TY - JOUR
T1 - Tuberculosis in Human Immunodeficiency Virus—Infected Children
T2 - A Family Infection
AU - Bakshi, Saroj S.
AU - Alvarez, Dora
AU - Hilfer, Carol L.
AU - Sordillo, Emilia M.
AU - Grover, Ranjeet
AU - Kairam, Ram
PY - 1993/3
Y1 - 1993/3
N2 - Objective. —To study the epidemiologic and clinical features of infection with Mycobacterium tuberculosis in human immunodeficiency virus (HIV)–infected children and their families. Patients and Clinical Setting. —Sixty families of children with HIV infection, children of HIV indeterminate status, and seroreverters underwent follow-up in a comprehensive multidisciplinary program for children and families. Methods. —Infection with M tuberculosis was diagnosed based on a positive Mantoux test result or a positive culture. Results. —Mycobacterium tuberculosis infection was diagnosed in seven children (three infected with HIV, three seroreverters, and one uninfected sibling of an infected child) from four families (6%). All infections were detected in the period from March 1990 through January 1992. Six of seven children had a history of exposure to M tuberculosis in an HIV-infected adult (parent) who was an intravenous drug user, homeless, and/or noncompliant with the medical regimen. All HIV-infected children and one seroreverter had pulmonary tuberculosis. One child died of complications of tuberculosis and HIV infection. The M tuberculosis isolated from this child was resistant to isoniazid, rifampin, and streptomycin sulfate. Conclusions. —Tuberculosis is a growing problem among inner-city children born to HIV-infected parents. Children infected with HIV in this study had symptomatic and severe disease with tuberculosis, which reflected the drug susceptibility pattern of M tuberculosis seen in our community.
AB - Objective. —To study the epidemiologic and clinical features of infection with Mycobacterium tuberculosis in human immunodeficiency virus (HIV)–infected children and their families. Patients and Clinical Setting. —Sixty families of children with HIV infection, children of HIV indeterminate status, and seroreverters underwent follow-up in a comprehensive multidisciplinary program for children and families. Methods. —Infection with M tuberculosis was diagnosed based on a positive Mantoux test result or a positive culture. Results. —Mycobacterium tuberculosis infection was diagnosed in seven children (three infected with HIV, three seroreverters, and one uninfected sibling of an infected child) from four families (6%). All infections were detected in the period from March 1990 through January 1992. Six of seven children had a history of exposure to M tuberculosis in an HIV-infected adult (parent) who was an intravenous drug user, homeless, and/or noncompliant with the medical regimen. All HIV-infected children and one seroreverter had pulmonary tuberculosis. One child died of complications of tuberculosis and HIV infection. The M tuberculosis isolated from this child was resistant to isoniazid, rifampin, and streptomycin sulfate. Conclusions. —Tuberculosis is a growing problem among inner-city children born to HIV-infected parents. Children infected with HIV in this study had symptomatic and severe disease with tuberculosis, which reflected the drug susceptibility pattern of M tuberculosis seen in our community.
UR - http://www.scopus.com/inward/record.url?scp=0027534470&partnerID=8YFLogxK
U2 - 10.1001/archpedi.1993.02160270082027
DO - 10.1001/archpedi.1993.02160270082027
M3 - Article
C2 - 8094939
AN - SCOPUS:0027534470
SN - 0096-8994
VL - 147
SP - 320
EP - 324
JO - American Journal of Diseases of Children
JF - American Journal of Diseases of Children
IS - 3
ER -