MORPHOLOGY OF TUBERCULOSIS CONCURRENT WITH HIV INFECTION: POSTMORTEM DATA

The pathomorphology of tuberculosis was studied in 129 deceased patients with concomitant HIV infection and in 50 patients with acutely progressive forms of the disease (a comparison group). In tuberculosis concurrent with HIV infection, the morphological pattern in the lung and other viscera depend...

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Main Authors: A. M. Mikhailovsky, L. N. Lepekha, V. V. Erokhin
Format: Article
Language:Russian
Published: New Terra Publishing House 2014-10-01
Series:Туберкулез и болезни лёгких
Subjects:
Online Access:https://www.tibl-journal.com/jour/article/view/295
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author A. M. Mikhailovsky
L. N. Lepekha
V. V. Erokhin
author_facet A. M. Mikhailovsky
L. N. Lepekha
V. V. Erokhin
author_sort A. M. Mikhailovsky
collection DOAJ
description The pathomorphology of tuberculosis was studied in 129 deceased patients with concomitant HIV infection and in 50 patients with acutely progressive forms of the disease (a comparison group). In tuberculosis concurrent with HIV infection, the morphological pattern in the lung and other viscera depends on the primacy of a lesion and reflects the progressive pattern of specific inflammation. In the TB-HIV group, the signs of a pre-existing specific process with foci of fibrosis and hyalinosis, a mild or moderate granulomatous reaction with epithelioid cells always persist in the lung. The tuberculous process progresses due to lymphohematogenic and bronchogenic dissemination. The HIV-TB group is characterized by the preponderance of exudative and alterative changes, the absence of signs of separation and organization of inflammatory pyonecrotic foci having no signs of specificity in the lung and other viscera. Progression of tuberculous inflammation occurs mainly by hematogenic dissemination. In all the observed groups, there is lymphadenopathy that appears as caseuos necrosis in the TB-HIV group and reactive hyperplasia in the HIV-TB group.
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spelling doaj.art-47a10f731b1c474b9689931682acf6c62023-09-03T10:34:28ZrusNew Terra Publishing HouseТуберкулез и болезни лёгких2075-12302542-15062014-10-01010657010.21292/2075-1230-2014-0-10-65-70295MORPHOLOGY OF TUBERCULOSIS CONCURRENT WITH HIV INFECTION: POSTMORTEM DATAA. M. Mikhailovsky0L. N. Lepekha1V. V. Erokhin2ГБУЗ «Оренбургский областной клинический противотуберкулезный диспансер»ФГБУ «Центральный НИИ туберкулеза» РАМН, г. МоскваФГБУ «Центральный НИИ туберкулеза» РАМН, г. МоскваThe pathomorphology of tuberculosis was studied in 129 deceased patients with concomitant HIV infection and in 50 patients with acutely progressive forms of the disease (a comparison group). In tuberculosis concurrent with HIV infection, the morphological pattern in the lung and other viscera depends on the primacy of a lesion and reflects the progressive pattern of specific inflammation. In the TB-HIV group, the signs of a pre-existing specific process with foci of fibrosis and hyalinosis, a mild or moderate granulomatous reaction with epithelioid cells always persist in the lung. The tuberculous process progresses due to lymphohematogenic and bronchogenic dissemination. The HIV-TB group is characterized by the preponderance of exudative and alterative changes, the absence of signs of separation and organization of inflammatory pyonecrotic foci having no signs of specificity in the lung and other viscera. Progression of tuberculous inflammation occurs mainly by hematogenic dissemination. In all the observed groups, there is lymphadenopathy that appears as caseuos necrosis in the TB-HIV group and reactive hyperplasia in the HIV-TB group.https://www.tibl-journal.com/jour/article/view/295туберкулезвич-инфекциягранулематозная реакцияказеозный некрозгенерализованный туберкулез
spellingShingle A. M. Mikhailovsky
L. N. Lepekha
V. V. Erokhin
MORPHOLOGY OF TUBERCULOSIS CONCURRENT WITH HIV INFECTION: POSTMORTEM DATA
Туберкулез и болезни лёгких
туберкулез
вич-инфекция
гранулематозная реакция
казеозный некроз
генерализованный туберкулез
title MORPHOLOGY OF TUBERCULOSIS CONCURRENT WITH HIV INFECTION: POSTMORTEM DATA
title_full MORPHOLOGY OF TUBERCULOSIS CONCURRENT WITH HIV INFECTION: POSTMORTEM DATA
title_fullStr MORPHOLOGY OF TUBERCULOSIS CONCURRENT WITH HIV INFECTION: POSTMORTEM DATA
title_full_unstemmed MORPHOLOGY OF TUBERCULOSIS CONCURRENT WITH HIV INFECTION: POSTMORTEM DATA
title_short MORPHOLOGY OF TUBERCULOSIS CONCURRENT WITH HIV INFECTION: POSTMORTEM DATA
title_sort morphology of tuberculosis concurrent with hiv infection postmortem data
topic туберкулез
вич-инфекция
гранулематозная реакция
казеозный некроз
генерализованный туберкулез
url https://www.tibl-journal.com/jour/article/view/295
work_keys_str_mv AT ammikhailovsky morphologyoftuberculosisconcurrentwithhivinfectionpostmortemdata
AT lnlepekha morphologyoftuberculosisconcurrentwithhivinfectionpostmortemdata
AT vverokhin morphologyoftuberculosisconcurrentwithhivinfectionpostmortemdata