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  • On the issue of clinical masks of tuberculosis and the complexity of their diagnosing

    Редактор | 2018, Practical medicine 01 (18) Modern questions of diagnostics | 29 марта, 2018

    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: alfiaf@yandex.ru

    Bikbov B.Sh. — 6th year student of the Pediatric Faculty, tel. +7-953-495-99-63, e-mail: bulat1994bikbov@gmail.com

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

    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

    REFERENCES

    1. Deykina O.N. Problems of differential diagnosis of community-acquired pneumonia and pulmonary tuberculosis in a general-purpose hospital, 2011, no. 4, pp. 122–123 (in Russ.).
    2. Perel’man M.I. Ftiziatriya: natsional’noe rukovodstvo [Phthisiology: national leadership]. Moscow: GEOTAR-Media, 2007.
    3. Khomenko A.G. Tuberkulez: rukovodstvo dlya vrachey [Tuberculosis: a guide for doctors]. Moscow: Meditsina, 1998. 493 p.
    4. Lishmanov Yu.B., Krivonogov N.G., Ageeva T.S. To the question of radiation differentiation of syndromes pathology of the lungs: the possibility of using ventilation-perfusion pulmonoscintigraphy. Luchevaya diagnostika i terapiya, 2010, no. 2, pp. 4–11 (in Russ.).
    5. Paramasivam S. Diagnostic delay and associated factors among patients with pulmonary tuberculosis in Kerala. J Family Med Prim Care, 2017, vol. 6, no. 3, pp. 643–648.
    6. Sayt Vsemirnoy organizatsii zdravookhraneniya [The website of the World Health Organization], available at: https://extranet.who.int/sree/Reports?op=Replet&name=%2FWHO_HQ_Reports%2FG2%2FPROD%2FEXT%2FTBCountryProfile&ISO2=SL&LAN=RU&outtype=pdf (accessed: 19.02.2018).
    7. Svistunova V.P., Zakharycheva V.P., Ganza V.N. Porazhenie tsentral’noy nervnoy sistemy pri tuberkuleze. Uchebno-metodicheskoe posobie dlya sistemy poslevuzovskogo obrazovaniya [The defeat of the central nervous system in case of tuberculosis. Educational-methodical manual for the post-graduate education system]. Khabarovsk: DVGMU, 2007. P. 62.

    Метки: 2018, A.F. YAKUPOVAY, B.Sh. BIKBOV, differential diagnostics, lympho-adenopathy, Practical medicine 01 (18) Modern questions of diagnostics, R.F. KHAMITOV, tuberculosis

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