The death analysis of HIV-infected patients in the antituberculous hospital

One of the most common secondary diseases HIV-infected patients may have is the tuberculosis. Recently the issue whether the tuberculosis causes the death of HIV-infected patients has been raised a lot. The goals: to estimate a situation according to the mortality level of patients in a tubercular hospital in a city with high diffusion of HIV. Reference sources and methods: the death analysis of 437 patients in 2012 and 2013 (6 months) has been carried out in Samara tubercular hospital. Among them 297 people (66,4 %) are HIV-infected. 66,7 % of patients have died of AIDS with concurrent tuberculosis and 33,3% of them have died of tuberculosis combined with HIV-infection. In accordance with this the groups have been formed: 1st group - 198 patients, 2nd-99 patients. Results: Among dead patients men prevail, in the first group the number of them comprises 120 (60,6 %), in the second group it is 72 (72,8 %). Patients died in the efficient age from 21 to 40 years: 1st group comprises 29± 3,2 (85 %), the second one - 35 ±4,6 (35 %). The HIV has been revealed before tuberculosis in 1st group in 85 % of all cases (thus patients have been infected more than 7 years ago), in the second one it happened in 64 %. In the second group where tuberculosis was a cause of death, at postmortem examination by a cause of death was disseminated tuberculosis in 49 (24,7 %) cases, miliary tuberculosis at 19 (9,6 %), a caseous pneumonia at 13 (6,6 %), a tubercular meningitis at 7 (3,5 %), cavitary disease at 11 (5,5 %). In the first group brain edema with foramen magnum herniation was a cause of death in 80 %. Conclusion. 80% of HIV -infected patients with a tuberculosis had lethal outcomes because of the end-stage of a HIV - AIDS.