In the review are presented a modern data about vasculitis, are given a classifications of defeat of vessels, are characterised a features of vascular dysfunction at an infectious pathology, are described the basic
pathogenetic mechanisms of their development, is proved the differentiated appointment of vascular preparations in complex pathogenetic therapy of infectious diseases.

In the given research results of inspection of children with a HIV-infection are analyzed at perinatal ways. 550 children from a birth till 10 years are surveyed. The neurological status of patients, the data immunological and virologic inspection of plasma and cerebrospinal fluid is studied. It is spent neuroimaging and psychometric testing. It is shown that defeat of nervous system is HIV-infection display at children’s age. A HIV-induced defeat of the central and peripheral nervous system is presented, first of all, to specific HIV-encephalitis with sharp and sub acute a current. Are revealed clinical and immunological correlations at various stages of infectious process, influence antiretroviral therapies on dynamics of neurological infringements is analyzed.

Investigation of 198 healthy vaccinees from closed institutions resulted in isolation of37 vaccine polioviruses. In the orphanages where among other children there lived children born to HIV-positive mothers the frequency of isolation of polioviruses was higher than in other institutions. In these orphanages the period of excretion of polioviruses after vaccination was the longest. The RFLP analysis showed that 41% of the studied strains were the intertypic recombinant strains. According to the sequence analysis 29% of the studied strains had a certain number of nucleotide substitutions in the VP3-VP1 genomic region. The study revealed a correlation between the dynamics of the excretion of polioviruses after vaccination and the kinetics of the appearance of intertypic recombinants. On the latest days after vaccination all the excreted polioviruses were the recombinant strains.

Analyzing the diagnostic value of clinical and electrocardiographic diagnosis of heart lesions in infectious diseases should be emphasized that obtained with the help of their information is a benchmark for assessing not only the functional state of the myocardium of these patients. Importantly, according to the clinical manifestations and electrocardiogram in infectious diseases can be detected miokardidistrofiyu, myocarditis, as well as all possible rhythm disturbances, myocardial infarction, etc. The basis of circulatory disorders is a common factor in central nervous system (brain) as the most sensitive to the action of an infectious toxin. This, in turn, leads to dysfunction of the autonomic nervous system, since the latter is regulated by the cerebral cortex. Based on clinical experience revealed that approximately 15-20% of infectious patients during early convalescence, and especially of late convalescence there are various functional changes in the cardiovascular system, which at the height of the disease were not found. These changes include: painless myocardial ischemia, miokardidistrofiya, sick sinus syndrome, extrasystolic arrhythmia, early repolarization syndrome, a hyperfunction of the right atrium, incomplete block, right bundle branch block, etc.

Candida spp. are the fourth on the list of sepsis pathogens in patients in intensive care units. Currently the physician’s armamentarium includes a whole range of antifungal medicines that have demonstrated high clinicalmycological effectiveness in clinical trials. The aim of this study to evaluate the clinical-economic usefulness of caspofungin therapy in the treatment of invasive candidiasis versus standard and alternative treatments in patients in
intensive care units. The first time in the Russian clinical-economic analysis for targeted IC treatment in non-neutropenic patients in intensive care units who have not received primary prophylaxis with azole antimycotics, as well as in those with low (< 20%) occurrence of in vitro Candida spp. resistance to fluconazole according to national or local study results, yielded the following findings: the best strategy is initial amphotericin B therapy with subsequent switching to caspofungin in patients with ineffective initial amphotericin B therapy or those with severe adverse events.

Pathochemical characteristic features of facial nerve neuropathy (FNN) have been more accurately defined. Heterogeneous patochemical pattern of facial nerve neuropathy has been shown to be dependent on the severity of the disease, intensity of free radical oxidation processes, and hormonal status of the patient. We have found reliable distinctions in dynamics of free radical oxidation processes, and hormo-nal status in the blood of the patients with moderately severe and severe forms of facial nerve neuropathies. In facial nerve neuropathies we observed regulatory effects of cortisol and somatotropic hormone; in facial nerve neuropathywith moderate severity the hormones of thyroid group were seen to be switching off, falling out the processes regulating metabolism. Follicle stimulating hormone (FSH) and luteinizing hormone (LH) were found to have regulating effects, especially in the acute phase of the disease. Different dynamics of the hormones in patients with high and low free radical oxidation levels suggests that the oxidative stress intensity could be associated with regulatory effects of the hormones . The results of correlation analysis confirm the reliable distinctions in free radical oxidation characteristics and
and cortisole levels, STH, FSH and LH levels.

Address deficiencies in the methods of treatment of patients with chronic trichomoniasis. The cause of ineffective therapy may be low concentration antitrichomonal drugs in foci of chronic inflammation in the urinary organs, because of microcirculatory disorders and the development of scarring. The difficulty in achieving therapeutic concentrations of chemotherapeutic drugs in the affected tissues due to the laws of their pharma-cokinetics and the lack of effective methods for their directed transport. With a view to readjustment of the genitourinary system of trichomonas invasion, we used the method of directed transport of metronidazole in autoleukocyts, which was previously activated helium-neon laser, which created in inflammatory foci of urinary tract maximally effective concentration of the chemotherapy. The introduction of chemotherapeutic drugs in the patients was carried out by alternative drug-induced plasma exchange. The data of comparative evaluation of the effectiveness of traditional and developed ways to treat showed that the drug-induced plasma exchange shortened at 2 times the basic terms of the normalization of the clinical manifestations of disease. Due to the directed transport of metronidazole in inflammation was achieved by greater efficiency in treatment of trichomoniasis than using the traditional treatment. Foci of invasion sanation was observed immediately after the application of this method of therapy. High antitrichomonal efficiency observed in the late period of observation for patients.

Combination therapy with pegylated interferon-α and ribavirin is the modern standard of chronic hepatitis C treatment [1-3] in Russian Federation [4]. This particular regimen provides achieving of sustained virological response (SVR) in 42-28% of patient with genotype 1 chronic hepatitis C [5,6]. IDEAL (Individualized Dosing Efficacy vs. flat dosing to Assess optimaL pegylated interferon therapy) study was designed to assess the most optimal and effective antiviral therapy regiment. IDEAL was randomized, in parallel groups, multicenter phase IIIb study to assess efficacy and safety of two combination regiment with pegylated interferon alfa-2b (dosing regimens: 1,5 and 1,0 mcg/kg/week) and ribavirin, administered according to body weight (800–1400 mg/day) compared with pegylated interferon alfa-2a 180 mcg/week in combination with ribavirin 1000–1200 mg/day in genotype 1 chronic hepatitis C patients.

In the presented supervision the adverse variant of a current of a seasonal flu at the young man, led to a lethal outcome in 38 hours from the moment of the beginning of disease is described. Character established pathomorphological changes testifies to the limited possibilities of rendering of specialised medical aid by the patient with the hypertoxic form of a flu in a phase of already developed disease.