RESUMO
The high efficiency of using thermoheliox (inhalation with a high-temperature mixture of helium and oxygen) in the treatment of patients affected by COVID-19 was shown. The dynamics of accumulation of IgG, IgM, and C-reactive protein (CRP) in patients with coronavirus infection in the "working" and control groups was studied experimentally. It was shown that thermoheliox intensifies the synthesis of IgG, IgM, and CRP antibodies, while eliminating the induction period on the kinetic curves of the synthesis of specific antibodies in the IgG form and transfers the synthesis of CRP to a fast phase. The results of experiments confirm the previously obtained data based on the analysis of the kinetic model of the development of coronaviral infection in the human body.
Assuntos
Anticorpos Antivirais/imunologia , Proteína C-Reativa/biossíntese , COVID-19/metabolismo , COVID-19/prevenção & controle , Imunidade/imunologia , Vacinação/métodos , COVID-19/imunologia , Humanos , Cinética , Glicoproteína da Espícula de Coronavírus/imunologiaRESUMO
OBJECTIVE: to study the computed tomographic (CT) semiotics of respiratory tuberculosis in HIV-infected patients in relation to the degree of immunosuppression. SUBJECT AND METHODS: The study enrolled 74 patients with verified respiratory tuberculosis in the presence of HIV infection. According to the degree of immunosuppression and the Centers for Disease Control (CDC) and Prevention classification (Atlanta, USA, 1993), the patients were divided into 3 groups: (1) CD4 > or = 500 cells/microl (n = 10); 2) CD4 200-499 cells/microl (n = 28); (3) CD4 <200 cells/microl (n = 36). RESULTS: With spiral CT, focal changes with a predominance of clear-cut foci are visualized at a high frequency in the patients with pulmonary tuberculosis in the presence of HIV infection. In progressive immunosuppression, the CT pattern displays atypical syndromes (frosted glass-type foci, interstitial infiltration, and thin-walled cavities) with the lower rate of alveolar infiltration with confluent foci, as well as lung tissue decay. Enlarged intrathoracic lymph nodes are characteristic of 70.0% of the patients with HIV infection and tuberculosis regardless of the level of CD4 cells. CONCLUSION: As immunosuppression progresses, the CT pattern of respiratory tuberculosis in the presence of HIV infection shows as atypical syndromes (unclearly defined frosted glass-type focal changes, interstitial infiltrations, and thin-walled cavernous masses). A marked polymorphism in changes and a high rate of lymph node involvement are characteristic.
Assuntos
Infecções por HIV , Pulmão/diagnóstico por imagem , Tomografia Computadorizada Espiral , Tuberculose Pulmonar , Adulto , Feminino , Infecções por HIV/complicações , Infecções por HIV/imunologia , Humanos , Hospedeiro Imunocomprometido/imunologia , Testes Imunológicos/métodos , Pulmão/fisiopatologia , Masculino , Estatística como Assunto , Tomografia Computadorizada Espiral/métodos , Tomografia Computadorizada Espiral/estatística & dados numéricos , Tuberculose Pulmonar/diagnóstico por imagem , Tuberculose Pulmonar/etiologia , Tuberculose Pulmonar/imunologia , Tuberculose Pulmonar/fisiopatologiaRESUMO
To enhance the informative value and validity of X-ray study in detecting destructive changes in infiltrates, tuberculomas, and blocked caverns, the authors treated their computed tomographic scans by linear spatial filtration and identification of equidensite fields. In this case, after treatment of an image, the phase of decay in the presence of filtrates was 14.2% and increased up to 36.1%. Cavernous processes are detectable when the scans of blocked caverns that are frequently taken as infiltrates are treated.