A surgeon's tactics in the diagnosis of fractures in HIV-infected patients. a clinical case of clavicular tuberculous lesion with pathological fracture


DOI: https://dx.doi.org/10.18565/epidem.2021.11.4.91-5

Malashenko A.A., Krasnov K.A., Krasnov O.A.

1) Primary Healthcare Unit Forty-Two, Russian Federal Penitentiary Service, Branch, Hospital One, Kemerovo, Russia; 2) M.A. Podgorbunsky Kuzbass Clinical Emergency Hospital, Kemerovo, Russia; 3) Kemerovo State Medical University, Kemerovo, Russia; 4) Polyclinic One, I.A. Kolpinsky Clinical Consultative and Diagnostic Center, Kemerovo, Russia
The paper presents a clinical case of clavicular tuberculous fracture in an HIV-infected patient and describes the tactics of his surgical treatment. When extrapulmonary tuberculosis is suspected, the diagnostic algorithm is proposed to include lung radiation examination; when changes are detected, this should involve wound (if any) sputum and discharge analysis for MBT and morphological verification of the affected tissues. The febrile HIV-infected patient should undergo chest multislice computed tomography (MSCT) to identify miliary tuberculosis that is rarely recorded on conventional radiography.

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About the Autors


Andrei A. Malashenko, Cand. Med. Sci.; Head, Unit of Surgery, Branch, Hospital One; Primary Healthcare Unit Forty-Two, Russian Federal Penitentiary Service, Kemerovo, Russia; malashenko_aa@mail.ru; http://orcid.org/0000-0001-5330-070X
Konstantin A. Krasnov, Cand. Med. Sci.; Deputy Head Physician for Surgery and Transplantology Care, M.A. Podgorbunsky Kuzbass Clinical Emergency Hospital, Associate Professor, Department of Inpatient Surgery, Kemerovo State Medical University, Ministry of Health of Russia, Kemerovo, Russia; krasnov8k@rambler.ru; http://orcid.org/0000-0002-9262-3656
Oleg A. Krasnov, MD; Professor, Department of General, Intermediate-Level Surgery, and Urology, Kemerovo State Medical University, Ministry of Health of Russia; Head, Polyclinic One; I.A. Kolpinsky Clinical Consultative and Diagnostic Center, Kemerovo, Russia; xo1@mail.ru; http:// orcid.org/0000-0002-5214-7771


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