1990
DOI: 10.1159/000195844
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Cursed Duet: HIV Infection and Tuberculosis

Abstract: Tuberculosis remains a health problem of extraordinary magnitude, especially in developing countries. Unfortunately, many of the same countries have the additional burden of a remarkably high prevalence of HIV infection. Because of the inherent capacity of tubercle bacilli to take advantage of deficiencies in cell-mediated immunity, tuberculosis has become an extremely important infectious complication of HIV disease in those developing countries in which the two infections coexist; the same is true, although … Show more

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Cited by 49 publications
(22 citation statements)
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“…An estimated 8.3 million new cases of TB occurred in the year 2000, and 1.8 million deaths from TB were reported in the same year [1]. Moreover, the incidence of HIV-associated TB continues to increase [2, 3], and TB caused 11% of all adult AIDS deaths in 1997 [1]. …”
Section: Introductionmentioning
confidence: 99%
“…An estimated 8.3 million new cases of TB occurred in the year 2000, and 1.8 million deaths from TB were reported in the same year [1]. Moreover, the incidence of HIV-associated TB continues to increase [2, 3], and TB caused 11% of all adult AIDS deaths in 1997 [1]. …”
Section: Introductionmentioning
confidence: 99%
“…In part, this was due to demographic factors like those encountered during the industrial revolution, such as displacement of populations and urbanization. More recently, the HIV\AIDS epidemic has greatly exacerbated an already grave situation in the developing world by creating a deadly synergy with tuberculosis that leads to even worse morbidity and mortality (Murray, 1990).…”
Section: Introductionmentioning
confidence: 99%
“…There are three major reasons for this relentless augmentation of a supposedly diagnosable, curable, and even preventable disease: the first reason for the soaring incidence in numerous underdeveloped countries is the widening epidemic of HIV-1 infection; as I will explain in this article, the coexistence of Mycobacterium tuberculosis and HIV-1, a veritable 'cursed duet', accelerates the development, worsens the severity, and amplifies the transmission of tuberculosis [2]. (This review will not discuss HIV-2, which is considerably less prevalent and appears to be less virulent than HIV-1; accordingly, HIV-2 has had little impact on the global epidemiology of tuberculosis.)…”
Section: Introductionmentioning
confidence: 96%