Relationship between severity of HIV infection and ocular pathology in patients with pulmonary tuberculosis

Authors

  • I.N. Voronova St Petersburg City Tuberculosis Dispensary; St. Petersburg (Russia)
  • V.M. Khokkanen Mechnikov North-West State Medical University; St. Petersburg (Russia)
  • S.I. Sanaeva St Petersburg City Tuberculosis Dispensary; St. Petersburg (Russia)
  • M.V. Zhemkova St Petersburg City Tuberculosis Dispensary; St. Petersburg (Russia)

DOI:

https://doi.org/10.31288/oftalmolzh201855659

Keywords:

HIV, ocular tuberculosis, CD4 cells

Abstract

Background: Pulmonary tuberculosis most commonly develops and often becomes generalized among HIV-infected patients. HIV-positive individuals present extra-pulmonary forms of tuberculosis twice as often as HIV-negative individuals.

Purpose: To determine the frequency of ocular pathology and the relationship between ocular pathology and CD4 cell count in HIV-positive patients with tuberculosis.

Materials and Methods: Three thousand and eighty four patients with pulmonary tuberculosis including 320 (10.4%) patients co-infected with HIV underwent examination at the City Tuberculosis Dispensary between 2014 and 2016.

Results: Allergic or toxic retinal vasculitides and peripheral focal chorioretinitis of tuberculous etiology in either active or inactive inflammatory phase were most common ocular disorders among HIV-positive patients with marked immune deficiency. In these patients, median CD4 cell count was ≤200-300 cells/mm3 compared to the norm of 1600 cells/mm3.

References

Bloom B. Tuberculosis: Pathogenesis, Protection and Control. Washington DC: American Society for Microbiology Press; 1995.https://doi.org/10.1128/9781555818357

Mellors JW, Munoz A, Giorgi JV, et al. Plasma viral load and CD4 lymphocytes as prognostic markers of HIV-1 infection. Ann Intern Med. 1997 Jun 15;126(12):946-54.https://doi.org/10.7326/0003-4819-126-12-199706150-00003

Aerts D, Jobim R. The epidemiological profile of tuberculosis in southern Brazil in times of AIDS. Int J Tuberc Lung Dis. 2004 Jun;8(6):785-91

Karachunskii MA. [Tuberculosis in HIV infection]. Probl Tuberk. 2000;(1):47-52. Russian

Frolova OP. [Tuberculosis in patients with HIV infection: clinic-morphological and epidemiological aspects]. Probl Tuberk. 2002;(6):30-3. Russian

Panteleev AM, Savina TA, Suprun TIu. [Extrapulmonary tuberculosis in HIV-infected patients]. In: [Socially important infections]. St Petersburg;2007. pp. 35-6. Russian

Khokkanen VM. [Ocular tuberculosis]. In: [Brozhenko CS, editor. Extra-pulmonary tuberculosis]. St Petersburg: SPETSLIT;2013. pp. 375-92 Russian

Published

2026-01-14

How to Cite

[1]
Voronova, I. et al. 2026. Relationship between severity of HIV infection and ocular pathology in patients with pulmonary tuberculosis. Ukrainian Journal of Ophthalmology . 5 (Jan. 2026), 56–59. DOI:https://doi.org/10.31288/oftalmolzh201855659.

Issue

Section

Clinical Ophthalmology

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