SURGICAL TREATMENT OF PULMONARY TUBERCULOSIS IN HIV POSITIVE PATIENTS IN THE PENITENTIARY SYSTEM: SPECIFIC FEATURES OF PRE- AND POST-OPERATIVE MANAGEMENT
https://doi.org/10.21292/2075-1230-2016-94-12-53-56
Abstract
Goal: to analyze opportunities for surgical treatment of pulmonary tuberculosis patients with concurrent HIV infection staying in the penitentiary system.
Materials and methods. The analysis comprised 7 cases of surgical treatment of pulmonary tuberculosis with HIV coinfection in TB hospital of the Russian Federal Penitentiary System from 2013 to 2015.
Results. Surgical treatment (lung resection) was successfully performed in 7 tuberculosis patients with concurrent HIV infection. 5 out of 7 patients had tuberculomas, 1 patient had fibrous cavernous tuberculosis and 1 patient suffered from infiltrate tuberculosis, complicated by spontaneous pneumothorax. Dissemination of tuberculous lesions varied from 1 to 4 segments, HIV infection stage was IIB, III, IIIB and the average CD4 count made 693.0 ± 98.3 cell/mcl. Additionally to chemotherapy the following treatment was used in the pre-operative and post-operative periods: lymphotropic administration of drugs, phytopreparations and pneumoperitoneum.
About the Authors
N. M. Koretskaya
V. F. Voyno-Yasenetsky Krasnoyarsk State Medical University
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor, Head of TB Department with PO Training,
1, Partizana Zheleznyaka St., Krasnoyarsk, 660022
V. F. Elyart
Medical Unit no. 24, Russian Federal Prosecution Service
Russian Federation
Russian Federation
Head of Medical Unit,
1, Okhrany Truda St., Krasnoyarsk, 660075
A. V. Yanovskiy
Medical Unit no. 24, Russian Federal Prosecution Service
Russian Federation
Russian Federation
Thoracic Surgeon of TB Pulmonary Surgical Department of TB Hospital no.1,
1, Okhrany Truda St., Krasnoyarsk, 660075
A. N. Narkevich
V. F. Voyno-Yasenetsky Krasnoyarsk State Medical University
Russian Federation
Russian Federation
Candidate of Medical Sciences, Head of Medical Cybernetics and Healthcare Management Laboratory,
1, Partizana Zheleznyaka St., Krasnoyarsk, 660022
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Review
For citations:
Koretskaya N.M., Elyart V.F., Yanovskiy A.V., Narkevich A.N. SURGICAL TREATMENT OF PULMONARY TUBERCULOSIS IN HIV POSITIVE PATIENTS IN THE PENITENTIARY SYSTEM: SPECIFIC FEATURES OF PRE- AND POST-OPERATIVE MANAGEMENT. Tuberculosis and Lung Diseases. 2016;94(12):53-56. (In Russ.) https://doi.org/10.21292/2075-1230-2016-94-12-53-56
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