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M94A3215.TXT
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1994-10-25
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Document 3215
DOCN M94A3215
TI FUO in HIV patients. A study of 83 episodes.
DT 9412
AU Iribarren JA; Oyarbide I; Arrizabalaga J; Rodriguez F; Von Wichmann MA;
Idigoras P; Mentxaka B; Unidad de Enf. Infecciosas, Hospital Aranzazu,
San Sebastian,; Spain.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):127 (abstract no. PA0127). Unique
Identifier : AIDSLINE ICA10/94369360
AB OBJECTIVES: To evaluate the etiology of FUO in patients with HIV
infection (PWHIV). To study the utility of empiric antituberculosis
therapy in patients with FUO and negative diagnostic investigations, in
an area with high incidence of tuberculosis infection (Basque Country,
Spain). METHODS: Retrospective study of the FUO episodes of the PWHIV
admitted to the UEI between 1988 and 1993. A protocol of the FUO study
has been followed. Different levels of assurance has been considered in
the diagnosis. In cases of FUO without diagnosis, empiric
antituberculosis therapy is begun, and the evolution and the survival
are evaluated. RESULTS: Eighty tree episodes of FOU that accomplished
the inclusion criteria have been picked up. Next table shows the
diagnoses. DIAGNOSIS: TABULAR DATA, SEE ABSTRACT VOLUME. Two patients
had 2 diagnosis and in one of them tree were found. Among the 21 cases
of probable TB and the 11 possibles, 28 of 32 had been followed a
minimum of 12 months, not having new FUO episodes. CONCLUSIONS: In our
country, TB is the most frecuent etiology of FUO in PWHIV. There is a
very important subgroup of patients, in whom, after a rasonably wide
study of their FUO, no diagnosis is achieved, and however they respond
to antituberculosis therapy. It is necessary to implement prophylaxis of
TB in patients with HIV and tuberculosis coinfection.
DE AIDS-Related Opportunistic Infections/*DIAGNOSIS/MORTALITY/
PHYSIOPATHOLOGY Comparative Study *Fever of Unknown Origin Follow-Up
Studies Human HIV Infections/MORTALITY/*PHYSIOPATHOLOGY Pneumocystis
carinii Infections/DIAGNOSIS Retrospective Studies Survival Rate
Toxoplasmosis, Cerebral/DIAGNOSIS Tuberculosis/DIAGNOSIS MEETING
ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).