Tuberculosis and Nontuberculous Mycobacteriosis in Patients with AIDS
Thirty-six patients with AIDS and culture-proven nontuberculous mycobacteriosis were compared to 20 patients with acquired immunodeficiency syndrome (AIDS) and tuberculosis with regard to clinical signs, symptoms, and diagnostic methods. Patients with nontuberculous mycobacteriosis were more often y...
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| Veröffentlicht in: | Chest 1988-04, Vol.93 (4), p.772-775 |
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| container_end_page | 775 |
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| container_title | Chest |
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| creator | Fournier, Arthur M. Dickinson, Gordon M. Erdfrocht, Ita R. Cleary, Timothy Fischl, Margaret A. |
| description | Thirty-six patients with AIDS and culture-proven nontuberculous mycobacteriosis were compared to 20 patients with acquired immunodeficiency syndrome (AIDS) and tuberculosis with regard to clinical signs, symptoms, and diagnostic methods. Patients with nontuberculous mycobacteriosis were more often younger and homosexuals, while patients with tuberculosis were usually Haitian-American or users of intravenous drugs. A majority of patients with tuberculosis presented with fever and weight loss. These symptoms were seen in approximately 50 percent of the patients with nontuberculous mycobacteriosis. A distinct syndrome of dyspnea, chills, hemoptysis, and chest pain was seen in a significant minority of patients with nontuberculous mycobacteriosis. Lymphadenopathy was seen almost exclusively in patients with tuberculosis. Pulmonary sources (expectorated sputum or bronchoscopy specimens) were the most common source of diagnosis in both groups. Patients in both groups in whom the diagnosis was obtained from pulmonary sources frequently had negative chest x-ray films on presentation. Cavitary disease was absent from both groups. |
| doi_str_mv | 10.1378/chest.93.4.772 |
| format | Article |
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Patients with nontuberculous mycobacteriosis were more often younger and homosexuals, while patients with tuberculosis were usually Haitian-American or users of intravenous drugs. A majority of patients with tuberculosis presented with fever and weight loss. These symptoms were seen in approximately 50 percent of the patients with nontuberculous mycobacteriosis. A distinct syndrome of dyspnea, chills, hemoptysis, and chest pain was seen in a significant minority of patients with nontuberculous mycobacteriosis. Lymphadenopathy was seen almost exclusively in patients with tuberculosis. Pulmonary sources (expectorated sputum or bronchoscopy specimens) were the most common source of diagnosis in both groups. Patients in both groups in whom the diagnosis was obtained from pulmonary sources frequently had negative chest x-ray films on presentation. Cavitary disease was absent from both groups.</description><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1378/chest.93.4.772</identifier><identifier>PMID: 3349832</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Acquired Immunodeficiency Syndrome - complications ; Adult ; Age Factors ; Bronchoscopy ; Female ; Haiti - ethnology ; Homosexuality ; Humans ; Male ; Mycobacterium Infections - etiology ; Mycobacterium Infections, Nontuberculous - diagnosis ; Mycobacterium Infections, Nontuberculous - etiology ; Mycobacterium tuberculosis ; Opportunistic Infections - etiology ; Risk Factors ; Sputum - microbiology ; Substance-Related Disorders ; Tuberculosis, Pulmonary - diagnosis ; Tuberculosis, Pulmonary - etiology ; United States</subject><ispartof>Chest, 1988-04, Vol.93 (4), p.772-775</ispartof><rights>1988 The American College of Chest Physicians</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c341t-6ffae5c404d16b132219ec291eb8555d1594aa78751aff4dc99b91df23119ab03</citedby><cites>FETCH-LOGICAL-c341t-6ffae5c404d16b132219ec291eb8555d1594aa78751aff4dc99b91df23119ab03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3349832$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fournier, Arthur M.</creatorcontrib><creatorcontrib>Dickinson, Gordon M.</creatorcontrib><creatorcontrib>Erdfrocht, Ita R.</creatorcontrib><creatorcontrib>Cleary, Timothy</creatorcontrib><creatorcontrib>Fischl, Margaret A.</creatorcontrib><title>Tuberculosis and Nontuberculous Mycobacteriosis in Patients with AIDS</title><title>Chest</title><addtitle>Chest</addtitle><description>Thirty-six patients with AIDS and culture-proven nontuberculous mycobacteriosis were compared to 20 patients with acquired immunodeficiency syndrome (AIDS) and tuberculosis with regard to clinical signs, symptoms, and diagnostic methods. Patients with nontuberculous mycobacteriosis were more often younger and homosexuals, while patients with tuberculosis were usually Haitian-American or users of intravenous drugs. A majority of patients with tuberculosis presented with fever and weight loss. These symptoms were seen in approximately 50 percent of the patients with nontuberculous mycobacteriosis. A distinct syndrome of dyspnea, chills, hemoptysis, and chest pain was seen in a significant minority of patients with nontuberculous mycobacteriosis. Lymphadenopathy was seen almost exclusively in patients with tuberculosis. Pulmonary sources (expectorated sputum or bronchoscopy specimens) were the most common source of diagnosis in both groups. Patients in both groups in whom the diagnosis was obtained from pulmonary sources frequently had negative chest x-ray films on presentation. Cavitary disease was absent from both groups.</description><subject>Acquired Immunodeficiency Syndrome - complications</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Bronchoscopy</subject><subject>Female</subject><subject>Haiti - ethnology</subject><subject>Homosexuality</subject><subject>Humans</subject><subject>Male</subject><subject>Mycobacterium Infections - etiology</subject><subject>Mycobacterium Infections, Nontuberculous - diagnosis</subject><subject>Mycobacterium Infections, Nontuberculous - etiology</subject><subject>Mycobacterium tuberculosis</subject><subject>Opportunistic Infections - etiology</subject><subject>Risk Factors</subject><subject>Sputum - microbiology</subject><subject>Substance-Related Disorders</subject><subject>Tuberculosis, Pulmonary - diagnosis</subject><subject>Tuberculosis, Pulmonary - etiology</subject><subject>United States</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kDlPwzAAhS0EKqWwsiFlYkvwlcNjVQpU4pIos-U4DnGVo9gOVf89pinHwmTZ-t7T8wfAOYIRIml2JStlXcRIRKM0xQdgjBhBIYkpOQRjCBEOScLwMTixdgX9HbFkBEaEUJYRPAbzZZ8rI_u6s9oGoi2Cx65132-9DR62ssuFdMroHaLb4Fk4rVpng412VTBdXL-cgqNS1Fad7c8JeL2ZL2d34f3T7WI2vQ8lociFSVkKFUsKaYGSHBGMEVMSM6TyLI7jAsWMCpFmaYxEWdJCMpYzVJSY-Nkih2QCLofetenee_9x3mgrVV2LVvmxHFGWEgwzD0YDKE1nrVElXxvdCLPlCPIvb3znjTPCKffefOBi39znjSp-8L2o38JKv1UbbRS3jahrT5OhatX1phX1n8JsCCjv40Mrw6301qQqfFg6XnT6vy2fZrOOUQ</recordid><startdate>19880401</startdate><enddate>19880401</enddate><creator>Fournier, Arthur M.</creator><creator>Dickinson, Gordon M.</creator><creator>Erdfrocht, Ita R.</creator><creator>Cleary, Timothy</creator><creator>Fischl, Margaret A.</creator><general>Elsevier Inc</general><general>American College of Chest Physicians</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope></search><sort><creationdate>19880401</creationdate><title>Tuberculosis and Nontuberculous Mycobacteriosis in Patients with AIDS</title><author>Fournier, Arthur M. ; Dickinson, Gordon M. ; Erdfrocht, Ita R. ; Cleary, Timothy ; Fischl, Margaret A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c341t-6ffae5c404d16b132219ec291eb8555d1594aa78751aff4dc99b91df23119ab03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Acquired Immunodeficiency Syndrome - complications</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Bronchoscopy</topic><topic>Female</topic><topic>Haiti - ethnology</topic><topic>Homosexuality</topic><topic>Humans</topic><topic>Male</topic><topic>Mycobacterium Infections - etiology</topic><topic>Mycobacterium Infections, Nontuberculous - diagnosis</topic><topic>Mycobacterium Infections, Nontuberculous - etiology</topic><topic>Mycobacterium tuberculosis</topic><topic>Opportunistic Infections - etiology</topic><topic>Risk Factors</topic><topic>Sputum - microbiology</topic><topic>Substance-Related Disorders</topic><topic>Tuberculosis, Pulmonary - diagnosis</topic><topic>Tuberculosis, Pulmonary - etiology</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fournier, Arthur M.</creatorcontrib><creatorcontrib>Dickinson, Gordon M.</creatorcontrib><creatorcontrib>Erdfrocht, Ita R.</creatorcontrib><creatorcontrib>Cleary, Timothy</creatorcontrib><creatorcontrib>Fischl, Margaret A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fournier, Arthur M.</au><au>Dickinson, Gordon M.</au><au>Erdfrocht, Ita R.</au><au>Cleary, Timothy</au><au>Fischl, Margaret A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tuberculosis and Nontuberculous Mycobacteriosis in Patients with AIDS</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>1988-04-01</date><risdate>1988</risdate><volume>93</volume><issue>4</issue><spage>772</spage><epage>775</epage><pages>772-775</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><abstract>Thirty-six patients with AIDS and culture-proven nontuberculous mycobacteriosis were compared to 20 patients with acquired immunodeficiency syndrome (AIDS) and tuberculosis with regard to clinical signs, symptoms, and diagnostic methods. Patients with nontuberculous mycobacteriosis were more often younger and homosexuals, while patients with tuberculosis were usually Haitian-American or users of intravenous drugs. A majority of patients with tuberculosis presented with fever and weight loss. These symptoms were seen in approximately 50 percent of the patients with nontuberculous mycobacteriosis. A distinct syndrome of dyspnea, chills, hemoptysis, and chest pain was seen in a significant minority of patients with nontuberculous mycobacteriosis. Lymphadenopathy was seen almost exclusively in patients with tuberculosis. Pulmonary sources (expectorated sputum or bronchoscopy specimens) were the most common source of diagnosis in both groups. Patients in both groups in whom the diagnosis was obtained from pulmonary sources frequently had negative chest x-ray films on presentation. Cavitary disease was absent from both groups.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>3349832</pmid><doi>10.1378/chest.93.4.772</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0012-3692 |
| ispartof | Chest, 1988-04, Vol.93 (4), p.772-775 |
| issn | 0012-3692 1931-3543 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Acquired Immunodeficiency Syndrome - complications Adult Age Factors Bronchoscopy Female Haiti - ethnology Homosexuality Humans Male Mycobacterium Infections - etiology Mycobacterium Infections, Nontuberculous - diagnosis Mycobacterium Infections, Nontuberculous - etiology Mycobacterium tuberculosis Opportunistic Infections - etiology Risk Factors Sputum - microbiology Substance-Related Disorders Tuberculosis, Pulmonary - diagnosis Tuberculosis, Pulmonary - etiology United States |
| title | Tuberculosis and Nontuberculous Mycobacteriosis in Patients with AIDS |
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