Pleural effusion, tuberculosis and Hiv-1 infection in Kigali, Rwanda

摘要: Pleural effusion (PE) has been increasingly diagnosed over the last eight years in Department of Internal Medicine Centre Hospitalier Kigali Rwanda. To determine etiology PE and to examine its possible association with HIV-1 infection tuberculosis (TB) authors performed an etiological work-up including thoracocentesis pleural punch biopsy all new patients undetermined referred Division Pulmonary Diseases at hospital between September 14 1988 October 16 1989. 81 men 46 women mean age 34 were enrolled study. TB was 86% confirmed histologically and/or bacteriologically 82%. 82 98 tested for antibody HIV-1-seropositive. Metastatic cancer responsible six Kaposis sarcoma three lymphoma one anaplastic carcinoma adenocarcinoma one. Non-TB pneumonia documented five associated four. Other causes congestive heart failure decompensated cirrhosis constrictive pericarditis or undetermined; only these latter HIV-seropositive. The therefore found be predominant cause it is strongly infection. In African area highly endemic Mycobacterium co-infection should considered a good marker as well