Gender and clinical features of patients with tuberculosis associated with HIV infection, registered in tb dispensary

Abstract

The study of gender-sensitive patients of registered office TB care TB dispensary at 132 men and 46 women found that men met in 2.9 times more likely. Among men and women dominated the patients aged 20-39 years. Among men, 66.3% were unmarried, 89.3% - did not work, 27.5% - serving time in prisons, 84.9% - regularly use substances surfactant and 93.2% - alcoholic beverages. Women in this regard, virtually no different from males. In 79.8% of cases dominated by the parenteral route of HIV infection in 20.2% - sexual way, but significant differences in the characteristics of infection between men and women has been established. All patients had 4B and 4B stages of HIV infection, 29.2% combined with other secondary diseases. TB in patients with HIV infection was detected in 6.4 times more likely in theОригинальные статьиabsence of antiretroviral therapy. The predominant forms were disseminated (28.8%) and infiltrative (30.5%) pul- monary tuberculosis. Allocation Office had 56.3%, and MDR - 20%. Other extrapulmonary lesions often were: tuberculosis of intestines, peritoneum and mesenteric lymph nodes in 32.3% of cases and tuberculosis of peripheral lymph nodes in 15.5%, tuberculosis, urinary and sexual organs in 11.6%, and tuberculosis of the meninges and CNS 10.3%. Less were: pleural tuberculosis (9%), tuberculosis spleen (8.4%), tuberculosis liver (7.7%) and tuberculosis of bones and joints 2.6%. In a few cases were thyroid tuberculosis (0.6%), tuberculosis of the adrenal glands (0.6%), pericardial tuberculosis (6%) and tuberculosis of the inner ear (0.6%). The highest incidence of extrapulmonary tuberculosis lesions observed in patients with metastatic (54.8%), pulmonary tuberculosis, when the number of CD4+ lymphocytes of less than 50 cells per1 ml of blood, and was not used antiretroviral therapy.