Concurrent PCP and TB pneumonia in HIV infected patients

Jose G Castro, Gabriel Manzi, Luis Espinoza, Michael A Campos, Catherine V Boulanger

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

We aimed to assess the incidence and clinical characteristics of patients with HIV infection with concurrent Pneumocystis pneumonia (PCP) and tuberculosis (TB). We carried out a retrospective record review of HIV infected patients admitted with pulmonary TB and PCP during the same hospital admission at a large county hospital in Miami, from 1995 to 2004. 2651 patients with HIV infection and possible TB or PCP were identified. There were 99 cases of PCP (81 presumptive and 18 confirmed) and 35 were new cases of TB. There were 17 patients who had a new, concurrent diagnosis of pulmonary TB and PCP. Approximately half of these patients were unaware of their HIV infections and half of them had a negative AFB in sputum. Most were men and had a CD4 count less than 100 cells/mm3. Chest X-ray disclosed bilateral infiltrates in most of the cases. All but 2 survived the hospital admission. Thus, concurrent TB and PCP in HIV infected patients were not uncommon in this large county hospital in Miami, Florida in the studied period, but its diagnosis was challenging.

Original languageEnglish
Pages (from-to)1054-1058
Number of pages5
JournalScandinavian Journal of Infectious Diseases
Volume39
Issue number11-12
DOIs
StatePublished - Nov 29 2007

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Pneumocystis Pneumonia
Pneumonia
Tuberculosis
HIV
HIV Infections
County Hospitals
Pulmonary Tuberculosis
CD4 Lymphocyte Count
Sputum
Thorax
X-Rays
Incidence

ASJC Scopus subject areas

  • Microbiology (medical)
  • Immunology

Cite this

Concurrent PCP and TB pneumonia in HIV infected patients. / Castro, Jose G; Manzi, Gabriel; Espinoza, Luis; Campos, Michael A; Boulanger, Catherine V.

In: Scandinavian Journal of Infectious Diseases, Vol. 39, No. 11-12, 29.11.2007, p. 1054-1058.

Research output: Contribution to journalArticle

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