Parasternum pleural-cutaneous fistula in a severely immunosuppressed HIV-positive patient

Abstract

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/mm&sup3;. 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

Bronchopleural and pleurocutaneous fistula in HIV patient with pulmonary tuberculosis

“…Tuberculosis and HIV infection are strongly associated in HIV infected patients and are a major public health problem [1], [2]. The pathogenesis involves CD4 + T cell depletion and reduction of antigen-specific cytokines responses, resulting in an uncontrolled mycobacterium replication [1].…”

“…The pathogenesis involves CD4 + T cell depletion and reduction of antigen-specific cytokines responses, resulting in an uncontrolled mycobacterium replication [1].…”