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Tuberculosis and Acquired Immunodeficiency Syndrome—Florida
Hans L. Rieder, MD, MPH;
George M. Cauthen, ScD;
Alan B. Bloch, MD, MPH;
Clifford H. Cole;
Deborah Holtzman, PhD;
Dixie E. Snider, Jr, MD, MPH;
William J. Bigler, PhD;
John J. Witte, MD, MPH
Arch Intern Med. 1989;149(6):1268-1273.
Abstract
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• Florida reported 1858 cases of the acquired immunodeficiency syndrome (AIDS) and 8455 cases of tuberculosis from January 1,1981, through October 31, 1986. Of the patients with AIDS, 159 (8.6%) also had tuberculosis, and 154 (1.8%) of the patients with tuberculosis also had AIDS. Among patients with both diagnoses, tuberculosis was diagnosed before AIDS by more than 1 month in 50%, was diagnosed within 1 month before or 1 month after the diagnosis of AIDS in 30%, and was diagnosed more than 1 month after the AIDS diagnosis in 20%. Compared with patients with AIDS only, patients with both diagnoses were also more likely to be Haitian, black (other than Haitian), or Hispanic. Compared with patients with tuberculosis only, patients with both diagnoses were more likely to be younger, male, Haitian, black (other than Haitian), and Hispanic, have extrapulmonary tuberculosis and negative tuberculin skin tests, and have noncavitary chest roentgenograms. These data suggest that patients with AIDS may have an increased risk of tuberculosis and that patients with both diagnoses differ in important demographic and clinical characteristics from patients with AIDS only or tuberculosis only.
(Arch Intern Med. 1989;149:1268-1273)
Author Affiliations
From the Division of Tuberculosis Control, Centers for Disease Control, Atlanta, Ga (Drs Rieder, Cauthen, Bloch, and Snider), and the Department of Health and Rehabilitative Services, Tallahassee, Fla (Drs Cole, Holtzman, Bigler, and Witte).
Footnotes
Accepted for publication January 6,1989.
Reprint requests to Division of Tuberculosis Control, Centers for Disease Control, E10, 1600 Clifton Rd, Atlanta, GA 30333 (Dr Cauthen).
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