Source: Annual Congress 2003 - Clinical features in tuberculosis - I
Disease area: Respiratory infections

Abstract

The pulmonary post primary tuberculosis is diseases with the most currently occur in the upper parts of the lungs.But, the localization of the tuberculous process should be unusual.
OBJECTIVE: To analyze the clinico-laboratory manifestation and therapy response of an atipic localised tuberculosis comparing with tuberculosis with apical localization. SUBJECTS AND METHODS: There were observed 37 patients with unusual radiographic localization of the specific process with most frequent localization in the upper segment of the inferior lobe or the middle lobe and lingula. 24 were m and 13 f which were 19 % of a 207consecutive hospital patients with a pulmonary tuberculosis .One of them was later diagnosed as carcinoma bronchi. Four of them were primary treated as pneumonia. The great number 19 (53 %) were over 45 of age and 20 (56%) had no accessory disease. The most frequent accessory disease was Diabetes Mellitus (70%). Cavitary lesions were mostly found (75%) and smear positivity 81% similarly as apico-localised tuberculosis. The test of bacterial resistant has shown sensitiveness to all 4 standard drugs in 64% of patients. Five relapses are found and others were new cases. Negative conversion in sputum was made in all positive patients except in one new case and 4 patients who stopped the treatment of their own. CONCLUSIONS: Tuberculosis should be considered more frequently in the differential diagnosis. Therefore, microbiological examination should be made particularly to diabetics and elderly patients. tuberculosis,lungs,non-apical

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M. Metodieva, B. Ilievska, S. Talevski, M. Jonchevska, C. Vragoterova, S. Atanasova (Skopje, Macedonia). Feature of a nonapical localisated post primary pulmonary tuberculosis. Eur Respir J 2003; 22: Suppl. 45, 994

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