Abstract
The study materials of 23 patients with COVID-19 with newly diagnosed tuberculosis at the late stages of HIV infection with an average CD4 + cells count not exceeding 30 cells/pl of blood and in the absence of antiretroviral therapy (the main group) and 23 patients with no COVID-19 (the comparison group) and the similar parameters are presented. The presence or absence of COVID-19 is characterized by social maladjustment, drug addiction, concomitant viral hepatitis B or C and COPD, generalized tuberculosis with extrapulmonary damage of various organs and the development of other opportunistic pulmonary infections, similar clinical and radiological manifestations, which can only be differentiated by microbiological and molecular genetic research methods. To prevent exogenous infection of the healthy population with COVID-19, it is imperative to organize an active regular examination of all patients with tuberculosis and HIV infection for COVID-19, especially at the later stages, in the TB care office for HIV-infected people at TB dispensaries.
Highlights
The presence or absence of COVID-19 is characterized by social maladjustment
Рекомендуется включение селенита натрия в комплексную терапию пациентов с туберкулезом с сахарным диабетом и аутоиммунным тиреоидитом после исследования уровня селена в сыворотке крови тиреоидного статуса
Summary
НОВАЯ КОРОНОВИРУСНАЯ ИНФЕКЦИЯ (COVID-19) У БОЛЬНЫХ ТУБЕРКУЛЕЗОМ НА ПОЗДНИХ СТАДИЯХ ВИЧ-ИНФЕКЦИИ. Резюме Представлены материалы исследования 23 больных с наличием COVID-19 с впервые выявленным туберкулезом, на поздних стадиях ВИЧ-инфекции со средним количеством CD4+ клеток не превышающем 30 кл./мкл крови и при отсутствии антиретровирусной терапии (основная группа) и 23 – с отсутствием COVID-19 (группа сравнения) и аналогичными по всем параметрам. New coronoviral infection (COVID-19) combined with tuberculosis în patients at late stages of HIV infection with immunodeficiency. The study materials of 23 patients with COVID-19 with newly diagnosed tuberculosis at the late stages of HIV infection with an average CD4 + cells count not exceeding 30 cells/μl of blood and in the absence of antiretroviral therapy (the main group) and 23 patients with no COVID-19 (the comparison group) and the similar parameters are presented. Cuvinte-cheie: COVID-19, tuberculoză, infecție cu HIV, imunodeficiență, boli pulmonare oportuniste
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