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Etiology and clinical forms of lungs and pleura suppurative diseases of HIV-infected patients

https://doi.org/10.24884/0042-4625-2019-178-4-10-14

Abstract

The OBJECTIVE was to study the predisposing factors, pathogenic flora and clinical forms of lungs and pleura suppurative diseases in HIV-infected patients. MATERIAL AND METHODS. The article describes the etiology and clinical forms of lungs and pleura suppurative diseases in 237 HIV-infected patients. Features of damage to the lungs and pleura in these patients were determined. RESULTS. 46 % had empyema with bronchopleural fistula. At endoscopic examination, purulent and purulent-hemorrhagic tracheobronchitis were diagnosed in 27 %. CONCLUSION. Sputum culture or pleural exudate or the contents of a lung abscess cavity were used to determine the etiology of lungs and pleura suppuration in HIV infection. Klebsiella pneumoniae and Pseudomonas aeruginosa played an important role in the development of the disease.

About the Authors

P. M. Ionov
North-Western State Medical University named after I. I. Mechnikov, Pokrovskaya municipal hospital
Russian Federation

41 Kirochnaya street, St. Petersburg, Russia, 191015



A. V. Elikin
North-Western State Medical University named after I. I. Mechnikov
St. Petersburg


I. V. Deinega
Pokrovskaya municipal hospital
St. Petersburg


G. A. Yakovlev
Pokrovskaya municipal hospital
St. Petersburg


M. A. Shevtsova
North-Western State Medical University named after I. I. Mechnikov
St. Petersburg


References

1. Shamsuddin Khwaja, David H. Rosenbaum, Michelle C. Paul, Rehal A. Bhojani, Aaron S. Estrera, Michael A. Wait, J. Michael DiMaio. Surgical treatment of thoracic empyema in HIV-infected patients: severity and treatment modality is associated with CD4 count status. Chest. 2005;128:246–249.

2. Bluvshtein G. A., Kulakov A. A., Bychkov N. E. Neotlozhnye khirurgicheskie vmeshatel’stva u bol’nykh VICh/SPID. Moskovskii khirurgicheskii zhurnal. 2010;(1):31–36. (In Russ.).

3. Gaus A. A., Klimova N. V., Darvin V. V. Opredelenie taktiki lecheniya ostrykh khirurgicheskikh infektsii u bol’nykh SPIDom na osnovanii klinikodiagnosticheskikh dannykh. Vestnik SurGU. Meditsina. 2017;(1(31)):16–26. (In Russ.).

4. Kolesnikov I. S., Lytkin M. I. Khirurgiya legkikh i plevry : Rukovodstvo dlya vrachei. Leningrad. 1988:384. (In Russ.).

5. Gatell J. M., Marrades R., el-Ebiary M. et al. Severe pulmonary infections in AIDS patients. Semin Respir Infect. 1996;(11):19–28.

6. Noskin G. A., Glassroth J. Bacterial pneumonia associated with HIV-1 infection. Clin Chest Med. 1996;(17):713–723.

7. Egorov V. I., Deinega I. V., Ionov P. M., Besedina N. K. Osnovnye pokazateli raboty otdeleniya khirurgii gnoinykh zabolevanii legkikh i plevry (torakal’noe otdelenie). Zdorov’e – osnova chelovecheskogo potentsiala: problemy i puti ikh resheniya. 2015;10(2):709–713. (In Russ.).

8. Ionov P. M., El’kin A. V., Deinega I. V., Yakovlev G. A. Prichiny letal’nykh iskhodov u VICh-infitsirovannykh bol’nykh s nagnoitel’nymi zabolevaniyami legkikh i plevry. Tuberkulez i sotsial’no znachimye zabolevaniya. 2018;(3):49–55. (In Russ.).

9. Hernandez B. J., Alfageme M. I., Munoz M. J. et al. Thoracic empyema in HIV-infected patients: microbiology, management, and outcome. Chest. 1998;(113):732–738.

10. Nagnoitel’nye zabolevaniya legkikh : natsional’nye klinicheskie rekomendatsii / E. A. Korymasov, P. K. Yablonskii, K. G. Zhestkov, E. G. Sokolovich, I. Ya. Motus, V. V. Lishenko, S. A. Skryabin // Assotsiatsiya Torakal’nykh Khirurgov Rossii. Available at: http://thoracic.ru/wp-content/uploads/NKR-po-lecheniyu-nagnoitel’nykh-zabolevanii-legkikh-_PROEKT_.pdf (accessed 31.03.2019). (In Russ.).

11. Empliema plevry : natsional’nye klinicheskie rekomendatsii / E. A. Korymasov, P. K. Yablonskii, E. G. Sokolovich, V. V. Lishenko, I. Ya. Motus, S. A. Skryabin // Assotsiatsiya Torakal’nykh Khirurgov Rossii. Available at: http://thoracic.ru/wp-content/uploads/NKR-po-lecheniyu-empiemy-plevry-_PROEKT_.pdf. (accessed 31.03.2019). (In Russ.).

12. Akopov A., Egorov V., Furák J. Bacterial Lung Infections. In: Kuzdzal J. eds. ESTS textbook of thoracic surgery. Cracow, Medicina Praktyczna. 2014:517–527.

13. Lukomskii G. I. Bronkhoskopiya v khirurgicheskoi klinike. Moscow. 1963:276. (In Russ.).

14. Kaye-Eddie G. H., Black A. D. Comparison of empyema thoracis in HIVinfected and non-infected patients with regard to aetiology and outcome. South Afr J Epidemiol Infect. 2012;27(4):189–194.

15. Shamsuddin Khwaja, David H. Rosenbaum, Michelle C. Paul, Rehal A. Bhojani, Aaron S. Estrera, Michael A. Wait, J. Michael DiMaio. Surgical treatment of thoracic empyema in HIV-infected patients: severity and treatment modality is associated with CD4 count status. Chest. 2005;128:246–249.


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For citations:


Ionov P.M., Elikin A.V., Deinega I.V., Yakovlev G.A., Shevtsova M.A. Etiology and clinical forms of lungs and pleura suppurative diseases of HIV-infected patients. Grekov's Bulletin of Surgery. 2019;178(4):10-14. (In Russ.) https://doi.org/10.24884/0042-4625-2019-178-4-10-14

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