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Letter
Unexpected resistance in an African immigrant: lessons for the unwary
  1. U R Natarajan,
  2. M Fisher
  1. Brighton and Sussex University Hospitals NHS Trust, Brighton, UK
  1. Correspondence to:
 U R Natarajan
 Brighton and Sussex University Hospitals NHS Trust, Brighton, UK; ushawriteaol.com

https://doi.org/10.1136/sti.2003.007542

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    The number of people emigrating from Africa to the United Kingdom has been escalating. They contribute to the increasing number of heterosexuals with HIV in the United Kingdom.1 Increasingly, developing countries are improving their access to antiretroviral drugs through global funds for AIDS and other sources. It is well known that resistance to antiretrovirals develops where therapy is either suboptimal or adherence is imperfect, and that such resistance is associated with poor outcome.2

    A Zimbabwean man aged 47 was admitted to the Royal Sussex County Hospital, in August 2001 with lobar pneumonia. He had excellent response to the appropriate antibiotics. He reported receiving treatment for tuberculosis twice in the past. He had a positive HIV antibody test which …

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