A.F. YAKUPOVAY, B.Sh. BIKBOV, R.F. KHAMITOV

Kazan State Medical University, 49 Butlerov Str., Kazan, Russian Federation, 420012

  Yakupova A.F. — Cand. Med. Sc., Assistant Lecturer of the Department of internal Diseases No. 2, tel. +7-917-394-99-62, e-mail: [email protected]

Bikbov B.Sh. — 6^th year student of the Pediatric Faculty, tel. +7-953-495-99-63, e-mail: [email protected]

Khamitov R.F. — D. Med. Sc., Professor, Head of the Department of Internal Diseases No. 2, tel. +7-917-272-96-72, e-mail: [email protected]

Today, tuberculosis is a socially significant infectious disease, of which about two million people die each year around the world. In addition to increasing the number of cases, the pulmonary tuberculosis clinic also changes. It often has an acute onset with a severe general condition of patients. This leads to late diagnosing of the disease as a result of ineffective treatment of the mask in the form of nonspecific pneumonia in general hospitals. In this connection, it is topical to inform the general practitioners about the diversity of tuberculosis clinical forms.

The article describes a clinical case of generalized pulmonary tuberculosis in a West Africa student who arrived to study in Russia. The clinical-anamnesis and laboratory-instrumental data of the patient are given. The relatively late correct diagnosing was mainly due to the lack of the physicians’ clinical alertness in contacts with a patient from a tuberculosis-risk country, inattention to the disease progression, and the complexity of diagnosis. The latter is due to the variable course of the disease complicating it timely diagnosis (in this case — similarity with lympho-proliferative disease).

Key words: tuberculosis, lympho-adenopathy, differential diagnostics

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