DOI: 10.24075/brsmu.2017-01-06


Management of the HIV-positive pregnant patient with marked immunodeficiency and multiple comorbidities

Chernyavskaya OA
About authors

Department of Infectious Diseases with Epidamiology and Tropical Medicine, Medical Faculty,
Volgograd State Medical University, Volgograd, Russia

Correspondence should be addressed: Olga Chernyavskaya
ul. Zagorskaya, d. 1, kv. 43, Volgograd, Russia, 400065; ur.xednay@aglovaynehc

About paper

Acknowledgements: author thanks Tamara Kuvshinova of Volgograd Regional Clinical Hospital for Infectious Diseases No.1 and Igor Maluzhenko of Volgograd Regional Center for AIDS and Infectious Diseases Prevention and Treatment for providing valuable data.

Received: 2017-02-04 Accepted: 2017-02-11

Increasing HIV prevalence among women and growing numbers of HIV-positive patients who choose to become pregnant prompt a discussion of management strategies applied to such patients. In this work we analyze a case of a pregnant HIV-positive woman with marked immunodeficiency who started seeking medical advice only after she had developed severe life-threatening secondary conditions. We look at the progression of comorbidities that led to the death of the patient and her baby and evaluate the chosen treatment plan. We also propose recommendations for the management of patients with similar pathologies that include psychological care, vigilance against possible atypical progression of a comorbidity, such as tuberculosis, and extensive diagnostic evaluation.