TUBERCULOSIS CONCURRENT WITH HIV INFECTION: CLINICAL AND MORPHOLOGICAL ASPECTS

HIV infection concurrent with tuberculosis continues to remain an important health problem leading to high fatality rates. This paper analyzes 63 autopsy cases of tuberculosis concurrent with HIV in those who died at the Botkin Clinical Infectious Diseases Hospital in 2012 and 63 cases of the same l...

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Main Authors: V. A. Zinserling, V. V. Svistunov
Format: Article
Language:Russian
Published: New Terra Publishing House 2014-06-01
Series:Туберкулез и болезни лёгких
Subjects:
Online Access:https://www.tibl-journal.com/jour/article/view/92
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author V. A. Zinserling
V. V. Svistunov
author_facet V. A. Zinserling
V. V. Svistunov
author_sort V. A. Zinserling
collection DOAJ
description HIV infection concurrent with tuberculosis continues to remain an important health problem leading to high fatality rates. This paper analyzes 63 autopsy cases of tuberculosis concurrent with HIV in those who died at the Botkin Clinical Infectious Diseases Hospital in 2012 and 63 cases of the same lesions in those who died at Irkutsk somatic hospitals in 2008-2012. Tuberculosis is shown to be a leading cause of death in 51.6% of the HIV cases in Saint Petersburg. The clinical diagnosis was not verified in some cases. At present there are no absolutely valid methods for the detection of mycobacteria in tissues. The clinical and morphological manifestations of tuberculosis were highly diversified and were mainly generalized forms and did not often fit in the existing classifications. Of great importance were lesions to the central nervous system (22.4%) and intestine (15.3%), which are not virtually recognized clinically. According to the Irkutsk data, there was a preponderance of strains belonging to the Beijing genotype (70%). Assessing the mycobacterial genotype and accounting the whole complex of mixed infections are noted to be important among the promising problems to be studied.
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spelling doaj.art-e3202f89b7794088af01c595904de3a22025-03-02T11:22:18ZrusNew Terra Publishing HouseТуберкулез и болезни лёгких2075-12302542-15062014-06-0106566092TUBERCULOSIS CONCURRENT WITH HIV INFECTION: CLINICAL AND MORPHOLOGICAL ASPECTSV. A. Zinserling0V. V. Svistunov1СПбНИИ фтизиопульмонологии; Санкт-Петербургский государственный университет; Городской центр инфекционной патологии на базе ПАО ГУКИБ им. С.П. БоткинаСПбНИИ фтизиопульмонологии; Иркутский государственный медицинский университет; Мунициальная клиническая больница № 1 г. ИркутскаHIV infection concurrent with tuberculosis continues to remain an important health problem leading to high fatality rates. This paper analyzes 63 autopsy cases of tuberculosis concurrent with HIV in those who died at the Botkin Clinical Infectious Diseases Hospital in 2012 and 63 cases of the same lesions in those who died at Irkutsk somatic hospitals in 2008-2012. Tuberculosis is shown to be a leading cause of death in 51.6% of the HIV cases in Saint Petersburg. The clinical diagnosis was not verified in some cases. At present there are no absolutely valid methods for the detection of mycobacteria in tissues. The clinical and morphological manifestations of tuberculosis were highly diversified and were mainly generalized forms and did not often fit in the existing classifications. Of great importance were lesions to the central nervous system (22.4%) and intestine (15.3%), which are not virtually recognized clinically. According to the Irkutsk data, there was a preponderance of strains belonging to the Beijing genotype (70%). Assessing the mycobacterial genotype and accounting the whole complex of mixed infections are noted to be important among the promising problems to be studied.https://www.tibl-journal.com/jour/article/view/92hiv infectiontuberculosismycobacterial genotypespathomorphological patternlesions to the central nervous system and intestine
spellingShingle V. A. Zinserling
V. V. Svistunov
TUBERCULOSIS CONCURRENT WITH HIV INFECTION: CLINICAL AND MORPHOLOGICAL ASPECTS
Туберкулез и болезни лёгких
hiv infection
tuberculosis
mycobacterial genotypes
pathomorphological pattern
lesions to the central nervous system and intestine
title TUBERCULOSIS CONCURRENT WITH HIV INFECTION: CLINICAL AND MORPHOLOGICAL ASPECTS
title_full TUBERCULOSIS CONCURRENT WITH HIV INFECTION: CLINICAL AND MORPHOLOGICAL ASPECTS
title_fullStr TUBERCULOSIS CONCURRENT WITH HIV INFECTION: CLINICAL AND MORPHOLOGICAL ASPECTS
title_full_unstemmed TUBERCULOSIS CONCURRENT WITH HIV INFECTION: CLINICAL AND MORPHOLOGICAL ASPECTS
title_short TUBERCULOSIS CONCURRENT WITH HIV INFECTION: CLINICAL AND MORPHOLOGICAL ASPECTS
title_sort tuberculosis concurrent with hiv infection clinical and morphological aspects
topic hiv infection
tuberculosis
mycobacterial genotypes
pathomorphological pattern
lesions to the central nervous system and intestine
url https://www.tibl-journal.com/jour/article/view/92
work_keys_str_mv AT vazinserling tuberculosisconcurrentwithhivinfectionclinicalandmorphologicalaspects
AT vvsvistunov tuberculosisconcurrentwithhivinfectionclinicalandmorphologicalaspects