1. 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
2. Contagious bacterial infection
that mainly involves lungs.
It can spread to other organs.
TUBERCULOSIS
Chronic cough
Blood-tinged
sputum
Fever
Night sweats
The causative species most
and
representative bacteria causing
weight loss
tuberculosis is mycobacterium
tuberculosis or koch bacillus.
3. It’s a zoonotic disease that
affects people who have been
infected by the human
immunodeficiency virus (HIV).
AIDS Early symptoms are
nonspecific pain,
fever and sore
throat due to
Concurrent symptoms and swollen glands
progressive seriousness:
Dry cough that does not go
away.
Swollen joints.
Unexplained fever.
4. CLINICAL MANIFESTATIONS
symptoms fever
most important
in patients with
Weight’s
HIV
loss
Cough
and less cavitation,
hemoptys Less frequent
inflammation and
i irritation
Physical examination endobronchial
in patient with Doesn’t help distinguish
pulmonary it from other lung
tuberculosis in infections
general
5. PULMONARY Strong
TUBERCULOSIS clinical
evidence
Laboratory of Infection
confirmation for HIV
recommended for
TUBERCULIN
children LOW
TEST VALUE
diagnosis of
tuberculosis in
adults
6. LOSS OF
WEIGHT
NIGHT
FEVER SWEATS
COMMON
SYMTOMS
ASTHENIA
DIARRHEA
COUGH
8. TUBERCULOS
AIDS
IS
Fungal infections - common
Expectoration (oral or vaginal)
white patches in the mouth
hemoptysis
Nausea
Chest’s pain
Severe headache
tuberculous tuberculous
pneumonitis pleuritis Lymphoma
9. In patients with HIV recommended SPUTUM SAMPLES
it increases the diagnosis of pulmonary
tuberculosis
Acute bacterial pneumonia common in HIV patients
differentiates
pulmonary tuberculosis
10. Patients with AIDS
tuberculin test may be negative
even if they have theTB disease
Patients withTUBERCULOSIS
11. The differential diagnosis of pulmonary tuberculosis in children
with HIV include
Pneumonia bacterial diffuse interstitial pneumonitis
neumocystis
pneumonia
12. WHY IS CONFUSED TBC with AIDS?
TBC Increases accelerates disease’s progression
viral load
HIV AIDS
affects the clinical presentation and
evolution of tuberculosis CD4’s decline
increases the rate of recurrence of TB
favors forms of extrapulmonary TB
13. TBC death’s cause of one in three
people with AIDS worldwide
increase in TBC ‘s cases attributed spread of HIV
worldwide
14. In patients with HIV:
HISTOPLASMOSIS Respiratory symptoms mild or
absent
It´s a opportunistic infection
differential diagnosis of pulmonary
tuberculosis with AIDS
15. Patient 45 years old, from Ucayali.
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.
16. 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 BAAR
negative ELISA test
PCR negative.
17. Diagnosis: Pulmonary tuberculosis
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