[Clinical features of tuberculous pleurisy in viral hepatitis and HIV infection at penitentiaries].

In 1999 to 2005, the penitentiaries of Saint Petersburg and the Leningrad Region saw a drastic (almost 30-fold) increase in the number of patients with tuberculous pleurisy concurrent with viral hepatitis and HIV infection. The convicts with concomitant stages IVa, IVb, and IVc HIV infection currently fall ill with tuberculous pleurisy more frequently. In patients with viral hepatitis concurrent with HIV infection, tuberculous pleurisy develops and runs more gravely in proportion to the number of mixed infections than in those without infectious comorbidity. The patients with tuberculous pleurisy concurrent with viral hepatitis and HIV infection show a preponderance of acute progressive pleurisy with the frequently observed tuberculosis generalization and high mortality rates.