Parasternum pleural-cutaneous fistula in a severely immunosuppressed HIV-positive patient

Autor: André Gulinelli, MD, Diogo Oliveira Toledo, MD, Antonio Pereira Coelho-Neto, MD, Roseane Pôrto Medeiros, MD
Jazyk: angličtina
Rok vydání: 2010
Předmět:
Zdroj: Brazilian Journal of Infectious Diseases, Vol 14, Iss 2, Pp 183-185 (2010)
Druh dokumentu: article
ISSN: 1413-8670
DOI: 10.1016/S1413-8670(10)70035-0
Popis: Pleural tuberculosis occurs in 30% of patients with tuberculosis, and the percentage of patients with tuberculosis pleural effusions is comparable to human immunodeficiency virus HIV-positive and HIV-negative individuals, although pleural tuberculosis is rare in HIV-positive patients with CD4+ counts < 200 cells/mm3. Pleural tuberculosis in HIV-positive patients is likely to happen in young patients, and is more frequent in intravenous drug abusers, with more acid-fast bacilli identifiable in pleural tissue. We report a rare case of pleural tuberculosis in a severely immunosuppressed HIV-positive patient, presented as two parasternum pleural-cutaneous fistula. Keywords: pleural tuberculosis, parasternum pleural-cutaneous fistula, severely immunosupressed HIV-positive patient
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