During the last decade, there has been an unprecedented resurgence of tuberculosis in the United States, reversing a downward trend observed for 30 years. This has been attributed to the human immunodeficiency virus (HIV) epidemic (1), but there has also been an increase in tuberculosis in the non-HIV population. Also contributing to the elevated incidence of tuberculosis is the increasing number of homeless persons or those living in shelters in large metropolitan areas and immigrants arriving from areas where tuberculosis is highly endemic (2). The immunosuppression seen in patients with HIV infection renders them more vulnerable to extrapulmonary tuberculosis as well as atypical mycobacterial infections (1).
KeywordsHuman Immunodeficiency Virus Acquire Immune Deficiency Syndrome Mycobacterium Avium Mycobacterium Avium Complex Extra Pulmonary Tuberculosis
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