Over the last 2 years about 100-150 cases of HIV who also had associates, T.B. were seen
by us. T.B. is an associated infection in HIV due to its high incidence and also because
of the lowered immunity of the HIV patients. Various manifestation of T.B. were seen like
Cavitation, Broncho - Penumonia, Pleural effusion, Mediastinal Lymphadenopathy, Lowe Lobe
T.B., etc Pulmonary manifestations like CN's - T.B., Abdomen T.B., - to name a few.
These were treated with routine anti T.B. drugs like INH+, RFN+, EMB+, PZa for
6-9months(Streptomycin and Thiacetazone where avoided) along with the alternative therapy
for HIV given simultaneously. A remarkable improve was seen in these patients bothe
clinically, radiological and also bacteriological. This indicated break through in the
treatment modalities of HIV with alternative therapy along with Allopathic medicine for
T.B.
HIV and T.B behave as a cursed duet such that they flare each other by predominantly Th2
immunological response, which involves secretion of IL-6, TNF alpha and which causes of
the HIV virus. This is Th2 response stimulated by active T.B. Concurrently there is down
regulation of the Th1 by the HIV virus response so that immunity towards the T.B. Bacilli
is reduced. Thus there is an increased susceptibility to T.B. Insertion.
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