COVID-19 and pneumocystis pneumonia in a patient with HIV infection
- Authors: Povalyaeva L.V1,2, Sukhanova A.E1,2, Yakovleva E.V1, Borodulin B.E1, Ushmodina O.V2, Peshkova L.V2
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Affiliations:
- Samara State Medical University of the Ministry of Health of Russia
- Samara City Hospital Fourth
- Issue: Vol 32, No 11 (2021)
- Pages: 35-37
- Section: Articles
- URL: https://journals.eco-vector.com/0236-3054/article/view/114541
- DOI: https://doi.org/10.29296/25877305-2021-11-07
- ID: 114541
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Abstract
Changes in lung tissue like ground-glass opacities are typical for many lung diseases, but in modern conditions, the main diagnosis in identifying increasing respiratory symptoms with a change on CTis the diagnosis «New coronavirus infection COVID-19, Bilateral polysegmental viral pneumonia”. The existing danger of «missing» another diagnosis is very high. Opportunities for high-quality differential diagnostics are significantly reduced. The aim Is to show a clinical example of the comorbidity of a viral Infection In a patient with HIV infection with severe immunodeficiency. Materials and methods. The clinical example from the practice of the COVID-19 Is presented. Results. In a patient with a typical course of COVID-19, negative dynamics appeared during long-term treatment on day 37. Examination revealed an increase In symptoms and lung damage up to 85%. Further examination revealed HIV Infection for the first time, confirmed by immunoblot at the stage of severe immunodeficiency (CD4 20 cells/pl). Pneumocystis pneumonia has been diagnosed. The patient died, although the treatment was carded out In full. Conclusion. During the COVID-19 pandemic, there is the possibility of a comorbid COVID-19 disease and other diseases that also have a ground-glass opacities.
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About the authors
L. V Povalyaeva
Samara State Medical University of the Ministry of Health of Russia; Samara City Hospital Fourth
A. E Sukhanova
Samara State Medical University of the Ministry of Health of Russia; Samara City Hospital Fourth
E. V Yakovleva
Samara State Medical University of the Ministry of Health of Russia
B. E Borodulin
Samara State Medical University of the Ministry of Health of Russia
Email: borodulinbe@yandex.ru
O. V Ushmodina
Samara City Hospital Fourth
L. V Peshkova
Samara City Hospital Fourth
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