Diagnosis And Treatment Effectiveness of Disseminated Pulmonary Tuberculosis
Abstract
Today the pulmonary tuberculosis is a key cause of many deaths in the Russian Federation. The article determines the increase in the level of the disseminated tuberculosis in the western regions of Russia and its decrease in the eastern districts. Analysis of specialized sources provided an opportunity to study the causes of misdiagnosis of the disseminated pulmonary tuberculosis, to compare this disease with lung sarcadoitis, drug-induced alveolitis, and idiopathic pulmonary fibrosis. As part of the work, a clinical example is given to be able to visually trace the detection of a disease with disseminated tuberculosis, the wrong appointment of a doctor due to insufficient diagnosis and at the end analyze the diagnosis itself, the results, draw a conclusion, thereby seeing the picture of the disease and its cure in the work.
The purpose of this study is to identify and analyze errors in the differential diagnosis of disseminated pulmonary tuberculosis in the 21st century.
The objective is to study the effectiveness of the treatment of the disseminated pulmonary tuberculosis on a specific clinical example.
Methods are clinical, functional, microbiological and morphological.
At the end of the work, the results are summed up thanks to a detailed analysis of foreign and domestic sources, it was possible to study the real picture of the tuberculosis`s incidence in the Russian Federation.
The effectiveness of the disseminated tuberculosis`s treatment consists in an extended histological examination, a diagnostic examination with an extended biopsy, and surgical video-assisted thoracoscopy. In conclusion promising solutions are given to improve the effectiveness of anti-tuberculosis therapy and high-quality diagnosis (annual visits to diagnostic centers for consultations with highly qualified doctors, the use of computed tomography of the chest cavity in pulmonary dissemination syndrome; morphological verification of the diagnosis, compliance with the diagnostic algorithm, differential diagnosis of disseminated lung diseases and other).
