Disseminated tuberculosis in the late stages of HIV infection: diagnosis and course of generalized disseminated tuberculosis in combination with other secondary opportunistic diseases in a patient with HIV infection and drug dependence (clinical case)

The article describes a clinical case of peculiarities of diagnosis, complex treatment and outcome of generalized disseminated tuberculosis in combination with other secondary opportunistic diseases in a patient at late stages of HIV infection suffering from drug dependence. The analysis of features of multimorbid condition of the patient IVC stage of HIV infection in the stage of progression, without antiretroviral therapy, with generalized disseminated tuberculosis in combination with fungal lesions of the skin. The features of this case was the prolonged use of intravenous drugs, chronic hepatitis C, polyadenopathy, encephalopathy, neuropathy and chronic bronchitis in the acute stage. The authors focus on the low motivation and non-commitment of the patient to complex treatment, which requires multidisciplinary supervision of doctors of various specialties, including a psychologist, a narcologist, a psychiatrist, a neurologist, a dermatologist, and consider the creation of specialized treatment and preventive institutions for this contingent of patients.

disseminated tuberculosis, HIV infection, secondary opportunistic diseases, drug addiction, chemotherapy of tuberculosis, antiretroviral therapy, treatment of opportunistic diseases