GENERALIZED TUBERCULOSISIN HIV PATIENTS IN CONDITIONS OF THE NORTHERN REGION

Abstract

The purpose of the study is to assess the features of clinical manifestations of generalized tuberculosis in HIV- positive patients living in the conditions of the Northern Region. Indicators of a microbiology testing of sputum, epithelial lining fluids, exudate, cerebrospinal fluids separated from fistula, biopsy and operational material, results of a computed tomography of lungs of 30 patients with generalized tuberculosis and HIV infection undergoing treatment in the Surgut Clinical Antituberculosis Dispensary are studied. Tuberculosis is detected in the following extrapulmonary localizations: urogenital system in 12 patients (40 %); meningitis in 9 (30 %); spondylitis in 9 (30 %); intestines in 8 (26.7 %); pleural effusion in 5 (16.7 %). Damage of three and more systems is detected in 6 patients (20 %). Among the 14 patients with generalized tuberculosis and HIV infection egesting mycobacteria of tuberculosis, in 5 of them, an abacillation (35.7 %) is reached. The 23.3% (n = 7) of patients have fatal cases.