Skip to main content

Extrapulmonary Tuberculosis in Acquired Immunodeficiency Syndrome

  • Chapter
Book cover Clinical Imaging in Non-Pulmonary Tuberculosis
  • 140 Accesses

Abstract

Limitation of the cell-mediated response in acquired immunodeficiency syndrome (AIDS) patients, due to the reduction of T-helper lymphocyte levels, removes the main defence against Mycobacterium tuberculosis [1,2]. The resulting co-infection of AIDS and tuberculosis (TB) has become so commonplace in the USA that, in 1987, the Centers for Disease Control (CDC) expanded its AIDS surveillance case definition, to include human immunodeficiency virus (HlV)-positive patients with extrapulmonary TB and, in 1993, to include HIV-positive patients with pulmonary TB or clinically suspected pulmonary TB.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Cohn DL (1994) Treatment and prevention of tuberculosis in HIV-infected persons. Infect Dis Clin North Am 8: 399–412

    PubMed  CAS  Google Scholar 

  2. Theuer CP, Hopewell PC, Elias D, et al. (1990) Human immunodeficiency virus infection in tuberculous patients. J Infect Dis 162: 8–12

    Article  PubMed  CAS  Google Scholar 

  3. Villoria MF, de laTorre J, Fortea F, et al. (1992) Intracranial tuberculosis in AIDS: CT and MRI findings. Neuroradiology34: 11–14

    Article  PubMed  CAS  Google Scholar 

  4. Buckner CB, Leithiser RE, Walker CW, et al. (1991) The changing epidemiology of tuberculosis and other mycobacterial infections in the USA: implications for the radiologist. Am J Roentgenol 156: 255–264

    CAS  Google Scholar 

  5. Villoria MF, Fortea F, Moreno S, et al. (1995) MR imaging and CT of central nervous system tuberculosis in patients with AIDS. Radiol Clin North Am 33: 805–820

    PubMed  CAS  Google Scholar 

  6. Mehta JB, Dutt A, Harvill L, et al. (1991) Epidemiology of extrapulmonary tuberculosis. Chest 99: 1134–1138

    Article  PubMed  CAS  Google Scholar 

  7. Onorato IM, McCray E (1992) Prevalence of human immunodeficiency virus infection among patients attending tuberculosis clinics in the USA. J Infect Dis 165: 87–92

    Article  PubMed  CAS  Google Scholar 

  8. Braun MM, Byers RH, Heyward WL, et al. (1990) Acquired immunodeficiency syndrome and extrapulmonary tuberculosis in the USA. Arch Intern Med 150: 1913–1916

    Article  PubMed  CAS  Google Scholar 

  9. Harries AD (1990) Tuberculosis and human immunodeficiency virus infection in developing countries. Lancet 335: 387–390

    Article  PubMed  CAS  Google Scholar 

  10. Pitchenik AE (1990) Tuberculosis control and the AIDS epidemic in developing countries. Ann Intern Med 113: 89–91

    PubMed  CAS  Google Scholar 

  11. Bargallo N, Nicolau C, Luburich P, et al. (1992) Intestinal tuberculosis in AIDS. Gastrointest Radiol 17: 115–118

    Article  PubMed  CAS  Google Scholar 

  12. Whiteman M, Espinoza L, Post MJ, et al. (1995) Central nervous system tuberculosis in HIV-infected patients: clinical and radiographic findings. Am J Neuroradiol 16: 1319–1327

    PubMed  CAS  Google Scholar 

  13. Berenguer J, Moreno S, Laguna F, et al. (1992) Tuberculous meningitis in patients infected with the human immunodeficiency virus. N Engl J Med 326: 668–672

    Article  PubMed  CAS  Google Scholar 

  14. Teoh R, Humphries MJ, O’Mahoney G (1987) Symptomatic tuberculoma developing during treatment of tuberculosis: a report of 10 patients and a review of the literature. QJM63:449– 460

    PubMed  CAS  Google Scholar 

  15. Holz AJ (1998) The sugarcoating sign. Radiology 208: 143–144

    PubMed  CAS  Google Scholar 

  16. Tien RD, Chu PK, Hesselink JR, et al. (1991) Intracranial cryptococcosis in immunocompromised patients. Am J Neuroradiol 12: 283–289

    PubMed  CAS  Google Scholar 

  17. Ramsey RG, Geremia GK (1988) CNS complications of AIDS: CT and MR findings. Am J Roentgenol 151:449–454

    CAS  Google Scholar 

  18. Ruiz A, Ganz WI, Post MJ, et al. (1994) Use of thalium-201 brain SPECT to differentiate cerebral lymphoma from toxoplasma encephalitis in AIDS patients. Am J Neuroradiol 15: 1885–1894

