Document 0092
 DOCN  M9550092
 TI    [A case of pulmonary tuberculosis with HIV infection--review of 5 cases
       in Japan]
 DT    9505
 AU    Koyama R; Nakanishi F; Katoh S; Hokkaido Prefecture Sapporo Kitano
       Hospital, Japan.
 SO    Kekkaku. 1994 Nov;69(11):693-8. Unique Identifier : AIDSLINE
       MED/95139535
 AB    Recently we encountered a case of pulmonary tuberculosis with HIV
       infection. The patient was 54-years old male. His chief complaints were
       anemia, emaciation and severe diarrhea. He was admitted to our hospital
       on September 18, 1992. He had been diagnosed in another clinic as having
       pulmonary tuberculosis before the admission to our hospital. His chest
       films taken on admission revealed homogeneous infiltrates with
       cavitation in right upper lobe. Serial chest X-rays consisted with the
       findings of post-primary tuberculosis. Sputum smear for acid fast
       bacilli was positive. From his clinical manifestations and life-history,
       we had a suspicion that he had infected with HIV. Laboratory findings
       were as follows: serum albumin level was 1.9 g/dl, CRP was 10.2 mg/dl,
       serological tests for HIV were positive by EIA, IFA and western blott
       method, total lymphocyte count was 819/microliters, CD4+ T lymphocyte
       count was 120/microliter CD4+/CD8+ ratio was 0.2. He was treated with
       AZT, isoniazid, streptomycin and rifampicin. The disease progressed
       rapidly and interstitial pneumonia, jaundice and clouding of
       consciousness appeared at the terminal stage. He expired on October 14,
       1992. In this paper, the authors reported a case of pulmonary
       tuberculosis with HIV infection and also reviewed 5 cases of pulmonary
       tuberculosis associated with HIV in Japan.
 DE    Adult  Case Report  English Abstract  Female  Human  HIV
       Infections/*COMPLICATIONS  Male  Middle Age  Tuberculosis,
       Pulmonary/*COMPLICATIONS  JOURNAL ARTICLE

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