Extrapulmonary tuberculosis. Difficulties in diagnosing an immunocompromised person
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
- WHO Global tuberculosis report 2015, available at: www.who.int/tb/publications/global_report/en/
- 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.
- Perel’man M.I. Ftiziatriya. Natsional’noe rukovodstvo [Phthisiology. National leadership]. Moscow: GEOTAR-Media, 2007. 506 p.
- 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.).
- 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.).
- 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