HIV infection usually requires several years to progress to AIDS, the final stage of disease. Since Mycobacterium tuberculosis is more virulent than non-tuherculous mycobacterium and other opportunistic pathogens, tuberculosis tends to occur
relatively
early in the course of HIV immunosuppression as a reactivation of latent infection with increased frequency, especially more prevalent in endemic areas, and has been characterized by atypical clinical and radiograpgic presentation.
A case of 35 year-old-man with shoulder pain, weakness and mild fever was experienced. Initial X-ray of the chest showing partial collapse on the left upper lobe which was taken one month earlier turned out to have pulmonary infiltrations, hilar
lymphadenopathy and pleural effusion on admission, Culture for mycobacterium with pleural fluid resulted in the growth of Mycobacterium tuberculosis and anti-HIV antibody positivity with ELISA was confirmed by Western blot method.
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