLICATIONS JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).