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CLINICAL PRESENTATION, DIAGNOSIS, AND TREATMENT IN PATIENTS WITH HIV INFECTION IN THE REPUBLIC OF ARMENIA

https://doi.org/10.21292/2075-1230-2014-0-6-22-24

Abstract

Among 298 examinees with TB/HIV, there were most (86.2%) male patients aged 25-44 years. Social migrants were 65.7%. The infiltrative (25.8%) and disseminated (23.8%) forms of tuberculosis were common in its clinical structure. Extrapulmomary tuberculosis was diagnosed in 15.4% of cases. There were generalized lesions in 20.1%, including tuberculous meningitis (12.5%). 48.1% of the patients were found to be drug-unresponsive, mainly to isoniazid and rifampicin (59.6%). When CD4 counts were below 200 cells per µl of blood, extensive lung injuries were seen in 69.9%. Death occurred more frequently in disseminated (37.7%) and infiltrative (18.8%) pulmonary tuberculosis: its generalized process was a cause of death in one third of the patients.

About the Authors

M. D. Safaryan
Ереванский государственный медицинский университет им. М. Гераци
Armenia
г. Ереван


L. T. Nikolayan
Ереванский государственный медицинский университет им. М. Гераци
Armenia
г. Ереван


N. G. Azizyan
Ереванский государственный медицинский университет им. М. Гераци
Armenia
г. Ереван


References

1. Бабаева И. Ю., Демихова О. В., Шаполовский В. В. и др. Вторичные заболевания у больных ВИЧ-ассоцированным туберкулезом // Матер.VIII Всерос. съезда фтизиатров «Туберкулез в России». - М., 2007. - С. 354-355.

2. Батыров Ф. А., Васильева И. А., Мальцев Р. В. Генерализованный туберкулез у больных ВИЧ-инфекцией на стадии вторичных заболеваний // Инф. болезни. - 2010. - № 3. - С. 5-8.

3. Фролова Е. А., Усманов Р. И., Усманова Р. И. Проблемы развития туберкулеза у больных ВИЧ-инфекцией // Казан. мед. ж. - 2009. - № 4. - С. 547-550.

4. Шаховский К. П., Вартанян Ф. Е. Туберкулез, ассоцированный с ВИЧ-инфекцией, в странах мира // Эпидемиол. и инфекц. бол. - 2007. - № 4. - С. 42-45.

5. Яковлев А. А., Рахманова А. Г., Козлов А. А. Анализ клинических проявлений и изменений лабораторных показателей у больных ВИЧ-инфекцией и туберкулезом // Инфекц. бол. - 2012. - № 2. - С. 49-55.

6. Arora V. K., Gupta R. Trends of extra-pulmonary tuberculosis under revised national tuberculosis control programme: A study from South Delhi // Indian. J. Tuberc. - 2006. - Vol. 53. - Р. 77.

7. Bhagyabati D. S., Naorem S., Singh T. J. et al. HIV and TB Co-infection // J. Indian Academy of Clinical Medicine. - 2005. - Vol. 6. - P. 220.

8. Cecchini D., Ambrosioni J., Brezzo C. et al. Tuberculous meningitis in HIV-infected patients: drug susceptibility and clinical outcome // AIDS. - 2007. - Vol. 21. - P. 373-374.

9. Global tuberculosis control: Surveillance, planning, financing. WHO report 2007. WHO, Geneva, 2007. (WHO/HTM/TB/2007.376)


Review

For citations:


Safaryan M.D., Nikolayan L.T., Azizyan N.G. CLINICAL PRESENTATION, DIAGNOSIS, AND TREATMENT IN PATIENTS WITH HIV INFECTION IN THE REPUBLIC OF ARMENIA. Tuberculosis and Lung Diseases. 2014;(6):22-24. (In Russ.) https://doi.org/10.21292/2075-1230-2014-0-6-22-24

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ISSN 2075-1230 (Print)
ISSN 2542-1506 (Online)