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Cutaneous Miliary Tuberculosis in a Patient Infected with Human Immunodeficiency Virus

1997; Oxford University Press; Volume: 25; Issue: 6 Linguagem: Inglês

10.1086/516999

1537-6591

Spinello Antinori, Teresa Bini, Laura Galimberti, Luca Meroni, Roberto Esposito,

Mycobacterium research and diagnosis

standing the findings in two recent reports [3, 4], in most cases it Cutaneous Miliary Tuberculosis in the AIDS Erawould be more appropriate to use procedures with documented high diagnostic yield, e.g., lymph node biopsy [5], than to perform a skin SIR -A recent review of cutaneous miliary tuberculosis in the biopsy.Isolated instances of positive skin biopsy specimens must AIDS era [1] emphasized the importance of having a high index be weighed against the large number of negative skin biopsy speciof suspicion for this condition in HIV-positive patients with skin mens if the recommendations of Libraty and Byrd are followed.lesions and advanced immunodeficiency.However, the authors were able to identify only five such cases in the literature, in addition to the case they reported.In a prospective study, ongo-Christopher P. Hudson, Robin Wood, ing since October 1994, we have identified only one case of and Elizabeth A. O'Keefe cutaneous tuberculosis among nearly 400 patients with biopsy- Departments of Medicine, University of Cape Town and SomersetHospital, Green Point,