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HIV Infection and Immunosuppressive Disorders

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Description of a clinical case of respiratory mycobacteriosis of patient with HIV-infection

https://doi.org/10.22328/2077-9828-2025-17-4-125-129

Abstract

Background. HIV infection is a chronic infectious disease characterized by the possibility of various opportunistic infections. Recently, there has been an increase in cases of mycobacteriosis among immunocompromised patients.
Description of the case. Patient A., 52 years old, female, smoker, has a secondary specialized education, works as a janitor in technical premises, lives in urban conditions. In April 2016, HIV antibodies were detected. The established mode of transmission is sexual. When placed on dispensary supervision, HIV infection was detected, stage 3, subclinical. In March 2025, mycobacteriosis of the lungs caused by M. avium, HIV infection 4B stage of progression in the absence of antiretroviral therapy was established. CD4 level — 33 cells/μL (10%).
Conclusion. The presented clinical case, in our opinion, is interesting because the patient developed mycobacteriosis, rather than the lung tuberculosis typical for people living with HIV. Mycobacteriosis caused by M. avium, the nature of complaints, clinical and laboratory indicators generally correspond to the data of the literature studied by us on similar cases.

About the Authors

I. V. Petrov
Mari State University; Kazan State Medical Academy — branch of the Federal State Budgetary Educational Institution of Higher Professional Education
Russian Federation

Petrov Ilia Vladimirovich

Yoshkar-Ola

Kazan



M. G. Katyagina
Republican Center for the Prevention and Control of AIDS and Infectious Diseases
Russian Federation

Yoshkar-Ola



A. A. Ivanov
Republican Tuberculosis Dispensary
Russian Federation

Yoshkar-Ola



M. A. Patyashina
Kazan State Medical Academy — branch of the Federal State Budgetary Educational Institution of Higher Professional Education
Russian Federation

Kazan



E. M. Emeliyanova
Republican Center for the Prevention and Control of AIDS and Infectious Diseases
Russian Federation

Yoshkar-Ola



M. A. Akusheva
Republican Tuberculosis Dispensary
Russian Federation

Yoshkar-Ola



F. S. Petrova
Mari State University; Republican Tuberculosis Dispensary
Russian Federation

Yoshkar-Ola



A. A. Almukhametov
Kazan State Medical Academy — branch of the Federal State Budgetary Educational Institution of Higher Professional Education; Kazan State Medical University
Russian Federation

Kazan



L. V. Petrova
Mari State University; Republican Tuberculosis Dispensary
Russian Federation

Yoshkar-Ola



T. Kh. Amirova
Mari State University
Russian Federation

Yoshkar-Ola



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For citations:


Petrov I.V., Katyagina M.G., Ivanov A.A., Patyashina M.A., Emeliyanova E.M., Akusheva M.A., Petrova F.S., Almukhametov A.A., Petrova L.V., Amirova T.Kh. Description of a clinical case of respiratory mycobacteriosis of patient with HIV-infection. HIV Infection and Immunosuppressive Disorders. 2025;17(4):125-129. (In Russ.) https://doi.org/10.22328/2077-9828-2025-17-4-125-129

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