Evaluating peculiarities in X-ray signs of patients suffering from thoracic tuberculosis during late stages of HIV-infection

Abstract

The purpose of the research is the identification of clinical and radiological forms of tuberculosis in patients with combined pathology of HIV infection and tuberculosis at the inpatient stage of treatment. The article presents the results of the analysis of the case histories and the X-ray archive of 93 patients with tuberculosis in the late stages of HIV infection. The method of random sampling was used. There were patients included in treatment from year2014 to 2017. Research methods: clinical, X-ray, laboratory, bacteriological, statistical. The following was established: patients in the late stages of HIV-infection of tuberculosis more often have bronchogenic character (81 patients; 87,1 %) that shows itself as a combination of roentgenologic symptoms with predominance of focuses emptied and filled cysts, hypoventilation, combined hypoventilation and infiltration of lungs parenchyma. Hematogeneous character of dissemination was established in five cases (5,4 %). Generalized forms of tuberculosis with failure of two or more organs from different systems were diagnosed in 54 patients (58,1 %). Among the generalized forms there is often a combined lesion of the bronchi, lymphatic system and pleura (47 patients; 87,0 %). It is concluded that at the diagnosing clinical and radiological form of tuberculosis it is necessary to take into account the features of X-ray image of pathomorphological processes caused by tubercular inflammation of the lobular bronchus, terminal bronchioles, arterioles, venules and parenchyma of the lobe of the lung.