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September 1990

Acquired Immunodeficiency Syndrome and Extrapulmonary Tuberculosis in the United States

Author Affiliations

From the Division of HIV/AIDS, Center for Infectious Diseases (Drs Braun, Byers, Heyward, Ciesielski, and Berkelman) and Division of Tuberculosis Control, Center for Prevention Services (Drs Ciesielski, Bloch, and Snider), Centers for Disease Control, Atlanta, Ga.

Arch Intern Med. 1990;150(9):1913-1916. doi:10.1001/archinte.1990.00390200097018

• Of 48 712 acquired immunodeficiency syndrome (AIDS) cases reported to the Centers for Disease Control from October 1987 through March 1989, 1239(2.5%) were diagnosed with extrapulmonary tuberculosis. Extrapulmonary tuberculosis was diagnosed in 1013 (2.3%) of the US-born persons with AIDS, compared with 26 (8%) of the Mexican-born, 82 (13%) of the Haitianborn, and 4 (1%) of the Cuban-born. Patients with AIDS with and without extrapulmonary tuberculosis were similar in age, except that extrapulmonary tuberculosis was relatively rare in patients with AIDS under the age of 10. Compared with white homosexual/bisexual men, black race (odds ratio, 2.7), intravenous drug use (odds ratio, 2.0), heterosexual AIDS transmission category (odds ratio, 1.9), and Hispanic ethnicity (odds ratio, 1.6) were independently associated with extrapulmonary tuberculosis. In 1988, extrapulmonary tuberculosis in persons known to be human immunodeficiency virus seropositive represented 21% of national extrapulmonary tuberculosis morbidity.

(Arch Intern Med. 1990;150:1913-1916)