Comparison between Human Immunodeficiency Virus Positive and Negative Patients with Tuberculosis in Southern Brazil

The objective of this study is to determine the different characteristics of human immunodeficiency virus (HIV) positive and negative patients treated for tuberculosis (TBC) in a tertiary hospital in Southern Brazil. We conducted a retrospective cohort study over a 5-year period, from January 1992 t...

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Main Authors: Lucélia Henn, Fabiano Nagel, Felipe Dal Pizzol
Format: Article
Language:English
Published: Fundação Oswaldo Cruz (FIOCRUZ) 1999-05-01
Series:Memorias do Instituto Oswaldo Cruz
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02761999000300017
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author Lucélia Henn
Fabiano Nagel
Felipe Dal Pizzol
author_facet Lucélia Henn
Fabiano Nagel
Felipe Dal Pizzol
author_sort Lucélia Henn
collection DOAJ
description The objective of this study is to determine the different characteristics of human immunodeficiency virus (HIV) positive and negative patients treated for tuberculosis (TBC) in a tertiary hospital in Southern Brazil. We conducted a retrospective cohort study over a 5-year period, from January 1992 through December 1996. We reviewed medical charts of patients from our institution who received TBC treatment. We reviewed 167 medical charts of patients with confirmed TBC. HIV positivity was detected in 74 patients. There were statistically significant difference between HIV positive and negative patients in sex and age. HIV-infected patients showed significantly more signs of bacteremia than HIV-negative patients. Extra-pulmonary TBC was present respectively in 13 (17.6%) and 21 (22.6%) HIV positive and negative patients. There was a significant difference between chest radiograph presentation in HIV positive and negative patients. There were significantly lower hematocrit, hemoglobin, leukocyte and lymphocyte levels in HIV-positive compared to HIV-negative patients. Outcome was significantly different in the two groups with a death rate of 36.5% and 10.8% in HIV-positive and in HIV-negative patients. The difference between HIV positive and negative patients may have importance in the diagnosis, management and prognosis of patients with TBC.
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spelling doaj.art-102fac1b27c641fd9272d0b63d125d322023-09-02T16:22:02ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz0074-02761678-80601999-05-0194337738110.1590/S0074-02761999000300017Comparison between Human Immunodeficiency Virus Positive and Negative Patients with Tuberculosis in Southern BrazilLucélia HennFabiano NagelFelipe Dal PizzolThe objective of this study is to determine the different characteristics of human immunodeficiency virus (HIV) positive and negative patients treated for tuberculosis (TBC) in a tertiary hospital in Southern Brazil. We conducted a retrospective cohort study over a 5-year period, from January 1992 through December 1996. We reviewed medical charts of patients from our institution who received TBC treatment. We reviewed 167 medical charts of patients with confirmed TBC. HIV positivity was detected in 74 patients. There were statistically significant difference between HIV positive and negative patients in sex and age. HIV-infected patients showed significantly more signs of bacteremia than HIV-negative patients. Extra-pulmonary TBC was present respectively in 13 (17.6%) and 21 (22.6%) HIV positive and negative patients. There was a significant difference between chest radiograph presentation in HIV positive and negative patients. There were significantly lower hematocrit, hemoglobin, leukocyte and lymphocyte levels in HIV-positive compared to HIV-negative patients. Outcome was significantly different in the two groups with a death rate of 36.5% and 10.8% in HIV-positive and in HIV-negative patients. The difference between HIV positive and negative patients may have importance in the diagnosis, management and prognosis of patients with TBC.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02761999000300017tuberculosishuman immunodeficiency virus (HIV) infectiondiagnosisprognosisBrazil
spellingShingle Lucélia Henn
Fabiano Nagel
Felipe Dal Pizzol
Comparison between Human Immunodeficiency Virus Positive and Negative Patients with Tuberculosis in Southern Brazil
Memorias do Instituto Oswaldo Cruz
tuberculosis
human immunodeficiency virus (HIV) infection
diagnosis
prognosis
Brazil
title Comparison between Human Immunodeficiency Virus Positive and Negative Patients with Tuberculosis in Southern Brazil
title_full Comparison between Human Immunodeficiency Virus Positive and Negative Patients with Tuberculosis in Southern Brazil
title_fullStr Comparison between Human Immunodeficiency Virus Positive and Negative Patients with Tuberculosis in Southern Brazil
title_full_unstemmed Comparison between Human Immunodeficiency Virus Positive and Negative Patients with Tuberculosis in Southern Brazil
title_short Comparison between Human Immunodeficiency Virus Positive and Negative Patients with Tuberculosis in Southern Brazil
title_sort comparison between human immunodeficiency virus positive and negative patients with tuberculosis in southern brazil
topic tuberculosis
human immunodeficiency virus (HIV) infection
diagnosis
prognosis
Brazil
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02761999000300017
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AT felipedalpizzol comparisonbetweenhumanimmunodeficiencyviruspositiveandnegativepatientswithtuberculosisinsouthernbrazil