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).