Mycobacterium tuberculosis is a common cause of bloodstream infections among HIV-infected adults in sub-Saharan Africa, and is associated with high morbidity and mortality. We found no cases of mycobacteremia among 93 ill, HIV-infected children in northern Tanzania, despite optimization of laboratory methods and selection of patients thought to be at highest risk for disseminated infection.
From the *Duke University Medical Center, Durham, NC; †Department of Pediatrics, Division of Infectious Diseases; ‡Department of Medicine, Division of Infectious Diseases and International Health; §Department of Pathology, Duke University Medical Center, Durham, NC; ¶Kilimanjaro Christian Medical Centre; ‖Kilimanjaro Christian Medical College, Tumaini University, Moshi, Tanzania; and **Duke Global Health Institute, Duke University, Durham, NC.
Supported by Thrasher Research Fund (NR-0083 to A.M.B.); the International Studies on AIDS Associated Co-infections, United States National Institutes of Health (U01 AI062563 to C.K.C., I.A.A., G.S.M., L.J.M. and J.A.C.); the AIDS International Training and Research Program (D43 PA-03-018 to L.J.M., J.A.C. and I.A.A.); the Duke Clinical Trials Unit and Clinical Research Sites (U01 AI069484 to C.K.C., I.A.A., L.J.M., J.A.C. and A.M.B.); the Duke Center for AIDS Research (5P30 AI064518 to C.K.C., J.A.C. and A.M.B.); the Duke Global Institute of Health (K.D.G.) and the Stead-Duke Global Health Institute Research Scholars Program (K.D.G.). The authors have no other funding or conflicts of interest to disclose.
Address for correspondence: Ann M. Buchanan, MD, MPH, DTM&H, KCMC-Duke Collaboration, Box 3010, Moshi, Tanzania. E-mail: firstname.lastname@example.org.