the clinical characteristic of patients OG
It is established, that at entering in antituberculous hospital 16 sick (50 %) OG suffered infiltrativnymi pulmonary tuberculosis forms in a disintegration phase, 9 sick (28,1 %) - disseminirovannymi pulmonary tuberculosis forms in an infiltration and dissemination phase, 4 sick (12,5 %) — a tubercular exudative pleuritis and 3 sick (9,4 %) — fibroznoyokavernoznym a tuberculosis in a disintegration phase.
MBT have been found out at 18 sick (56,3 %), at 65,6 % of patients have taped caverns (tab. 47).Table 47
Clinical forms of a pulmonary tuberculosis at patients of the basic group ()
Number Patients | Diss. Tubas. | Inf. Tubas | FK Tubas | Tubas. Pleuritis | Out of The pulmonary | VK + | CV | |
OG | 32 | 9 | 16 | 3 | 4 | 11 | 18 | 21 |
28,1 % | 50 % | 9,4 % | 12,5 % | 34,4 % | 56,3 % | 65,6 % |
Except basic diseases, that is a tuberculosis and a HIV - infections, at patients are taped following opportunistic diseases (tab. 48)
Table 48
Opportunistic diseases at patients of the basic group ()
Diseases | Abs. | % |
Candidosis infection | 25 | 78,1 |
Gerpetichesky infection | 13 | 40,6 |
HIV-encephalopathy and meningocephalitis | 4 | 12,5 |
Hr.toksoplazmoz and TSMV, a latent phase | 2 | 6,3 |
Seborrheal dermatitis | 2 | 6,3 |
pnevmotsistnaja a pneumonia | 1 | 3,1 |
Sarcoma Koposhi | 2 | 6,3 |
At entering in a hospital the basic complaints at patients OG have been caused by symptoms of an intoxication and a respiratory syndrome. Patients complained of the general delicacy (87,5 %), a fervescence (65,6 %), a sweating (56,3 %), dry tussis (34,4 %), tussis with a sputum (50 %), a dyspnea (18,8 %), depression of mass of a body (71,9 %), a pain in a thorax (12,5 %). Against treatment under scheme DOTS patients noted fast improvement of state of health, fading intoksikatsionnogo and the respiratory of syndromes. To 3 mes XT a tuberculosis on the majority of symptoms authentic improvement of disease was observed. So, of the general delicacy on treatment end complained in 3,1 times less often, than at hospitalisation, a sweating noted less often in 5,2 times, the fervescence is noted at 19 %
Patients. To the extremity 3 mes XT on dry tussis, one patient (4,7 %) complained of wet tussis - 19,0 % of surveyed persons (tab. 49) only.
Complaints of patients OG at entering and against treatment ()
Table 49