Prevalencia de la coinfección de tuberculosis extrapulmonar y virus de inmunodeficiencia humana en pacientes ingresados en el hospital de infectología "Dr. José Daniel Rodríguez Maridueña" en el periodo enero 2016 - diciembre 2017.

Abstract

Introduction: The prevalence of TBE in patients with HIV is 62%, while in patients not carrying HIV it is 20% (4), due to the dramatic change in percentages to all patients in whom HIV is detected, it is necessary to have a high clinical suspicion of TBE. The most common site of TBE in immunocompromised patients are lymph nodes (5). The combination of both pathologies can be fatal for the carrier, converting their detection and early treatment is a decisive action for the prognosis of these patients. Materials and Methods: A prevalence, observational, descriptive, retrospective study was carried out in which all patients who met the inclusion and exclusion criteria during the period January 2016 - January 2017 attended at the Hospital de Infectología Dr. José Daniel Rodríguez Maridueña Results: A total of 1418 patients were found. Of these, 160 patients were diagnosed with tuberculosis / HIV coinfection (11.2%) and 1258 patients were diagnosed with tuberculosis. Of the 160 patients reported with TB / HIV co-infection, 66.2% had pulmonary tuberculosis and 33.8% extrapulmonary sites. Conclusions: In patients co-infected with tuberculosis and HIV, the extrapulmonary form is quite frequent. Tuberculosis should always be taken into account as a differential diagnosis since it can affect any organ. Special suspicion should be observed in patients with CD4 counts below 200 cells.