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


Viktorova I.B., Belyaeva I.T., Zimina V.N.

1 Novokuznetsk State Institute for Postgraduate Training of Physicians, Branch, Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia, Novokuznetsk, Russia; 2 Novokuznetsk City Clinical Hospital Five, Novokuznetsk, Russia; 3 Peoples’ Friendship University of Russia, Moscow, Russia
The paper describes a clinical 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.
Keywords: tuberculosis, pregnancy, HIV
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About the Autors

For correspondence:
Irina B. Viktorova, Cand. Med. Sci., Associate Professor, Department of Phthisiopulmonary, Novokuznetsk State Institute for Further Training of Physicians – Branch Campus of the Federal State Budgetary Educational Institution of Further Professional Education Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia
Address: 5, prospect Stroiteley, Novokuznetsk 654005, Russia
Telephone/fax: +7(3843) 45-42-19
E-mail: irinaviktoroff@mail.ru
Information about the authors:
Irina T. Belyaeva, Obstetrician-Gynecologist, Maternity Department, Novokuznetsk City Clinical Hospital Five, Novokuznetsk, Russia; e-mail: zhuk42@rambler.ru
Vera N. Zimina, MD, Professor, Department of Infectious Diseases with Course of Epidemiology and Phthisiology, Medical Institute, Peoples’ Friendship University of Russia, Moscow, Russia; e-mail: vera-zim@yandex.ru


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