Abstract

ARENAS, Nelson Enrique et al. Status of tuberculosis/HIV coinfection in the municipality of Armenia (Colombia): Ten years experience. Infect. [online]. 2012, vol.16, n.3, pp.140-147. ISSN 0123-9392.

Tuberculosis represents one of the top clinical complications in immunocompromised HIVinfected people. When diagnostic and therapeutic interventions are delayed, outcomes could be fatal due to imminent progress of this deadly combination. Methodology: We carried out a descriptive retrospective study from registered TB/HIV cases from 2000 to 2010 in the municipality of Armenia. Notification forms from both diseases TB and HIV (SIVIGILA), record of home visits, individual treatment cards and death certificates were used as data sources. Results: 113 patients were included with TB/HIV confirmed tests, which represents a global prevalence of 6.8% during 10 years in Armenia. The mean age among patients was 34.3 years (ranging from 11 to 68 years), and the group between 14 and 34 years and male (91% extrapulmonary and 75% pulmonary forms) was the most commonly involved. According to the disease presentation, extrapulmonary TB form (50.4%, n = 57) was more frequent than the pulmonary form. The frequency of extrapulmonary forms was: ganglionar, 50% (n = 32); meningeal, 19.3% (n = 11); miliar, 8.8% (n = 5); pleural, 7% (n = 4); peritoneal, 7% (n = 4), and Pott’s disease, 1.8% (n = 1). In eight cases both forms presented simultaneously (pulmonary and extrapulmonary). Lethality was 100% among VIH positive patients infected with resistant strains. Conclusions: Our results highlight the importance of implementing collaborative actions between TB and HIV programs to improve diagnosis and to reduce mortality and resistant strain dissemination.

Keywords : Tuberculosis; HIV; Diagnosis; Pulmonary tuberculosis.

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