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  • Extrapulmonary tuberculosis. Difficulties in diagnosing an immunocompromised person

    Редактор | 2017, Clinical case, Practical medicine 01 (17) part2 Psychiatry | 9 августа, 2017

    E.P. STRELTSOV, T.A. AGLYAMOVA, R.T. NUGMANOV, S.N. SOLYANIK, O.Yu. KNYAZEVA

    Naberezhnye Chelny Hospital for Infectious Diseases, 85 Moskovskiy Pr., Naberezhnye Chelny, Russian Federation, 423812

     Streltsov E.P. ― infectious disease doctor, Head of the Admission Department, tel. +7-919-680-88-60, e-mail: streltcov84@yandex.ru

    Aglyamova T.A. ― infectious disease doctor, Deputy Chief Doctor for Medical Work, tel. +7-905-374-43-04, e-mail: tagl@yandex.ru

    Nugmanov R.T. ― infectious disease doctor, Chief Doctor, tel. (8552) 58-53-55, e-mail: rishat.nugmanov@mail.ru

    Solyanik S.N. ― infectious disease doctor, Head of the Department of HIV-infection, tel. +7-987-069-08-07, e-mail: sergeycolyanik1983@yandex.ru

    Knyazeva O.Yu. ― doctor-laboratory assistant, Head of laboratory, tel. (8552) 58-51-49, e-mail: infbol@mail.ru

     

    The case of extrapulmonary tuberculosis ― a tuberculous pericarditis in a 42-year-old patient ― is presented. Clarification of etiology lasted more than a month against the background of the advanced stage of HIV infection (CD 4 ― 55×106/L) without antiviral treatment. The simultaneous prescription of antituberculous agents and the antiviral regimen in combination with pathogenetic treatment did not have success.

    Key words: extrapulmonary tuberculosis, HIV, pericarditis, mycobacteria, PCR.

    REFERENCES

    1. WHO Global tuberculosis report 2015, available at: www.who.int/tb/publications/global_report/en/
    2. Khaertynova I.M. Sovershenstvovanie ranney diagnostiki tuberkuleza i osoben-nosti ego techeniya u bol’nykh VICh-infektsiey: avtoref. dis. … d-ra med.nauk [Improvement of early diagnosis of tuberculosis and peculiarity of its course in patients with HIV infection. Synopsis of dis. Dr med. sciences]. Moscow, 2008. 44 p.
    3. Perel’man M.I. Ftiziatriya. Natsional’noe rukovodstvo [Phthisiology. National leadership]. Moscow: GEOTAR-Media, 2007. 506 p.
    4. Stakhanov V.A., Batyrov F.A., Borisova M.I. et al. Extrapulmonary tuberculosis in training programs at various stages of medical education. Tuberkulez i bo-lezni legkikh, 2011, no. 5, pp. 172-173 (in Russ.).
    5. Tsybikova E.B. Tuberculosis associated with HIV infection in Russia at the beginning of the 21st century (2004-2013). Sotsial’nye aspekty zdorov’ya naseleniya, 2015, no. 43 (3), pp. 7-14 (in Russ.).
    6. Federal’nye klinicheskie rekomendatsii po diagnostike i lecheniyu tuberkuleza u bol’nykh VICh-infektsiey [Federal clinical guidelines for the diagnosis and treatment of tuberculosis in patients with HIV infection]. OOO ROF, 2014, available at: http://www.femb.ru/feml

    Метки: 2017, E.P. STRELTSOV, extrapulmonary tuberculosis, HIV, mycobacteria, O.Yu. KNYAZEVA, PCR, pericarditis, Practical medicine 04 (17) Modern medicine of Trans-Kama region, Practical medicine 06 (17) Surgery, R.T. NUGMANOV, S.N. SOLYANIK, T.A. AGLYAMOVA

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