Лейшманиоз и ВИЧ-инфекция – актуальная проблема?

The aim of the work is the clinical characteristics of all known cases of combined visceral leishmaniasis (VL) and HIV infection in the Russian Federation.Results. The article contains information on the problem of the combined course of HIV infection and leishmaniasis: a number of statistical and overview data in the world. A brief description of known cases of high blood pressure in patients with HIV infection in the Russian Federation, as well as a detailed description of the last patient diagnosed with VL in 2019 in Moscow. In all cases, the diagnosis of VL was difficult, which was due to clinical features and the lack of alertness of physicians in relation to VL. All but one of the patients contracted VL during their stay in Crimea.Conclusion. The authors point to the need for the formation of diagnostic alertness among doctors on this pathology, especially since with the expansion of tourist routes abroad in endemic countries, as well as in the Crimea, the relevance of this problem increases.Цель: клиническая характеристика всех известных случаев сочетанного течения висцерального лейшманиоза и ВИЧ-инфекции в Российской Федерации.Результаты. Статья содержит сведения по проблеме сочетанного течения ВИЧ-инфекции и лейшманиоза: ряд статистических и обзорных данных в мире. Представлена краткая характеристика известных случаев висцерального лейшманиоза у больных ВИЧ-инфекцией в РФ, а также подробное описание последнего больного с установленным диагнозом висцерального лейшманиоза в 2019 г. в Москве. Во всех случаях установление диагноза висцерального лейшманиоза было затруднительно, что было обусловлено клиническими особенностями и отсутствием настороженности медиков в отношении висцерального лейшманиоза. Все больные, кроме одного, заразились висцеральным лейшманиозом во время пребывания в Крыму.Заключение. Авторы указывают на необходимость формирования у врачей диагностической настороженности по данной патологии, тем более что с расширением туристических маршрутов за рубеж, особенно в эндемичные страны, а также в Крым актуальность этой проблемы возрастает.

Leishmaniasis and HIV-infection – an actual problem?

The aim of the work is the clinical characteristics of all known cases of combined visceral leishmaniasis (VL) and HIV infection in the Russian Federation.Results. The article contains information on the problem of the combined course of HIV infection and leishmaniasis: a number of statistical and overview data in the world. A brief description of known cases of high blood pressure in patients with HIV infection in the Russian Federation, as well as a detailed description of the last patient diagnosed with VL in 2019 in Moscow. In all cases, the diagnosis of VL was difficult, which was due to clinical features and the lack of alertness of physicians in relation to VL. All but one of the patients contracted VL during their stay in Crimea.Conclusion. The authors point to the need for the formation of diagnostic alertness among doctors on this pathology, especially since with the expansion of tourist routes abroad in endemic countries, as well as in the Crimea, the relevance of this problem increases