Tuberculosis and acquired immunodeficiency syndrome--Florida.
Tuberculosis and acquired immunodeficiency syndrome--Florida.
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结核病和获得性免疫缺陷综合症——佛罗里达。
DOI：
10.1001/archinte.1989.00390060022005
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发表时间：
1989
期刊：
影响因子：
--
通讯作者：
J. Witte
中科院分区：
文献类型：
--
作者：
H. Rieder;G. Cauthen;A. Bloch;C. H. Cole;D. Holtzman;D. Snider;W. Bigler;J. Witte
·从1981年1月1日到1986年10月31日，佛罗里达州报告了1858例获得性免疫缺陷综合征(AIDS)和8455例结核病。在艾滋病患者中，159例(8.6%)同时患有结核病，154例(1.8%)肺结核患者同时患有艾滋病。在两种诊断的患者中，50%的患者在艾滋病前1个月以上确诊，30%的患者在艾滋病确诊前1个月内或之后1个月内确诊，20%的患者在艾滋病确诊后1个月以上确诊。与仅患有艾滋病的患者相比，同时患有这两种疾病的患者也更有可能是海地人、黑人(不是海地人)或西班牙裔。与仅患有结核病的患者相比，这两种诊断的患者更有可能是更年轻的男性、海地人、黑人(不是海地人)和西班牙裔，有肺外结核病和结核菌素皮肤试验阴性，以及有非空洞性胸片。这些数据表明，艾滋病患者患结核病的风险可能会增加，两种诊断的患者在重要的人口学和临床特征上都不同于仅患有艾滋病或仅患有结核病的患者。(ARCH实习生Med.1989年；149：1268-1273)
• Florida reported 1858 cases of the acquired immunodeficiency syndrome (AIDS) and 8455 cases of tuberculosis from January 1,1981, through October 31, 1986. Of the patients with AIDS, 159 (8.6%) also had tuberculosis, and 154 (1.8%) of the patients with tuberculosis also had AIDS. Among patients with both diagnoses, tuberculosis was diagnosed before AIDS by more than 1 month in 50%, was diagnosed within 1 month before or 1 month after the diagnosis of AIDS in 30%, and was diagnosed more than 1 month after the AIDS diagnosis in 20%. Compared with patients with AIDS only, patients with both diagnoses were also more likely to be Haitian, black (other than Haitian), or Hispanic. Compared with patients with tuberculosis only, patients with both diagnoses were more likely to be younger, male, Haitian, black (other than Haitian), and Hispanic, have extrapulmonary tuberculosis and negative tuberculin skin tests, and have noncavitary chest roentgenograms. These data suggest that patients with AIDS may have an increased risk of tuberculosis and that patients with both diagnoses differ in important demographic and clinical characteristics from patients with AIDS only or tuberculosis only. (Arch Intern Med. 1989;149:1268-1273)