Paul Nunn; Willi Githui; Samuel Gathua
To the Editors: In his editorial (1), Dr. Pitchenik expresses fears that the heavy reliance placed in developing countries on chest radiography and sputum smears for the diagnosis of pulmonary tuberculosis may lead to errors. He is concerned that the chest radiograph is often atypical in human immunodeficiency virus (HIV)-seropositive patients with tuberculosis. In a study in Nairobi, Kenya, chest radiographs from 207 patients with culture-proven cases of pulmonary tuberculosis, of whom 61 (29%) were HIV seropositive and 146 (71%), seronegative, showed that cavitation and fibrosis were less common among HIV-seropositive patients (70% compared with 88%, P = 0.002; and
Nunn P, Githui W, Gathua S. Tuberculosis and HIV Infection in Kenya. Ann Intern Med. ;114:252–253. doi: 10.7326/0003-4819-114-3-252_2
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Published: Ann Intern Med. 1991;114(3):252-253.
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