Objective difficulties in differential diagnosis of pneumocystis pneumonia on the background of human immunodeficiency virus infection

The results of two clinical observations with a description of the examination and treatment of patients with infection caused by human immunodeficiency virus, with pneumocystic lung lesions at various stages of the provision of comprehensive care are presented. Since not a single combination of symptoms, clinical signs, and radiological findings is a diagnostic criterion for pneumocystis pneumonia, its diagnosis is currently mainly based on microscopic visualization of characteristic forms on stained airway preparations. The problem of treating pneumocystis pneumonia is determined by a very narrow range of active drugs available on the market, despite the fact that there is practically no data on the growth of resistance of clinically significant pneumocysts. Defects in the provision of medical care in both cases were a violation of the order and timing of the dispensary, in particular, and the lack of medical monitoring of the structures that monitor the health of patients, in general. Therefore, in the context of an increase in the total number of patients with infection caused by human immunodeficiency virus, and the manifestation of secondary diseases in them, the leading of which is tuberculosis, it is necessary to develop and implement additional professional programs for the early detection, in particular, lung lesions, as part of a continuing medical education for general practitioners, general practitioners and doctors of other specialties providing assistance in organizations of primary health care.