COVID 19 INFECTION IN A PATIENT NEWLY DIAGNOSED WITH HIV/TB COINFECTION – A CASE REPORT

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Date
2022-06
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Publisher
Basic Medical Sciences Forum
Abstract
HIV/TB coinfection, COVID 19 with HIV/TB, immune reconstitution inflammatory syndrome (IRIS), TB lymphadenopathy
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Introduction -COVID 19 refers to infectious disease caused due to infection by SARS-CoV-2, which resultedin a pandemic in the year 2020, with continuing effects in some regions of the world. It chieflycauses a respiratory illness, with features ranging from fever and mild cough to breathlessnessand hypoxemia, along with a secondary hyperinflammatory and hypercoagulable state. HIV/TB coinfection is, on its own, associated with a poor outcome, due to an increased propensityto secondary infections.Method & Discussion :Here, we describe the case of an elderly male admitted for COVID 19, but diagnosed ashaving HIV/TB coinfection, with generalised lymphadenopathy and other constitutionalfeatures. Treatment was instituted per protocol. He also developed a treatment-relatedimmune reconstitution inflammatory syndrome (IRIS), which was appropriately managed,and was eventually discharged following recovery from COVID-19. ART and AKT, withprophylactic medications, were ongoing at the time of discharge.Conclusion :– HIV/TB coinfection is associated with a poor prognosis. There are no specificrecommendations for management of superadded COVID-19. The number of reported casesis low, and treatment had been given for the respective disorders as per prevailing localprotocols.
Citation
Panchal Dr. Shivam Sanjay, Khambholja Dr. Janakkumar R, Shah Dr. Nehal M, Aghara Dr. Poorvi Mansukhbhai. COVID 19 INFECTION IN A PATIENT NEWLY DIAGNOSED WITH HIV/TB COINFECTION – A CASE REPORT. Indian Journal of Applied-Basic Medical Sciences. 2022 Jun; 38(24A): 1-7