The Growing Burden of Tuberculosis
Top Cited Papers
Open Access
- 12 May 2003
- journal article
- review article
- Published by American Medical Association (AMA) in Archives of Internal Medicine
- Vol. 163 (9), 1009-1021
- https://doi.org/10.1001/archinte.163.9.1009
Abstract
HUMAN immunodeficiency virus (HIV) infection is a potent risk factor for tuberculosis (TB). Not only does HIV increase the risk of reactivating latent Mycobacterium tuberculosis (MTB) infection,1 it also increases the risk of rapid TB progression soon after infection or reinfection with MTB.2,3 In persons infected with MTB only, the lifetime risk of developing TB ranges between 10% and 20%.4,5 In persons coinfected with MTB and HIV, however, the annual risk can exceed 10%.1,6,7 The TB burden in countries with a generalized HIV epidemic has therefore increased rapidly over the past decade, especially in the severely affected countries of eastern and southern Africa.8-12 Tuberculosis is one of the most common causes of morbidity and the most common cause of death in HIV-positive adults living in less-developed countries,13-26 yet it is a preventable and treatable disease.Keywords
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