SEPSIS AT HIV-POSITIVE PATIENTS
Septic implications at patients aren’t a rarity, especially in surgical, pediatric and obstetric practice now. However not enough attention, despite epidemic of this disease is paid to implication of a sepsis at patients with HIV infection now. Clinical laboratory implications of a sepsis at 36 pati...
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Sankt-Peterburg : NIIÈM imeni Pastera
2017
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oai:doaj.org-article:b11071b20aa84575bc56278b95bd75a32021-11-22T07:09:48ZSEPSIS AT HIV-POSITIVE PATIENTS2220-76192313-739810.15789/2220-7619-2017-3-251-258https://doaj.org/article/b11071b20aa84575bc56278b95bd75a32017-09-01T00:00:00Zhttps://www.iimmun.ru/iimm/article/view/557https://doaj.org/toc/2220-7619https://doaj.org/toc/2313-7398Septic implications at patients aren’t a rarity, especially in surgical, pediatric and obstetric practice now. However not enough attention, despite epidemic of this disease is paid to implication of a sepsis at patients with HIV infection now. Clinical laboratory implications of a sepsis at 36 patients with HIV infection are analysed. The main group is presented by patients with a lethal outcome (n = 18), control — with a positive outcome of a stationary stage of treatment (n = 18). Work is carried out on materials of the Infectious hospital No. 1 of D.M. Dalmatov of Omsk. At HIV-positive patients the stage of secondary diseases met most more often. Anti-retrovirus therapy was accepted only by 33% of patients in control group. At the died patients the hyperthermia arose after development of complaints from organs and systems and lasted less than 15 days. Low indicators of the CD4+ lymphocytes and a high virus load of HIV in a blood of patients with a lethal outcome became perceptible. In the general blood test thrombocytopenias, eosinopenias, monocytopenias, in the biochemical analysis — augmentation of the general bilirubin, thymol turbidity test, prothrombin ratio, urea were more often taped. At a bacteriological blood analysis various microflora with prevalence of S. aureus, sometimes in combination with Gram-negative flora was taped. Symptoms of an infectious endocarditis were taped at every second dead of the HIV-positive patient. Almost at all patients radiological changes in a pulmonary tissue were taped. Thus, clinical implications at patients with HIV infection are few symptoms and not typicalness that demands further studying.L. V. PuzyryovaV. D. KonchenkoL. M. DalabayevaSankt-Peterburg : NIIÈM imeni Pasteraarticlesepsishiv infectionimmunosupressiongram-positive sepsisgram-negative sepsisthrombocytopeniainfectious endocarditisInfectious and parasitic diseasesRC109-216RUInfekciâ i Immunitet, Vol 7, Iss 3, Pp 251-258 (2017) |
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sepsis hiv infection immunosupression gram-positive sepsis gram-negative sepsis thrombocytopenia infectious endocarditis Infectious and parasitic diseases RC109-216 |
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sepsis hiv infection immunosupression gram-positive sepsis gram-negative sepsis thrombocytopenia infectious endocarditis Infectious and parasitic diseases RC109-216 L. V. Puzyryova V. D. Konchenko L. M. Dalabayeva SEPSIS AT HIV-POSITIVE PATIENTS |
description |
Septic implications at patients aren’t a rarity, especially in surgical, pediatric and obstetric practice now. However not enough attention, despite epidemic of this disease is paid to implication of a sepsis at patients with HIV infection now. Clinical laboratory implications of a sepsis at 36 patients with HIV infection are analysed. The main group is presented by patients with a lethal outcome (n = 18), control — with a positive outcome of a stationary stage of treatment (n = 18). Work is carried out on materials of the Infectious hospital No. 1 of D.M. Dalmatov of Omsk. At HIV-positive patients the stage of secondary diseases met most more often. Anti-retrovirus therapy was accepted only by 33% of patients in control group. At the died patients the hyperthermia arose after development of complaints from organs and systems and lasted less than 15 days. Low indicators of the CD4+ lymphocytes and a high virus load of HIV in a blood of patients with a lethal outcome became perceptible. In the general blood test thrombocytopenias, eosinopenias, monocytopenias, in the biochemical analysis — augmentation of the general bilirubin, thymol turbidity test, prothrombin ratio, urea were more often taped. At a bacteriological blood analysis various microflora with prevalence of S. aureus, sometimes in combination with Gram-negative flora was taped. Symptoms of an infectious endocarditis were taped at every second dead of the HIV-positive patient. Almost at all patients radiological changes in a pulmonary tissue were taped. Thus, clinical implications at patients with HIV infection are few symptoms and not typicalness that demands further studying. |
format |
article |
author |
L. V. Puzyryova V. D. Konchenko L. M. Dalabayeva |
author_facet |
L. V. Puzyryova V. D. Konchenko L. M. Dalabayeva |
author_sort |
L. V. Puzyryova |
title |
SEPSIS AT HIV-POSITIVE PATIENTS |
title_short |
SEPSIS AT HIV-POSITIVE PATIENTS |
title_full |
SEPSIS AT HIV-POSITIVE PATIENTS |
title_fullStr |
SEPSIS AT HIV-POSITIVE PATIENTS |
title_full_unstemmed |
SEPSIS AT HIV-POSITIVE PATIENTS |
title_sort |
sepsis at hiv-positive patients |
publisher |
Sankt-Peterburg : NIIÈM imeni Pastera |
publishDate |
2017 |
url |
https://doaj.org/article/b11071b20aa84575bc56278b95bd75a3 |
work_keys_str_mv |
AT lvpuzyryova sepsisathivpositivepatients AT vdkonchenko sepsisathivpositivepatients AT lmdalabayeva sepsisathivpositivepatients |
_version_ |
1718417997093142528 |