Patients immigrated or born to immigrated parents constitute an increasing proportion of TB in Germany. This study aimed to assess the clinical presentation and outcome of immigrated TB-monoinfected (TB/HIV-) patients versus TB patients with an HIV coinfection (TB/HIV+). Ninety-three patients (36 boys/men, 57 girls/women; age range, 2-59 years) were investigated of whom 47 were TB/HIV+ and 46 TB/HIV-. The diagnostic delay between first presentation to a doctor and TB diagnosis was long in all cases, especially in TB/HIV-patients (range, 0-336 weeks; median, 8 weeks vs. TB/HIV+ patients; range, 0-288 weeks; median, 0 weeks; P <0.05). TB, especially in young immigrated HIV-patients frequently presents as an atypic extrapulmonary disease, which may end up in a delayed diagnosis of up to several years.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.