Introduction: The study was conducted with an aim to assess and compare various clinical presentations of tuberculosis in HIV positive patients and compare these presentations in relation to CD4 counts. Methods: This prospective observational study was conducted in Kasturba Medical College (KMC), Mangalore from September 2004 to July 2006 with 100 proven HIV positive patients with Tuberculosis. NACO and RNTCP guidelines were used for diagnosis of HIV and tuberculosis.
Results: Out of 100 patients, 25% of the patients had pulmonary tuberculosis (PTB) and 75% had extrapulmonary tuberculosis. Among the extrapulmonary tuberculosis, majority (30%) had Lymph node TB followed by disseminated TB (17%), tubercular pleural effusion (12%), Miliary TB (6%), tubercular meningitis (4%), intestinal TB (3%), and TB pericardial effusion (3%).Among the patients with PTB, 65% were sputum smear negative…