Tuberculosis en pacientes infectados con el virus de la inmunodeficiencia humana (HIV): ¿la cuarta epidemia?

Abstract

Se presenta una revisión sobre los aspectos epidemiológicos, clínicos, de diagnóstico, terapéuticos y de laboratorio de la tuberculosis (TB) en pacientes infectados con el virus de la Inmunodeficiencia Humana (HIV) y se dan algunas recomendaciones para la protección del personal de salud en cuanto al manejo de los pacientes HIV (+) y con TB y el procesamiento de las muestras obtenidas de éstos, para evitar la diseminación de la TB en dicho personal.

Digestive, Hepatic, and Nutritional Manifestations in Latin American Children With HIV/AIDS

“…Class B, or moderate, is manifested as oropharyngeal candidiasis persisting more than 2 months, and in those older than 6 months as recurrent or chronic diarrhea, hepatitis, or recurrent herpes simplex virus stomatitis, with more than 2 episodes in a single year or beginning before 1 month of life. Class C, or severely symptomatic, manifests as esophageal candidiasis, cryptosporidiosis with diarrhea in children older than 1 month, recurrent sepsis due to Salmonella typhosa, or wasting syndrome in absence of diseases other than HIV, more than 10% basal weight loss or 2% loss in body weight in a 1-year-old child, or a lower size than the 5th percentile in 2 consecutive measures, 30 days apart, plus chronic diarrhea for 30 days or with intermittent or constant fever documented for 30 days (16).…”