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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.



                   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.
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.
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
PULMONARY                       Strong
TUBERCULOSIS                     clinical
                                evidence


 Laboratory    of   Infection
confirmation         for HIV



                         recommended for
TUBERCULIN
                             children             LOW
   TEST                                           VALUE
                                     diagnosis of
                                    tuberculosis in
                                        adults
LOSS OF
              WEIGHT
                            NIGHT
   FEVER                   SWEATS


             COMMON
             SYMTOMS
ASTHENIA

                        DIARRHEA
           COUGH
DIFFERENT SYMPTOMS BETWEEN
TBC AND AIDS
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
In patients with HIV        recommended         SPUTUM SAMPLES



                          it increases the diagnosis of pulmonary
                                         tuberculosis




Acute bacterial pneumonia     common in HIV patients

    differentiates
                       pulmonary tuberculosis
Patients with AIDS
                            tuberculin test may be negative
                            even if they have theTB disease
Patients withTUBERCULOSIS
The differential diagnosis of pulmonary tuberculosis in children
with HIV include



Pneumonia bacterial diffuse interstitial pneumonitis
neumocystis
     pneumonia
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
TBC           death’s cause of one in three
              people with AIDS worldwide




increase in TBC ‘s cases              attributed   spread of HIV
worldwide
In patients with HIV:

HISTOPLASMOSIS              Respiratory symptoms mild or
                             absent

                            It´s a opportunistic infection




         differential diagnosis of pulmonary
                tuberculosis with AIDS
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.
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.
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
2   comparative diagnosis

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2 comparative diagnosis

  • 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