MEDICAL ENGLISH TEAM N° 02

COMMON AND DIFFERENT SYMPTOMS BETWEEN TBC AND AIDS

INTEGRANTS : CARRIÓN ARCELA FIORELLA

CHIQUINTA SALINAS CRISTIAN

CUSTODIO BALLENA SPENCER

FERNANDEZ MEZA MERCY

FERNANDEZ PEÑA DAYTON

REYES CARRASCO WILLIAM

Contagious bacterial infection that mainly involves lungs.It can spread to other organs.

The causative species most representative bacteria causing tuberculosis is mycobacterium tuberculosis or koch bacillus.

TUBERCULOSIS Chronic cough Blood-tinged

sputum Fever Night sweats

and weight loss

It’s a zoonotic disease that affects people who have been infected by the human immunodeficiency virus (HIV).

Concurrent symptoms and progressive seriousness: Dry cough that does not

go away. Swollen joints. Unexplained fever.

AIDS Early symptoms are nonspecific pain, fever and

sore throat due to swollen glands

CLINICAL MANIFESTATIONS

symptoms most

important in patients with

HIV

fever

Weight’s loss

Cough and

hemoptysi

less cavitation, inflammation and irritation

endobronchialPhysical

examination in patient with pulmonary

tuberculosis in general

Doesn’t help distinguish it from

other lung infections

Less frequent

PULMONARY TUBERCULOSIS

Laboratory confirmation

of Infection for HIV

Strong clinical

evidence

TUBERCULIN TEST

recommended for children LOW

VALUE

diagnosis of tuberculosis in

adults

COMMONSYMTOMS

LOSS OF WEIGHT

NIGHT SWEATS

DIARRHEA

COUGH

ASTHENIA

FEVER

DIFFERENT SYMPTOMS BETWEEN TBC AND AIDS

TUBERCULOSIS AIDS

Fungal infections - common (oral or vaginal)

white patches in the mouth

Nausea

Severe headache

Lymphoma

Expectoration

hemoptysis

Chest’s pain

tuberculous pneumonitis

tuberculous pleuritis

it increases the diagnosis of pulmonary tuberculosis

SPUTUM SAMPLES In patients with HIV recommended

Acute bacterial pneumonia common in HIV patients

differentiatespulmonary tuberculosis

Patients with AIDS

Patients withTUBERCULOSIS

tuberculin test may be negative even if they have theTB disease

The differential diagnosis of pulmonary tuberculosis in children with HIV include

Pneumonia bacterial diffuse interstitial pneumonitis neumocystis

pneumonia

WHY IS CONFUSED TBC with AIDS?

CD4’s decline

Increasesviral load

accelerates disease’s progression

HIV AIDS

affects the clinical presentation and evolution of tuberculosis

increases the rate of recurrence of TBfavors forms of extrapulmonary TB

TBC

TBC death’s cause of one in three people with AIDS worldwide

increase in TBC ‘s cases worldwide

spread of HIVattributed

HISTOPLASMOSIS

In patients with HIV:

Respiratory symptoms mild or absent

It´s a opportunistic infection

differential diagnosis of pulmonary tuberculosis with

AIDS

Regular general and apparent nutritional status; apparent regulate hydration status, lucid, oriented to time, place and person.

The patient reported that the last few days have chest pain, shortness of breath, cough, and malaise, feeling heat rise unquantified (mostly at night), diarrhea and rapid weight loss, so go to the Health Center.

Patient 45 years old, from Ucayali.

Clinical examination shows crackles in lung fields subcrepitantes high, increased respiratory’s frequency.

The chest’s radiograph shows tracheal deviation, a thick cavity to the left infraclavicular region. Tests are requested AFB, PCR and ELISA to discard possible diagnosis:

-Pulmonary Tuberculosis- HIV infection.

Test Proven positive BAARnegative ELISA testPCR negative.

The diagnosis is strengthened by the knowledge of the patient’s place of origin, as is the Ucayali region, which is known as one of the places with the highest incidence of the disease and diagnosed

Also the plate or chest radiography and gives a prior diagnosis of the disease but has to be checked with biochemical tests, both to be certain of the diagnosis and to rule out other diseases with similar signs and symptoms such as infection with HIV

Diagnosis: Pulmonary tuberculosis

THANKS