Tuberculosis, atypical mycobacteriosis, and the acquired immunodeficiency syndrome among Haitian and non-Haitian patients in south Florida. NLM AIDSLINE Important note: Information in this article was accurate in 1985. The state of the art may have changed since the publication date.

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Tuberculosis, atypical mycobacteriosis, and the acquired immunodeficiency syndrome among Haitian and non-Haitian patients in south Florida.

Ann Intern Med. 1984 Nov;101(5):641-5. Unique Identifier : AIDSLINE MED/85020955
Pitchenik AE; Cole C; Russell BW; Fischl MA; Spira TJ; Snider DE Jr


Abstract: To study the association between mycobacterial disease and the acquired immunodeficiency syndrome, we reviewed the records of all cases of tuberculosis and all cases of the syndrome reported in Dade County, Florida, from January 1980 through June 1983. Tuberculosis was diagnosed in 27 of 45 Haitians with the syndrome, but in only 1 of 37 non-Haitians with the syndrome (p less than 0.001). Among the 27 Haitians with the syndrome and tuberculosis, 19 had extrapulmonary tuberculosis, whereas among 286 Haitian patients with tuberculosis without the syndrome, only 56 had extrapulmonary tuberculosis (p less than 0.001). Tuberculosis preceded the syndrome by 1 to 17 months (mean, 6) in 22 patients. In 10 patients with the syndrome and positive sputum cultures who were treated with conventional antituberculosis drugs, the cultures became negative within 1 to 4 months and tuberculosis did not recur. The frequency of disseminated atypical mycobacteriosis or positive sputum cultures for atypical mycobacteria was not significantly different between Haitian (11.3%) and non-Haitian (8.3%) patients with the syndrome.
Keywords: Acquired Immunodeficiency Syndrome/COMPLICATIONS/*EPIDEMIOLOGY Adult Antitubercular Agents/THERAPEUTIC USE Aspartate Aminotransferase/BLOOD Blacks Cuba/ETHNOLOGY Florida Haiti/ETHNOLOGY Human Middle Age Mycobacterium Infections/*EPIDEMIOLOGY Mycobacterium Infections, Atypical/COMPLICATIONS/DRUG THERAPY/ *EPIDEMIOLOGY Pneumonia, Pneumocystis carinii/EPIDEMIOLOGY Sarcoma, Kaposi's/EPIDEMIOLOGY Support, Non-U.S. Gov't Tuberculosis/COMPLICATIONS/DRUG THERAPY/*EPIDEMIOLOGY Tuberculosis, Pulmonary/EPIDEMIOLOGY Whites JOURNAL ARTICLE

KWDacquiredimmunodeficiencysyndrome/complications/KWDepidemiologyadultantitubercularagents/therapeuticuseaspartateaminotransferase/bloodblackscuba/ethnologyfloridahaiti/ethnologyhumanmiddleagemycobacteriuminfections/KWDepidemiologymycobacteriuminfections,atypical/complications/drugtherapy/KWDepidemiologypneumonia,pneumocystiscarinii/epidemiologysarcoma,kaposi's/epidemiologysupport,non-uKWDsKWDgov'ttuberculosis/complications/drugtherapy/KWDepidemiologytuberculosis,pulmonary/epidemiologywhitesjournalarticle
850130
M8510054


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