PMID: 2122171Nov 1, 1990Paper

Bacteremia due to Mycobacterium tuberculosis in patients with human immunodeficiency virus infection. A report of 9 cases and a review of the literature

Medicine
T W BarberW R McCabe

Abstract

Mycobacterium tuberculosis bacteremia is being reported more frequently in patients with human immunodeficiency virus, type 1 (HIV-1) infection. We report 9 patients with bacteremia due to M. tuberculosis and HIV infection who were identified over a 36-month period. Of the 9 patients studied, 8 were male, 8 were black, 6 were born in Haiti, 3 were homeless, 2 were intravenous drug users, and 1 was homosexual. At the time of diagnosis, 3 patients had the acquired immunodeficiency syndrome (AIDS) and 5 patients had CD4 lymphocyte counts less than or equal to 170 cells/mm3, indicating marked immunodeficiency. All 9 patients presented with temperature greater than 38.3 degrees C, 5 (50%) had abnormal chest roentgenogram on admission, and each of the patients tested had elevations of at least 2 liver function tests. Eight patients (80%) had M. tuberculosis isolated from sputum or other body fluids and tissues. All blood isolates of M. tuberculosis were identified from Dupont Isolator tubes. Antibiotic-resistant isolates of M. tuberculosis were cultured from 3 of the 6 patients born in Haiti. One patient died before diagnosis and received no antimycobacterial therapy; 7 of the remaining 8 patients appeared to respond to treatment. Ou...Continue Reading

Citations

Nov 6, 2004·Seminars in Roentgenology·Andrés ArbeláezMauricio Castillo
Dec 31, 2008·The American Journal of Medicine·Jesse T JacobMichael K Leonard
Jan 1, 1997·Scandinavian Journal of Infectious Diseases·J MayoE Martinez
Sep 1, 1992·The American Journal of the Medical Sciences·C M Nolan
Dec 24, 1997·Respirology : Official Journal of the Asian Pacific Society of Respirology·J F Murray
May 20, 1993·The New England Journal of Medicine·S E Weinberger
Jan 23, 2018·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
Mar 1, 1995·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·H AlbrechtH Greten
Sep 1, 1996·The Pediatric Infectious Disease Journal·K M Edwards, D S Kernodle
Apr 1, 1996·The American Journal of Dermatopathology·H F JordaanD J Rossouw
Jul 1, 1997·Clinical Microbiology Reviews·L G ReimerM P Weinstein
May 9, 1998·Journal of Clinical Microbiology·J EstebanF Soriano
Mar 1, 1996·Journal of Clinical Microbiology·L FolgueiraA R Noriega

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