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Tuberculosis and the Acquired Immunodeficiency Syndrome in Prisoners

M. Miles Braun, MD; Benedict I. Truman, MD, MPH; Dale L. Morse, MD; Barbara Maguire, RN, MS; Raymond Broaddus, PhD
JAMA. 1987;257(11):1471-1472. doi:10.1001/jama.1987.03390110047012.
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To the Editor.—  Recent studies1-3 have shown high rates of tuberculosis in selected patients with the acquired immunodeficiency syndrome (AIDS). A review of AIDS cases among inmates in New York State Department of Correctional Services facilities using the AIDS and tuberculosis registries has shown tuberculosis in 22 (6.9%) of 319 patients with AIDS. Four of the AIDS patients with tuberculosis were diagnosed with AIDS in 1983, three in 1984, four in 1985, and 11 in 1986 (through December).

Study.—  All of the AIDS patients with tuberculosis were male intravenous drug abusers, and one of them was also bisexual. Ten of the patients had extrapulmonary tuberculosis at the time of diagnosis: three lymphatic, two disseminated, two pleural, one meningeal, one peritoneal, and one hepatic. The date of the procedure diagnostic of tuberculosis preceded the date of AIDS diagnosis in 13 (59%) cases, occurred in the same month in seven cases


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