A case of generalized tuberculosis in a HIV-infected woman during pregnancy


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Abstract

The paper describes a clin ical case of the unfavorable course of generalized tuberculosis (TB) during pregnancy, which resulted in a fatal outcome in the late postpartum period. The baby was diagnosed with congenital TB. HIV infection with severe immunosuppression was first identified simultaneously with TB in the pregnant woman. The paper gives the characteristics of diagnostic and treatment tactics of comorbidity (HIV and TB) with a discussion of difficulties in diagnosing co-infection during pregnancy, indications for abortion, the choice of a chemotherapy regimen for TB, the timing of antiretroviral therapy for acutely progressive TB, and the possibility of early diagnosis of congenital TB.

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About the authors

Irina B. Viktorova

Novokuznetsk State Institute for Postgraduate Training of Physicians, Branch, Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia

Email: irinaviktoroff@mail.ru
Cand. Med. Sci., Associate Professor, Department of Phthisiopulmonary

Irina T. Belyaeva

Novokuznetsk City Clinical Hospital Five

Email: zhuk42@rambler.ru
Obstetrician-Gynecologist, Maternity Department

Vera N. Zimina

Peoples' Friendship University of Russia

Email: vera-zim@yandex.ru
MD, Professor, Department of Infectious Diseases with Course of Epidemiology and Phthisiology, Medical Institute

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