Medical and social characteristics of tuberculosis patients who died in in-patient units in 2017-2018 (based on data from Kemerovo Region)

Abstract

The objective of the study : to analyze the medical and social characteristics of tuberculosis cases died in hospitals of Kemerovo Region in 2017-2018 including those with HIV infection Subjects and methods . Clinical, radiological and morphological data of 372 patients who died in in-patient units of Kemerovo Regional Clinical Phthisiopulmonary Medical Center in 2017-2018 were studied. Results. HIV infection was the major cause of death in tuberculosis patients in Kemerovo Region - in 74.7% (278 patients). Only 21.7% died of tuberculosis, and 3.6% - died of other diseases. The main clinical form of tuberculosis in patients with TB/HIV co-infection was a generalized form with lesions in multiple organs, of them, lesions of intrathoracic lymph nodes, spleen, liver, kidneys, pleura, and central nervous system were the most frequent. In patients who died of tuberculosis, the leading clinical form was fibrous cavernous tuberculosis, mainly complicated by caseous pneumonia.