Subject(s)
Acquired Immunodeficiency Syndrome/epidemiology , Tuberculosis, Pulmonary/epidemiology , Academic Medical Centers , Acquired Immunodeficiency Syndrome/complications , Acquired Immunodeficiency Syndrome/diagnostic imaging , Adult , Female , Humans , Male , Middle Aged , Netherlands , Prevalence , Radiography , Retrospective Studies , Risk Factors , Tuberculosis, Pulmonary/complications , Tuberculosis, Pulmonary/diagnostic imagingABSTRACT
Of 225 patients in whom AIDS was diagnosed in the period January 1982 to March 1988 at the Academic Medical Centre, Amsterdam, the tuberculosis incidence and the clinical and demographic characteristics were recorded retrospectively. Tuberculosis was diagnosed in 18 patients (8%). The most frequent risk factor of AIDS-tuberculosis patients was intravenous drug abuse. The chest X-ray was frequently atypical and there were more extrapulmonary locations in comparison to patients with tuberculosis without AIDS. On September 1, 1988, 13 of the 18 patients had died. The response to tuberculostatic therapy was good. Our results are in agreement with comparable studies elsewhere. The expectation is that the tuberculosis incidence among AIDS patients will increase as more intravenous drug users become part of the whole AIDS patient population.
