CLINICAL AND RADIOLOGICAL MANIFESTATIONS OF TUBERCULOSIS IN HIV-POSITIVE PATIENTS

Abstract

The co-infection HIV-TB is a serious global problem of the last two decades. Radiological manifestations of tuberculosis have particular features depending on suppression of immune system. The purpose of this work was studying of radiological manifestations of tuberculosis in HIV-positive patients and detection of relationship between radiological manifestations and HIV infection stage. The basic methods to solve this problem were clinical and laboratory diagnostic minimum and digital radiography. Additional methods included CT, fiber-optic bronchoscopy and invasive interventions. The results of this research show that most often patients are being infected with tuberculosis at stages of HIV-infection 4Б-В (RF classification) with significant suppression of immune system. Spread of the radiological manifestations reflecting a tendency to generalization of a tubercular inflammation is directly proportional to the stage of HIV infection at which tuberculosis was identified. The dissemination of specific focuses can occur in the hematogenous, lymphogenous and mixed way. Today diagnostic radiology remains the primary method in identifying tuberculosis in HIV-positive patients.