Naeem T, Tarar MR, Saadia A, Butt Mura, Yousuf H, Adhami SUZ.
Adding misery to the insult: mycobacterium tuberculosis and hiv co-infection.
Biomedica Jan ;32(1):49-51.

Background and Objectives: Pakistan is a high prevalence country for tuberculosis. Till recently HIV incidence was low. However HIV prevalence in high risk groups has been on the rise in the recent years. Patients having co-infection of both tuberculosis and HIV are at increased risk of morbidity and mortality. This paper reports five cases of such co-infection from our institution to share our experience with others. Methods: All the cases were admitted to Shalamar Teaching Hospital for various clinical conditions complaints diagnosed as suffering from tuberculosis and were treated as such but because of poor response they were further investigated and were diagnosed to have co-infection with HIV as well. Results: Three of the patients were referred to specialized HIV clinic for management. Two patients died in the hospital because of advanced stage of the disease. Conclusion: Tuberculosis patients refractory to therapy and those from high risk groups must immediately be screened for HIV co-infection and referred to HIV clinic if found positive.

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