Genital Tuberculosis in Men Living with HIV

Author:

Kulchavenya E. V.1,Shevchenko S. Yu.2,Streltsova O. S.3,Krupin V. N.3,Baranchukova A. A.4

Affiliation:

1. Novosibirsk State Medical University, Russian Ministry of Health; Privolzhskiy Research Medical University

2. Novosibirsk State Regional Clinical Tuberculosis Hospital

3. Privolzhskiy Research Medical University, Russian Ministry of Health

4. Novosibirsk State Medical University, Russian Ministry of Health

Abstract

The objective: to identify structural features of genital tuberculosis in men depending on their HIV status.Subjects and Methods. The medical records of 95 patients with genitourinary tuberculosis were analyzed, and records of patients with isolated tuberculosis of the male genital organs were selected.Results. Among 95 male patients with genitourinary tuberculosis, 72 (75.8%) were HIV-negative, and 23 (24.2%) were HIV-positive. Among 72 HIV-negative male patients, 33 had isolated genital tuberculosis. Among 23 HIV-positive male patients, 9 had isolated genital tuberculosis. HIV infection had a significant impact on the structure of genital tuberculosis in male patients; among cases of isolated genital tuberculosis, tuberculosis of the testicle and its epididymis prevailed (88.9%). In HIV-negative male patients, the prostate gland was affected most often (prostate tuberculosis alone or in combination with tuberculous orchiepididymitis was diagnosed in 90.9% of patients).

Publisher

LLC "Medical Knowledge and Technologies"

Subject

General Medicine

Reference20 articles.

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2. Zyryanova T.V., Amitina T.R., Poddubnaya L.V., Fedorova M.V. Tuberculosis and HIV-infection – concurrent conditions in a specialized TB hospital. Tuberculosis and Lung Diseases, 2015, no. 6, pp. 66-67. (In Russ.)

3. Kamyshan I.S. Rukovodstvo po tuberkulyozu urogenitalnykh organov. [Guidelines on genitourinary tuberculosis]. Kiev, 2003, 212 p.

4. Kulchavenya E.V. The impact of HIV infection on spectrum of extrapulmonary tuberculosis in Siberia and Far East. Journal Infektologii, 2018, vol. 10, no. 4, pp. 89-95. (In Russ.)

5. Chotchaev R.M., Zuban O.N., Bogorodskaya E.M., Rodchenkov A.V., Sinitsyn M.V., Abu Arkub T.I. Clinical, laboratory and radiological features of genitourinary tuberculosis in HIV infected people. Tuberkulez i Sotsialno-Znachimye Zabolevaniya, 2018, no. 4, pp. 53-60. (In Russ.)

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