RESPIRATORY MANIFESTATION OF HIV

In Human Immunodeficiency virus infected patients , respiratory complications are more frequent. They are frequently the first clinical manifestation of HIV infection. Opportunistic pulmonary infections are major causes of morbidity and mortality among HIV-infected adults in India TB tops the list of differential diagnoses of peoplewith or without coexisting HIV infection. Second among HIVAIDS-associated pulmonary complications is community-acquired pneumonia. It was originally postulated that the infrequent occurrence of P. carinii pneumonia (PCP), now newly named P. jirovecii pneumonia (PJP), among adults with AIDS-related pulmonary complications IN INDIA. The prevalence of Pneumocystis jirovecii pneumonia is increasing, due to both improved recognition of its characteristic clinical and radiographic features and aggressive diagnostic interventions.The National adult HIV prevalence in INDIA is approximately 0.36 which corresponds to an estimated 2 million to 3.1 million people living in INDIA. Data collected retrospectively from the medical records of patients admitted from Jan 2009 Oct 2011.Of the 189 patients admitted 54 individuals had respiratory ,39 were male and 15 were are female patients.26 patients was diagnosed to have pulmonary tuberculosis, 2 was diagnosed to have extrapulmonary tuberculosis, 9 patients were diagnosed to have community acquired pneumonia. We also describe 2 patients with dual infection who presented with community acquired pneumonia and pulmonary tuberculosis. 13 patients was diagnosed to have pneumocystitis carnii pneumonia.3 patients had bronchogenic carcinoma ,2 had chronic obstructive pulmonary disease , 1 had bronchiectasis . 1 had atypical mycobacteria.