CLINICAL CASE OF TREATMENT OF A PATIENT WITH CONCURRENT DIAGNOSED PULMONARY TUBERCULOSIS AND CORONAVIRAL PNEUMONIA

During the global pandemic of infection caused by COVID-19, many diseases became almost unheard of, but they have not disappeared anywhere. One of these infectious diseases is tuberculosis. COVID-19, like tuberculosis, is transmitted by airborne droplets and mainly affects the lungs. Some of the symptoms of COVID-19, such as fever, cough and shortness of breath, can mimic those of tuberculosis, so differential diagnosis and timely and appropriate treatment of these diseases are essential. The likelihood of contracting tuberculosis increases in people who have had a coronavirus infection, since the latter significantly reduces the general immunity of a person. According to the information of the NSCF MZRK, in 2020, tuberculosis was diagnosed in 40 people in the postcoid period. At the moment, there are 283 cases of simultaneous tuberculosis and COVID-19 in the Republic of Kazakhstan (as of July 31, 2021). In clinical practice, we had a chance to observe a patient with a comorbid condition and the authors considered it necessary to share their experience with a wide range of phthisiatricians, infectious disease specialists, GPs, and therapists.

1. Veselova E.I., Russkih A.E., Kaminskij G.D., Lovacheva O.V., Samojlova A.G., Vasil'eva I.A. Novaja koronavirusnaja infekcija // Tuberkulez i bolezni legkih. - 2020. - T.98. - №4. - S.6-14.

2. Nikiforov V.V., Suranova T.G., Chernobrovkina T.Ja. i dr. Novaja koronavirusnaja infekcija (COVID-19): klinikojepidemiologicheskie aspekty // Arhiv# vnutrennej mediciny. - 2020. - T. 10, №2. – S.87-93.

3. Informacionnaja zapiska VOZ. COVID-19: soobrazhenija v otnoshenii lechenija tuberkuleza (TB). 5 maja 2021 g. - VOZ, 2021. - 17s. (https://www.who.int/health-topics/tuberculosis).

4. Panova A. E., Kulikova I. B., Lagutkin D. A., Vinokurov A.S., Shul'gina M. V., Vasil'eva I. A. Koronavirusy – vozbuditeli tjazhelyh respiratornyh zabolevanij // Tuberkuljoz i bolezni ljogkih. - 2020. - T. 98, № 7. – S. 6-13.

5. Starshinova A.A., Malkova A.M., Starshinova A.Ja., Karev V.E., Kudlaj D.A., Dovgaljuk I.F. Tuberkulez v uslovijah novoj koronavirusnoj infekcii // Pediatrija im. G.N. Speranskogo. -2021. - 100 (2). - S.105– 109.

6. Sterlikov S.A., Son I.M., Saenko S.S., Rusakova L.I., Galkin V.B. Vozmozhnoe vlijanie pandemii COVID-19 na jepideiologicheskuju situaciju po tuberkulezu //Sovremennye problemy zdravoohranenija i medicinskoj statistiki. - 2020. - № 2. - S.191-205

7. Dara M., Sotgiu G., Reichler M.R., Chiang C.Y., Chee C.B.E., Migliori G.B. New diseases and old treats: lessons from tuberculosis for the COVID-19 response. URL:https://www.theunion.org/news-centre/news/new-diseases-andold-threats-lessonsfromtuberculosis-for-the-covid-19-response(08.04.2020).

8. Pang Y., Liu Y., Du J., Gao J., Li L. Impact of COVID-19 on tuberculosis control in China. URL:https://www.theunion.org/news-centre/news/impact-of-covid-19-on-tuberculosiscontrolinсhina?utm_source=The+Union+Marketing&utm_c a m p a i g n = 6 e 0 2f b d c f 9 E M A I L _CAMPAIGN_2019_12_11_08_27_COPY_01&utm_m e d i u m = e m a i l & u t m _ t e r m = 0 _ e 2 d b d f 8 5 6 e -6e02fbdcf9-248878417

9. Responding to community spread of COVID-19. Interim guidance. 7 March 2020. WHO/COVID-19/Community_Transmission/2020.1. URL:https://www.who.int/emergencies/diseases/novelcoronavirus2019/technicalguidance/critical-preparednessreadiness-and-response-actions-for-covid-19

10. Coronavirus (Covid-19). [Электронный ресурс]. URL: https:// coronavirus-monitor.ru. (дата обращения 23.03.2020 г.) Coronavirus (Covid-19). [Electronic resource]. URL:https://coronavirusmonitor.ru.(dateoftheapplication:23.03.2020) [In Russia].

11. Коронавирус: статистика по странам. https://index.minfin.com.ua/reference/coronavirus/geography.