Brazilian Journal of Infectious Diseases
versión impresa ISSN 1413-8670
GULINELLI, André; TOLEDO, Diogo Oliveira; COELHO-NETO, Antonio Pereira y MEDEIROS, Roseane Pôrto. Parasternum pleural-cutaneous fistula in a severely immunosuppressed HIV-positive patient. Braz J Infect Dis [online]. 2010, vol.14, n.2, pp. 183-185. ISSN 1413-8670. http://dx.doi.org/10.1590/S1413-86702010000200013.
Pleural tuberculosis occurs in 30% of patients with tuberculosis, and the percentage of patients with tuberculosis pleural effusions is comparable to human immunodeficiency virus HIV-positive and HIV-negative individuals, although pleural tuberculosis is rare in HIV-positive patients with CD4+ counts < 200 cells/mm³. Pleural tuberculosis in HIV-positive patients is likely to happen in young patients, and is more frequent in intravenous drug abusers, with more acid-fast bacilli identifiable in pleural tissue. We report a rare case of pleural tuberculosis in a severely immunosuppressed HIVpositive patient, presented as two parasternum pleural-cutaneous fistula.
Palabras llave : pleural tuberculosis; parasternum pleural-cutaneous fistula; severely immunosupressed HIV-positive patient.