CLINICAL AND DIAGNOSTIC FEATURES OF OSTEOARTICULAR TUBERCULOSIS IN HIV-INFECTED PATIENTS

Abstract

Aim - to study the features of osteoarticular tuberculosis (OAT) in patients with HIV-infection. Materials and methods. 118 patients with OAT treated by phthisiosurgeon in the TB dispensary in 2014-2016 were examined. Two groups were formed: the 1st group (study group) included 54 patients with HIV/OAT; the 2nd group (comparison group) included 64 patients with OAT without HIV-infection. Results. OAT was diagnosed in HIV patients aged 37-38 years at stage 4 of HIV-infection; pulmonary tuberculosis was detected in 50%, with MDR-TB in 11.1%, in 92.6% tuberculous spondylitis was prevalent, complicated by the formation of abscesses in 75.9%. Conclusion. Patients with HIV/OAT were 1.8 times more frequently detected in fastigium with widespread forms of spinal cord lesions, the process impaired 3 times more often in patients with ART failure and hepatitis C.