[Pulmonary diseases in patients with HIV infection].

Abstract:

AIM:To characterize the spectrum, incidence rate and features of pulmonary pathology in HIV-infected inpatients with reference to a fall in the count of CD4-lymphocytes. MATERIAL AND METHODS:A total of 2370 patients with HIV infection admitted to Moscow infectious hospital N 2 were examined. The protocol of examination included: standard diagnostic tests, bronchoscopy with examination of bronchoalveolar lavage and bronchial biopsies for genetic markers of basic pulmonary disease pathogens, assessment of external respiration function by spirometry. By the count of CD4-lymphocytes in the blood (> 500 cells/mcl; 500-200 cells/mcl and < 200 cells/mcl) the patients with pulmonary pathology were divided into groups 1, 2 and 3. RESULTS:Affection of the lower respiratory tract (LRT) was detected in 1209 (51%) patients. Incidence, etiological spectrum and severity of LRT lesions increased significantly with aggravation of immunological disorders. The patients of group 1 were affected more frequently with bacterial bronchitis, pneumonia (88.2%), group 2 patients - with bacterial pneumonia (67.1%) and pulmonary tuberculosis (28.1%), group 3 - with tuberculosis including generalized forms (53.9%), cytomegalovirus infection (11.2%), pneumocystosis (7.2%). Combined pulmonary pathology was diagnosed in 25% cases. CONCLUSION:Changes in external respiration function were most evident in pneumocystosis and tuberculosis, but they were most persistent in cytomegaloviral lesion of the lungs. Some tuberculosis and CMV infection patients exhibited ventilatory disorders prior to clinical and x-ray symptoms, this suggests prognostic significance of spirometry.

journal_name

Ter Arkh

journal_title

Terapevticheskii arkhiv

authors

Vasil'eva TE,Litvinova NG,Shakhgil'dian VI,Ol'shankiĭ AIa,Filippov PG,Morozova SV,Kravchenko AV,Gruzdev BM,Danilova TV

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

31-5

issue

11

eissn

0040-3660

issn

2309-5342

journal_volume

79

pub_type

杂志文章
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  • [Basal and food-stimulated blood gastrin in duodenal ulcer].

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    authors: Shvarts VIa,Kuznetsov BG,Frolkov VK,Saakian AG

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  • [Myocardial electrical activity and hemodynamic indices in the early stage of the rehabilitation of myocardial infarct patients].

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    authors: Gusarov GV,Moroshkin VS,Sergeeva VV

    更新日期:1985-01-01 00:00:00

  • [The therapeutic potentials of Ditec in bronchial asthma patients].

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    doi:

    authors: Fedoseev GB,Emel'ianov AV,Sinitsina TM,Goncharova VA

    更新日期:1995-01-01 00:00:00

  • [Gluten enteropathy].

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  • [Occupational lung diseases in modern manufacturing and the ways to prevent them].

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    doi:

    authors: Ozhiganova VN,Ivanov IS

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  • [Clinical function of the myocardium and cardio- and hemodynamics in patients with pectus carinatum deformity].

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    authors: Iakovlev VM,Nechaeva GI,Viktorova IA

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  • [Treatment of bone disorders in renal diseases].

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    authors: Marmolevskaia GS,Berestetskiĭ AB,Sergeeva LN

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  • [The effect of drugs that correct regional blood circulation on the function of the parotid salivary glands in the combined treatment of patients with Sjögren's disease].

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  • [Use of life quality indices in the rehabilitation therapy of inflammatory and degenerative rheumatic diseases].

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    doi:

    authors: Grekhov RA,Aleksandrov AV,Alekhina IIu,Zborovskiĭ AB

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  • [Changes in the function of external respiration and circulation in patients with acute pneumonia at the outpatient clinic stage of rehabilitation].

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    authors: Shnipas PA,Chigate II

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  • [Clinical efficacy of combined therapy with enalapril + trimetazidine in patients with hypertension comorbid with ischemic heart disease and metabolic disturbances].

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    doi:

    authors: Petelina TI,Gapon LI,Bakhmatova IuA,Zhevagina IA

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  • [The clinical efficacy of treating patients with acute pneumonias by using drug and quantum correction of the lipid peroxidation-antioxidant system].

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    doi:

    authors: Provotorov VM,Zizemskaia EV

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    authors: Zadionchenko VS,Timofeeva NIu,Li VV,Suvorova SS

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  • [Diagnostic laparoscopy in hematologic patients].

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    doi:

    authors: Fadeev OA,Kaplanskaia IB,Klimanskiĭ VA

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  • [DNA-abzymes and their clinical significance in systemic lupus erythematosis].

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    doi:

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  • [Characteristics of viral infections in patients with chronic obstructive bronchitis].

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    doi:

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  • [The cardiology dispensary, its structure and functions (the work experience of the dispensary in Tomsk)].

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    doi:

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    pub_type:

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  • [Clinical aspects of trimetazidine (preductal) administration as an antianginal drug].

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    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

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  • [The role of biliary dyskinesia in the mechanism of the damage to the protective properties of the mucosal barrier in peptic ulcer].

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    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

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    pub_type: 杂志文章

    doi:

    authors: Maleev VV,Galimzianov KhM,Lazareva EN,Poliakova AM,Astrina OS,Kudriavtsev VA,Arshba TE

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  • [Hartil effects on structural-functional condition of the heart in patients with chronic cor pulmonale].

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    pub_type: 杂志文章

    doi:

    authors: Krushka SI,Butorov IV,Butorov SI,Bodrug NI,Tofan EF

    更新日期:2008-01-01 00:00:00