    PubMed  CAS  Google Scholar 

  19. Herts BR, Megibow AJ, Birnbaum BA, et al. (1992) High-attenuation lymphadenopathy in AIDS patients: significance of findings at CT. Radiology 185: 777–781

    PubMed  CAS  Google Scholar 

  20. Jeffrey RB, Nyberg DA, Bottles K, et al. (1986) Abdominal CT in acquired immunodeficiency syndrome. Am J Roentgenol 146: 7–13

    Google Scholar 

  21. Radin R (1995) HIV infection: analysis in 259 consecutive patients with abnormal abdominal CT findings. Radiology 197: 712–722

    PubMed  CAS  Google Scholar 

  22. Sansom H, Seddon B, Padley SGP (1997) Clinical utility of abdominal CT scanning in patients with HIV disease. Clin Radiol 52: 698–703

    Article  PubMed  CAS  Google Scholar 

  23. Abdel-Dayem HM, Naddaf S, Aziz M, et al. (1997) Sites of tuberculous involvement in patients with AIDS. Clin Nucl Med 22: 310–314

    Article  PubMed  CAS  Google Scholar 

  24. Nyberg DA, Federle MP, Jeffrey RB (1985) Abdominal CT findings of disseminated mycobacterium avium-intracellulare in AIDS. Am J Roentgenol 145: 297–299

    CAS  Google Scholar 

  25. Radin DR (1991) Intraabdominal mycobacterium tuberculosis vs mycobacterium avium-intracellulare infections in patients with AIDS. Am J Roentgenol 156: 487–491

    CAS  Google Scholar 

  26. Ramakantan R, Shah P (1990) Tuberculous fistulas of the pharynx and esophagus. Gastrointest Radiol 15: 145–147

    Article  PubMed  CAS  Google Scholar 

  27. de Silva R, Stoopack PM, Raufman J-P (1990) Esophageal fistulas associated with mycobacterial infection in patients at risk for AIDS. Radiology 175: 449–453

    PubMed  Google Scholar 

  28. Goodman P, Pinero SS, Ranee RM, et al. (1989) Mycobacterial esophagitis in AIDS. Gastrointest Radiol 14: 103–105

    Article  PubMed  CAS  Google Scholar 

  29. Brody JM, Miller DK, Zeman RK, et al. (1986) Gastric tuberculosis: a manifestation of acquired immunodeficiency syndrome. Radiology 159: 347–348

    PubMed  CAS  Google Scholar 

  30. Wolff MJ, Bitran J, Northland RG, et al. (1991) Splenic abscesses due to mycobacterium tuberculosis in patients with AIDS. Rev Infect Dis 13: 373–375

    Article  PubMed  CAS  Google Scholar 

  31. Lozano F, Gomez-Mateos J, Lopez-Cortes L, et al. (1991) Tuberculous splenic abscesses in patients with aquired immune deficiency syndrome. Tubercle 72: 307–308

    Article  PubMed  CAS  Google Scholar 

  32. Pedro-Botet J, Maristany MT, Miralles R, et al. (1991) Splenic tuberculosis in patients with AIDS. Rev Infect Dis 13: 1069–1071

    Article  PubMed  CAS  Google Scholar 

  33. Choi BI, Im J-G, Han MC, et al. (1989) Hepatosplenic tuberculosis with hypersplenism: CT evaluation. Gastrointest Radiol 14: 265–267

    Article  PubMed  CAS  Google Scholar 

  34. Orenstein M.S, Tavitian A, Yonk B. et al. (1985) Granulomatous involvement of the liver in patients with AIDS. Gut 26: 1229–1225

    Article  Google Scholar 

  35. Moreno S, Pacho E, Lopez-Herce JA, et al. (1988) Mycobacterium tuberculosis visceral abscesses in the acquired immunodeficiency syndrome. Ann Intern Med 109: 437

    PubMed  CAS  Google Scholar 

  36. Goodman PC (1995) Tuberculosis and AIDS. Radiol Clin North Am 33: 707–717

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2000 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

McGuinness, F.E. (2000). Extrapulmonary Tuberculosis in Acquired Immunodeficiency Syndrome. In: Clinical Imaging in Non-Pulmonary Tuberculosis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59635-3_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-59635-3_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64061-2

  • Online ISBN: 978-3-642-59635-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics