By December 1993, only five cases of tuberculosis were observed in the 1030 HIV-positive patients in Edinburgh, U.K., although, on the basis of historical tuberculin skin test data, between four and eight new cases of tuberculosis were expected per year. Of 310 HIV-positive patients, none of the 19 (6.1%) who were tuberculin skin test positive had developed tuberculosis after 87 months (average) of follow-up. It is suggested that new or re-infection is a more common cause of tuberculosis in HIV-positive patients than reactivation. Restriction fragment length polymorphism typing of Mycobacterium tuberculosis strains could confirm this hypothesis and support currently suggested additional infection control procedures.
Why disease due to Mycobacterium tuberculosis is less common than expected in HIV-positive patients in Edinburgh.
A. Leitch,M. Rubilar,B. Watt,R B S Laing,L. Willcocks,R. Brettle,C. Leen
Published 1995 in Respiratory Medicine
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- Publication year
1995
- Venue
Respiratory Medicine
- Publication date
1995-08-01
- Fields of study
Medicine
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- Source metadata
Semantic Scholar, PubMed
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