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Pitchenik 等曾报道海地居民中的获得性免疫缺陷综合征(AIDS)患者的结核病发病率是61.4%(27/44),而非海地人仅2.7%(1/37)。本文回顾性研究了 Bellevue 医院1981~1984年间收治的280名 AIDS患者的结核病发生率、临床表现及药物治疗反应。患者平均年龄36岁(范围10~60岁)。经培养证实24例(8.6%)有结核菌感染,其中11例(46%)为同性恋者,10例为吸毒者(42%),同性恋与滥用药1例,其它原因2例。患者中无1例海地人。11例结核病发生在 AIDS 之前(1~36个月,平均9.4个月),9
Pitchenik et al. Reported that the incidence of tuberculosis among people living with Acquired Immunodeficiency Syndrome (AIDS) among Haitians was 61.4% (27/44) compared with only 2.7% (1/37) of those not from Haitians. This retrospective study of Bellevue Hospital from 1981 to 1984 admitted to the 280 AIDS patients with tuberculosis incidence, clinical manifestations and drug treatment response. The average age of patients was 36 years (range 10 to 60 years). Twenty-four patients (8.6%) had confirmed mycobacterial infection after infection. Of them, 11 (46%) were homosexual, 10 were drug users (42%), 1 was homosexual and substance abuse, and 2 were other causes. None of the patients were Haitian. Eleven cases of tuberculosis occurred before AIDS (1-36 months, mean 9.4 months), 9