HIV/TB – Case Studies. David Schlossberg, MD, FACP Medical Director, TB Control Program Philadelphia Department of Health. Case # 1. A 23 year-old African-American man presents with a 3-week history of fever, cough and 15 pound weight loss. He admits to IVDA. Physical exam
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
David Schlossberg, MD, FACP
Medical Director, TB Control Program
Philadelphia Department of Health
A 23 year-old African-American
man presents with a 3-week
history of fever, cough and
15 pound weight loss. He
admits to IVDA. Physical exam
is unremarkable except for
fever. Routine cultures are
negative, but AFB smear of
sputum is positive. HIV serology
is positive, with CD4 = 120.
Mtei et al, Clin Infect Dis 2005;40:1500-7
A 29 year-old Hispanic woman with AIDS is on HAART. Her viral load is undetectable, and her CD4 count is 550. She was recently exposed to a cousin with TB, and her PPD is 17x20mm. She is asymptomatic, and her CXR is normal. She just found out she is pregnant.
A nineteen-year-old white male IVDA presented with cavitary pulmonary TB and was found to be HIV-positive (CD4 = 275). Both HAART and anti-TB Rx were initiated, with good clinical response. However, after 3 weeks, he developed fever, new pulmonary infiltrates and intrathoracic lymphadenopathy.
(Paradox, “HAART Attacks”)
HAART + anti-TB Rx: up to 35%
Vidal J, et. al. Rev. Inst. Med. Trop. S. Paulo vol.45 no.3 São Paulo May/June 2003
Subcutaneous abscess – Paulo vol.45 no.3 São Paulo May/June 2003
in patient with AIDS
And Miliary TB, on
Thank You! Paulo vol.45 no.3 São Paulo May/June 2003