HIV-infection and eye tuberculosis
I.N. VORONOVА1, V.M. HOKKANEN2, S.I. SANAEVA1
1Municipal Tuberculosis Dispensary, 12 Zvezdnaya Str., St. Petersburg, Russian Federation, 196158
2Northwestern State Medical University named after I.I. Mechnikov, 1/82 Zanevskiy prospekt, St. Petersburg, Russian Federation, 191015
Voronova I.N. ― ophthalmologist of the Differential-Diagnostic Department, tel. (812) 726-89-80, e-mail: anirilas@yandex.ru
Hokkanen V.M. ― D. Med. Sc., Professor of the Department of Ophthalmology, tel. (812) 303-50-00 Ext. 22-32, e-mail: Valentina.Khokkanen@szgmu.ru
Sanaeva S.I. ― ophthalmologist, Head of the Differential-Diagnostic Department, tel. (812) 726-89-80, e-mail: anirilas@yandex.ru
Increase of the HIV-infection incidence is accompanied by a steady rise in tuberculosis of respiratory system with lesions of other organs. The article presents the results of a survey of 1815 patients with pulmonary tuberculosis treated in hospital St Petersburg Municipal Tuberculosis Dispensary, 166 of them with HIV-infection. All changes of eyes in HIV-infected patients were identified as a result of active ophthalmologic examination (order of Ministry of Health of the Russian Federation of March 21, 2003 №109). The most frequent eye manifestations in HIV-infected patients are endemic peripheral horioretinities. Eye pathology in patients with HIV infection is most frequently accompanied by infiltrative tuberculosis of lungs, generalized tuberculosis is the second most frequent complication. The tuberculous lesions of eyes in patients with concomitant pathology are most often found in stage 4B without antiretroviral therapy.
Key words: HIV-infection, pulmonary and extrapulmonary tuberculosis, tuberculosis of eyes.
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