Clinical and laboratory profile of patients with tuberculosis/HIV coinfection at a national referral centre: a case series

East Mediterr Health J. 2008 Mar-Apr;14(2):283-91.

Abstract

This case series describes the clinical and laboratory profile of 15 patients with tuberculosis (TB) HIV coinfection admitted to a referral centre in the Islamic Republic of Iran. Most of the patients (13) were male; the mean age was 36.9 years. Intravenous drug use was the route of transmission for all males and heterosexual intercourse for the 2 females; 12 patients had a history of imprisonment. All patients had pulmonary TB; 13 were smear-positive and all except 1 had atypical radiological presentation. Drug-induced hepatitis occurred in 3 patients and 12 had hepatitis C coinfection. Five patients died. The mean CD4 count was 229.2 (SD 199.5) cells/mm3 and 78.6% had CD4 count < 350. TB may be an AIDS-defining illness in this country.

MeSH terms

  • AIDS-Related Opportunistic Infections / blood
  • AIDS-Related Opportunistic Infections / complications
  • AIDS-Related Opportunistic Infections / diagnosis
  • AIDS-Related Opportunistic Infections / epidemiology*
  • Adult
  • Age Distribution
  • CD4 Lymphocyte Count
  • Chemical and Drug Induced Liver Injury / epidemiology
  • Chi-Square Distribution
  • Comorbidity
  • Female
  • Hepatitis C / epidemiology
  • Hospitals, Urban
  • Humans
  • Iran / epidemiology
  • Male
  • Middle Aged
  • Population Surveillance
  • Prisoners / statistics & numerical data
  • Referral and Consultation
  • Risk Factors
  • Sex Distribution
  • Sexual Behavior
  • Substance Abuse, Intravenous / complications
  • Surveys and Questionnaires
  • Tuberculosis, Pulmonary / blood
  • Tuberculosis, Pulmonary / complications
  • Tuberculosis, Pulmonary / diagnosis
  • Tuberculosis, Pulmonary / epidemiology*