Document 0401
 DOCN  M9650401
 TI    [Autopsy findings in 70 AIDS patients who died in a department of
       pneumology in Ivory Coast: impact of tuberculosis]
 DT    9605
 AU    Domoua K; N'Dhatz M; Coulibaly G; Traore F; Konan JB; Lucas S; Beaumel
       A; De Cock KM; Dago-Akribi A; Yapi A; Service de Pneumo-phtisiologie,
       Centre Hospitalier Universitaire; de Treichville, Projet RETRO-CI, Cote
       d'Ivoire.
 SO    Med Trop (Mars). 1995;55(3):252-4. Unique Identifier : AIDSLINE
       MED/96141174
 AB    Based on autopsy findings in 70 patients infected by human
       immunodeficiency virus (HIV) who died in the Pulmonology Department of
       the Treichville University Hospital Center in Abidjan, Ivory Coast. the
       authors assess the incidence of tuberculosis as the cause of death and
       analyze the clinical, bacteriologic, and histologic features of the
       disease. in this population. Pulmonary tuberculosis was the first cause
       of death in this series accounting for 31 cases (44.2%). In 12 cases
       (38.7%), microscopic identification failed during hospitalization and
       the disease had been misdiagnosed as common bacterial pneumonia. In 29
       cases (93.5%) pulmonary tuberculosis was associated with abdominal
       involvement. In 17 cases (54.8%) involvement of more than two organs was
       observed. Of the 60 abdominal sites detected during the autopsy of the
       31 patients with pulmonary tuberculosis, there were 19 (31.3%) in lymph
       nodes, 18 (30%) in the liver, 14 (23.3%) in the spleen, and 9 (14.9%) in
       the kidneys. Histologic features were remarkable by the absence of
       typical tuberculous granulomas. The findings of this study confirm the
       high incidence of disseminated tuberculosis in patient infected by HIV
       as noted in a number of previous studies.
 DE    Adolescence  Adult  Autopsy  AIDS-Related Opportunistic
       Infections/*MICROBIOLOGY/PATHOLOGY  Cause of Death  Cote d'Ivoire
       Diagnostic Errors  English Abstract  Female  Hospitals, University
       Human  Incidence  Male  Middle Age  Prospective Studies
       Tuberculosis/*MICROBIOLOGY/PATHOLOGY  JOURNAL ARTICLE

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