Document 0204
 DOCN  M95A0204
 TI    Abdominal tuberculosis in patients infected with the human
       immunodeficiency virus.
 DT    9510
 AU    Fee MJ; Oo MM; Gabayan AE; Radin DR; Barnes PF; Department of Medicine,
       University of Southern California School; of Medicine, Los Angeles
       90033, USA.
 SO    Clin Infect Dis. 1995 Apr;20(4):938-44. Unique Identifier : AIDSLINE
       MED/95315401
 AB    We compared the presentation of abdominal tuberculosis in 43 patients
       infected with the human immunodeficiency virus (HIV) and in 35 patients
       without HIV infection. Fever, weight loss, and extraabdominal
       lymphadenopathy were more common in HIV-infected patients, whereas
       ascites and jaundice were more frequent in patients without HIV
       infection. Intraabdominal lymphadenopathy and visceral lesions,
       visualized on computed tomography scans, were more common in
       HIV-infected patients, whereas ascites and omental thickening were more
       frequent in patients without HIV infection. Aspirates of abdominal lymph
       nodes were the only samples revealing acid-fast bacilli in eight
       HIV-infected patients, yielding a rapid diagnosis. Disseminated
       tuberculosis was present in 93% of the HIV-infected patients, compared
       with 31% of those without HIV infection; tuberculosis contributed to
       death in 23% of HIV-infected patients and in 31% of those without HIV
       infection. We conclude that abdominal tuberculosis in HIV-infected
       patients is almost invariably a manifestation of disseminated disease
       and results in significant mortality.
 DE    Abdomen  Adult  Female  Gastrointestinal Diseases/ETIOLOGY  Human  HIV
       Infections/*COMPLICATIONS  Male  Middle Age  Support, U.S. Gov't, P.H.S.
       Tuberculosis/*COMPLICATIONS/DIAGNOSIS/MICROBIOLOGY  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).