Clinical and laboratory features of atypical mycobacteriosis in HIV-patients
Abstract
In recent years, in Russia we found growing number of mycobacteriosis caused by nontuberculous mycobacteria in patients with HIV infection. The aim of this study was to evaluate dynamics of the detection of MAC-infection in HIVinfected patients in St. Petersburg and conduct the clinical and laboratory characteristics of them. To accomplish the task, carried out a retrospective analysis of 94 patients with HIV and mycobacteriosis treated in City TB Hospital №2 of St. Petersburg in 2004–2015 years. Mycobacteriosis cases were recorded in patients with advanced HIV disease who were not receiving HAART. High level of social adaptation of patients with mycobacteriosis (HIV infection mainly through sexual contact, low frequency of the active drug using, high level of employment, low level of imprisonment history). The clinical features was symptoms of intoxication, diarrheal syndrome. X-ray examination of chest demonstrated an increase in mediastinal lymph nodes at the scarcity of dissemination in lung tissue. In the laboratory attracted attention the presence of severe anemia and increase markers of cholestasis (GGT and alkaline phosphatase).
About the Authors
A. M. Panteleev
City TB hospital № 2, Saint-Petersburg, Russia
First Saint-Petersburg State Medical University named after academician I.P. Pavlov, Saint-Petersburg, Russia
Russian Federation
Russian Federation
M. S. Dracheva
City TB hospital № 2, Saint-Petersburg, Russia
Russian Federation
Russian Federation
O. V. Nikulina
City TB hospital № 2, Saint-Petersburg, Russia
Russian Federation
Russian Federation
O. S. Sokolova
City TB hospital № 2, Saint-Petersburg, Russia
Russian Federation
Russian Federation
A. V. Zonova
City TB hospital № 2, Saint-Petersburg, Russia
Russian Federation
Russian Federation
References
1. Sheu L.C., Tran T.M., Jarlsberg L.G. et al. Non-tuberculous mycobacterial infections at San Francisco General Hospital Clin. Respir. J. 2014(10):436-42.
2. Chayakulkeeree M., Naksanguan T.J. Epidemiology and clinical characteristic of mycobacterial infections in human immunodeficiency virus-infected patients in Siriraj Hospital. Med. Assoc. Thai. 2015, 98 (3) :238-44.
3. Barreto J.A., Palaci M., Ferrazoli L. et al. Isolation of Mycobacterium avium complex from bone marrow aspirates of AIDS patients in Brazil. J. Infect. Dis. 1993,168 (3):777 -79.
4. Otten, T.F. Mikobakterioz. / T.F. Otten, A.V. Vasil’ev – SPb.: Medicinskaja pressa, 2005. – 224 s.
5. Fomenkova, N.V. Atipichnyj mikobakterioz– opportunisticheskoe zabolevanie u bol’nyh s VICh-infekciej / N.V. Fomenkova, O.N. Leonova, T.N.Vinogradova // Mediko- biologicheskie i social’no-psihologicheskie problemy bezopasnosti v chrezvychajnyh situacijah. – 2011. – № 3. – S. 52-57.
6. Mihajlova, N.R. Redkie opportunisticheskie zabolevanija u VICh-inficirovannyh pacientov: atipichnyj mikobakterioz / N.R. Mihajlova, T.N. Kalinina, E.I. Losin // Vestnik Orenburgskogo gosudarstvennogo universiteta. – 2015. – № 3 (178). – S.212-217.
7. Alvarez-Uria G, Falco V, Martin-Casabona N, et al. Non-tuberculous mycobacteria in the sputum of HIV-infected patients: infection or colonization? Int. J. STD AIDS. 2009, 20(3):193-95.
8. Gascon P., Sathe S.S., Rameshwar P. Impaired erythropoiesis in the acquired immunodeficiency syndrome with disseminated Mycobacterium avium complex. Am. J. Med. 1993, 94(1):41-48.
Review
For citations:
Panteleev A.M., Dracheva M.S., Nikulina O.V., Sokolova O.S., Zonova A.V. Clinical and laboratory features of atypical mycobacteriosis in HIV-patients. Journal Infectology. 2016;8(3):40-45. (In Russ.)
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