Abstract
Introduction. The affinity of sources of infection, the prevalence of sexual transmission, as well as belonging to the contingent of people at risk of STIs and HIV, suggests the possibility of simultaneous infection with pathogens of these diseases. The objective of the work is to study the features of the clinical course, the psycho-emotional state, diagnosis and treatment of STIs associated with HIV infection. Materials and methods. The clinical case of STIs on the background of HIV-infection in women aged 41 years is presented, the diagnosis and treatment methods are described. Results. A separate case of STIs associated with HIV in women aged 41 years is described, as well as the features of the anamnesis, clinical course, objective, laboratory and instrumental research, the results of treatment of the patient. These data demonstrate that the presence of ulcers in the genital area and perianal area, which persist for a long time without signs of healing on the background of local therapy, may be the first manifestation of STIs on the background of HIV-infection. The full range of STI/HIV studies, taking into account immunological status, was crucial for diagnosis and etiopathogenetic therapy, which led to improvement of the patient`s condition, namely complete epithelialization of ulcers and regression of urogenital symptoms. Conclusions. The presence of a malignant of ulcerative process in the anogenital area in STIs, in particular, herpetic and trichomonas etiology is one of the markers of HIV/AIDS.
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