Unrecognised tuberculosis in HIV-infected patients: sputum culture is a useful tool

被引：0
作者：
Swaminathan, S [1 ]
Paramasivan, CN [1 ]
Kumar, SR [1 ]
Mohan, V [1 ]
Venkatesan, R [1 ]
机构：
[1] TB Res Ctr, Div HIV AIDS, Madras 600031, Tamil Nadu, India
来源：
INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE | 2004年 / 8卷 / 07期
关键词：
tuberculosis; HIV; sputum culture; asymptomatic;
D O I：
暂无
中图分类号：
R51 [传染病];
学科分类号：
100401 ;
摘要：
Diagnosis of tuberculosis is challenging, especially in human immunodeficiency virus (HIV) positive persons who may have atypical clinical and radiographic features. We report the isolation of Mycobacterium tuberculosis from sputum samples of 10 (4%) HIV-positive persons who were asymptomatic with normal chest radiographs and negative sputum smears for acid-fast bacilli. Six of them had strongly positive tuberculin reactions while four were severely immunosuppressed. Our observation highlights the utility of routine sputum culture in the diagnosis of tuberculosis in high-risk individuals.
引用
收藏
页码：896 / 898
页数：3
相关论文
共 9 条
  • [1] Fever and human immunodeficiency virus infection as sentinels for emerging mycobacterial and fungal bloodstream infections in hospitalized patients ≥15 years old, Bangkok
    Archibald, LK
    McDonald, LC
    Rheanpumikankit, S
    Tansuphaswadikul, S
    Chaovanich, A
    Eampokalap, B
    Banerjee, SN
    Reller, LB
    Jarvis, WR
    [J]. JOURNAL OF INFECTIOUS DISEASES, 1999, 180 (01) : 87 - 92
  • [2] Hudson CP, 2000, LANCET, V355, P141, DOI 10.1016/S0140-6736(00)00003-9
  • [3] Detection of pulmonary tuberculosis in patients with a normal chest radiograph
    Marciniuk, DD
    McNab, BD
    Martin, WT
    Hoeppner, VH
    [J]. CHEST, 1999, 115 (02) : 445 - 452
  • [4] Unrecognised Mycobacterium tuberculosis bacteraemia among hospital inpatients in less developed countries
    McDonald, LC
    Archibald, LK
    Rheanpumikankit, S
    Tansuphaswadikul, S
    Eampokalap, B
    Nwanyanawu, O
    Kazembe, P
    Dobbie, H
    Reller, LB
    Jarvis, WR
    [J]. LANCET, 1999, 354 (9185) : 1159 - 1163
  • [5] Tuberculosis active case-finding in a mother-to-child HIV transmission prevention programme in Soweto, South Africa
    Nachega, J
    Coetzee, J
    Adendorff, T
    Msandiwa, R
    Gray, GE
    McIntyre, JA
    Chaisson, RE
    [J]. AIDS, 2003, 17 (09) : 1398 - 1400
  • [6] Pulmonary tuberculosis in HIV-infected patients presenting with normal chest radiograph and negative sputum smear
    Palmieri, F
    Girardi, E
    Pellicelli, AM
    Rianda, A
    Bordi, E
    Rizzi, EB
    Petrosillo, N
    Ippolito, G
    [J]. INFECTION, 2002, 30 (02) : 68 - 74
  • [7] RAMACHANDRAN R, 2002, INDIAN J TUBERC, V50, P29
  • [8] EXTRAPULMONARY TUBERCULOSIS IN PATIENTS WITH HUMAN-IMMUNODEFICIENCY-VIRUS INFECTION
    SHAFER, RW
    KIM, DS
    WEISS, JP
    QUALE, JM
    [J]. MEDICINE, 1991, 70 (06) : 384 - 397
  • [9] Impact of tuberculosis (TB) on HIV-1 activity in dually infected patients
    Toossi, Z
    Mayanja-Kizza, H
    Hirsch, CS
    Edmonds, KL
    Spahlinger, T
    Hom, DL
    Aung, H
    Mugyenyi, P
    Ellner, JJ
    Whalen, CW
    [J]. CLINICAL AND EXPERIMENTAL IMMUNOLOGY, 2001, 123 (02) : 233 - 238
1