Tuberculosis and HIV Infection in Kenya
Authors: Paul Nunn, Willi Githui, Samuel Gathua
Journal: Annals of Internal Medicine (1991)

Letters1 February 1991Tuberculosis and HIV Infection in KenyaPaul Nunn, Willi Githui, Samuel GathuaPaul NunnSearch for more papers by this author, Willi GithuiSearch for more papers by this author, Samuel GathuaSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-114-3-252_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the Editors:In his editorial (1), Dr. Pitchenik expresses fears that the heavy reliance placed in developing countries on chest radiography and sputum smears for the diagnosis of pulmonary tuberculosis may lead to errors. He is concerned that the chest radiograph is often atypical in human immunodeficiency virus (HIV)-seropositive patients with tuberculosis. In a study in Nairobi, Kenya, chest radiographs from 207 patients with culture-proven cases of pulmonary tuberculosis, of whom 61 (29%) were HIV seropositive and 146 (71%), seronegative, showed that cavitation and fibrosis were less common among HIV-seropositive patients (70% compared with 88%,P= 0.002; and...References1. Pitchenik A. Tuberculosis control and the AIDS epidemic in developing countries. Ann Intern med. 1990;113:89-91. LinkGoogle Scholar2. PitchenikRobinson AH. The radiographic appearance of tuberculosis in patients with the acquired immunodeficiency syndrome (AIDS) and pre-AIDS. Am Rev Respir Dis. 1985;131:393-6. MedlineGoogle Scholar3. . Case definition for AIDS. Wkly Epidem Rec. 1986;61:69-76. Google Scholar4. NunnGathuaKibuga PSD. HIV seroprevalence survey among tuberculosis patients at Infectious Diseases Hospital, Nairobi, Kenya. IVth International Conference on AIDS and Associated Cancers. Marseille:101. Google Scholar5. Levy-FrebaultPangonBureKatlamaMarcheDavid VBACCH. Mycobacterium simiae and Mycobacterium avium-intracellulare mixed infection in acquired immunodeficiency syndrome. J Clin Microbiol. 1987;25:154-7. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited bySurgical Challenges associated with the use of Illicit Street DrugsTrend in childhood tuberculosis in Benin City, NigeriaPulmonary tuberculosis in HIV infection: Radiographic appearance is related to CD4+ T-lymphocyte countA case control study on human immunodeficiency virus-1 (HIV-1) infection as a risk factor for tuberculosis and leprosy in Western KenyaThe use of monoclonal antibodies to identify mycobacteria grown in culture in ZimbabweTuberculose pulmonaire et séropositivité HIV à l'hôpital principal de Dakar (Sénégal)Cohort study of HIV-positive and HIV-negative tuberculosis, Nairobi, Kenya: comparison of bacteriological results 1 February 1991Volume 114, Issue 3Page: 252-253KeywordsDiagnostic radiologyFearHIVHIV infectionsPulmonary diseasesPulmonary fibrosisSputumThorax Issue Published: 1 February 1991 PDF downloadLoading ...