FIVE-YEAR OBSERVATION OF THE PATIENT WITH SYSTEMIC TUBERCULOSIS AND HIV-INFECTION

Here we describe the 5-year-follow-up of a female suffering from both tuberculosis (TB) and human immunodeficiency virus (HIV) infection. The management of the patient was particularly complicated due to systemic tuberculosis, multiple organ dysfunction syndrome, weakened immunity, and tre...

Full description

Saved in:
Bibliographic Details
Main Authors: TATYANA V. Pyanzova, NATALIA V. Luzinа, OLGA N. Kononchuk
Format: Article
Language:Russian
Published: Kemerovo State Medical University 2018-03-01
Series:Фундаментальная и клиническая медицина
Subjects:
Online Access:https://fcm.kemsmu.ru/jour/article/view/85
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849249106232344576
author TATYANA V. Pyanzova
NATALIA V. Luzinа
OLGA N. Kononchuk
author_facet TATYANA V. Pyanzova
NATALIA V. Luzinа
OLGA N. Kononchuk
author_sort TATYANA V. Pyanzova
collection DOAJ
description Here we describe the 5-year-follow-up of a female suffering from both tuberculosis (TB) and human immunodeficiency virus (HIV) infection. The management of the patient was particularly complicated due to systemic tuberculosis, multiple organ dysfunction syndrome, weakened immunity, and treatment intolerance. The patient received highly active antiretroviral therapy (HAART) for the whole period of follow-up, with two courses of anti-TB treatment over 39 months. Despite the development of an immune reconstitution inflammatory syndrome, aggressive treatment prevented the death and stabilized clinical course, with the further successful TB eradication. Five years after the diagnosis, we did not observe any signs of TB relapse. Patient’s general conditions was satisfactory. Immune status has been also improved, presumably due to HAART. We conclude that even patients with HIV infection combined with systemic TB may have a favorable prognosis.
format Article
id doaj-art-c0686efdf41d42e6bc5007d6ed12eefa
institution Kabale University
issn 2500-0764
2542-0941
language Russian
publishDate 2018-03-01
publisher Kemerovo State Medical University
record_format Article
series Фундаментальная и клиническая медицина
spelling doaj-art-c0686efdf41d42e6bc5007d6ed12eefa2025-08-20T03:57:40ZrusKemerovo State Medical UniversityФундаментальная и клиническая медицина2500-07642542-09412018-03-013110211084FIVE-YEAR OBSERVATION OF THE PATIENT WITH SYSTEMIC TUBERCULOSIS AND HIV-INFECTIONTATYANA V. Pyanzova0NATALIA V. Luzinа1OLGA N. Kononchuk2Kemerovo State Medical UniversityKemerovo Regional Clinical Anti-Tuberculosis DispensaryKemerovo Regional Center for AIDS Prevention and ControlHere we describe the 5-year-follow-up of a female suffering from both tuberculosis (TB) and human immunodeficiency virus (HIV) infection. The management of the patient was particularly complicated due to systemic tuberculosis, multiple organ dysfunction syndrome, weakened immunity, and treatment intolerance. The patient received highly active antiretroviral therapy (HAART) for the whole period of follow-up, with two courses of anti-TB treatment over 39 months. Despite the development of an immune reconstitution inflammatory syndrome, aggressive treatment prevented the death and stabilized clinical course, with the further successful TB eradication. Five years after the diagnosis, we did not observe any signs of TB relapse. Patient’s general conditions was satisfactory. Immune status has been also improved, presumably due to HAART. We conclude that even patients with HIV infection combined with systemic TB may have a favorable prognosis.https://fcm.kemsmu.ru/jour/article/view/85вич-инфекциятуберкулез множественных локализацийтуберкулез периферических лимфатических узловвысокоактивная антиретровирусная терапиясиндром восстановления иммунной системыhiv infectionsystemic tuberculosisperipheral lymph node tuberculosishighly active antiretroviral therapyimmune reconstitution inflammatory syndrome
spellingShingle TATYANA V. Pyanzova
NATALIA V. Luzinа
OLGA N. Kononchuk
FIVE-YEAR OBSERVATION OF THE PATIENT WITH SYSTEMIC TUBERCULOSIS AND HIV-INFECTION
Фундаментальная и клиническая медицина
вич-инфекция
туберкулез множественных локализаций
туберкулез периферических лимфатических узлов
высокоактивная антиретровирусная терапия
синдром восстановления иммунной системы
hiv infection
systemic tuberculosis
peripheral lymph node tuberculosis
highly active antiretroviral therapy
immune reconstitution inflammatory syndrome
title FIVE-YEAR OBSERVATION OF THE PATIENT WITH SYSTEMIC TUBERCULOSIS AND HIV-INFECTION
title_full FIVE-YEAR OBSERVATION OF THE PATIENT WITH SYSTEMIC TUBERCULOSIS AND HIV-INFECTION
title_fullStr FIVE-YEAR OBSERVATION OF THE PATIENT WITH SYSTEMIC TUBERCULOSIS AND HIV-INFECTION
title_full_unstemmed FIVE-YEAR OBSERVATION OF THE PATIENT WITH SYSTEMIC TUBERCULOSIS AND HIV-INFECTION
title_short FIVE-YEAR OBSERVATION OF THE PATIENT WITH SYSTEMIC TUBERCULOSIS AND HIV-INFECTION
title_sort five year observation of the patient with systemic tuberculosis and hiv infection
topic вич-инфекция
туберкулез множественных локализаций
туберкулез периферических лимфатических узлов
высокоактивная антиретровирусная терапия
синдром восстановления иммунной системы
hiv infection
systemic tuberculosis
peripheral lymph node tuberculosis
highly active antiretroviral therapy
immune reconstitution inflammatory syndrome
url https://fcm.kemsmu.ru/jour/article/view/85
work_keys_str_mv AT tatyanavpyanzova fiveyearobservationofthepatientwithsystemictuberculosisandhivinfection
AT nataliavluzina fiveyearobservationofthepatientwithsystemictuberculosisandhivinfection
AT olgankononchuk fiveyearobservationofthepatientwithsystemictuberculosisandhivinfection