A Clinical Case of Cure of Co-morbid Infectious and Parasitic Pathologies Complicated by Meningitis and Immune Reconstitution Iinflammatory Syndrome in an HIV-Positive Patient
https://doi.org/10.58838/2075-1230-2025-103-4-92-99
Abstract
The article describes a case of successful clinical cure of an HIV-positive patient with multiple infectious and parasitic co-morbidities affecting the meninges. Upon treatment, the immune reconstitution inflammatory syndrome with combined tuberculous and fungal meningitis developed after the start of anti-retrovirals. The latter regressed following four months of intensive therapy.
About the Authors
K. B. Vladimirov
Medical Unit no. 78, Russian Penitentiary System;
I.I. Mechnikov North-Western State Medical University, Russian Ministry of Health
Russian Federation
Russian Federation
Kirill B. Vladimirov, Candidate of Medical Sciences, Head of Pulmonary Tuberculosis Surgery Department, TB Hospital no. 1, Associate Professor of Phthisiopulmonology and Thoracic Surgery Department
36 Litera A, Nab. Reki Fontanki, St. Petersburg, 190000 Phone: +7 (812) 272-95-97
G. Yu. Marfina
St. Petersburg Phthisiopulmonology Research Institute, Russian Ministry of Health
Russian Federation
Russian Federation
Galina Yu. Marfina, Candidate of Medical Sciences, Researcher
2-4 Ligovsky Ave., St. Petersburg, 191036. Phone: +7 (812) 775-75-55
E. B. Gritsenko
Medical Unit no. 78, Russian Penitentiary System
Russian Federation
Russian Federation
Ekaterina B. Gritsenko, Head of Tuberculosis Pulmonary Department, TB Hospital no. 1
36 Litera A, Nab. Reki Fontanki, St. Petersburg, 190000 Phone: +7 (812) 272-95-97
D. A. Smirnov
Medical Unit no. 78, Russian Penitentiary System;
Dermatovenerologic Dispensary no. 9
Russian Federation
Russian Federation
Dmitry A. Smirnov, Dermatologist of the Penal Institution, Dermatologist, Dermatovenerologic Dispensary no. 9
36 Litera A, Nab. Reki Fontanki, St. Petersburg, 190000 Phone: +7 (812) 272-95-97
I. V. Tikhanov
Medical Unit no. 78, Russian Penitentiary System
Russian Federation
Russian Federation
Ivan V. Tikhanov, Head of the Institution
36 Litera A, Nab. Reki Fontanki, St. Petersburg, 190000 Phone: +7 (812) 272-95-97
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Review
For citations:
Vladimirov K.B., Marfina G.Yu., Gritsenko E.B., Smirnov D.A., Tikhanov I.V. A Clinical Case of Cure of Co-morbid Infectious and Parasitic Pathologies Complicated by Meningitis and Immune Reconstitution Iinflammatory Syndrome in an HIV-Positive Patient. Tuberculosis and Lung Diseases. 2025;103(4):92-99. (In Russ.) https://doi.org/10.58838/2075-1230-2025-103-4-92-99
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