Firstly diagnosed HIV/AIDS-associated tuberculosis: clinical peculiarities and causes of patients` deaths

Introduction. According to the literature, HIV infection increases the risk of tuberculosis, and tuberculosis causes an adverse effect on the course of HIV infection. Tuberculosis is the direct cause of death of patients up to 30.0% with HIV infection and in 90.0% of cases at AIDS. That’s why studying the clinical course of HIV/AIDS-associated tuberculosis and analysis of causes of death in these patients is highly actual today. The aim of the study. To determine the clinical course and causes of death in patients with primarily diagnosed HIV/AIDS-associated tuberculosis. Materials and methods. 22 patients cards who died of primarily diagnosed HIV/AIDS-associated tuberculosis were analyzed in this article. The results of research. Among patients with primarily diagnosed HIV/AIDS-associated tuberculosis there were 12 men (54.6%), and 10 (45.4%) women. The average age was 39.5 ± 1.5 years. There were 90.9% of unemployed patients (20 patients), 4 patients (18.2%) were former prisoners, 1(4.5%) – shelterless person, 5 patients (22.7%) suffered from drug addiction and alcoholism. 9 (40.9%) patients lived antisocial life. HIV-infection had started after tuberculosis in 1 patient (4.5%), before tuberculosis - in 15 (68.2%), the simultaneous detection of co-infection was found in 6 cases (27.3%). Prevailed disseminated (60 %) and infiltrative forms of lung tuberculosis (33,3 %) were significantly (P