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Medical alertness in the treatment of patients with pulmonary tuberculosis without bacteriological and histological confirmation of the diagnosis
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| Author:
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N.A. SAMORODOV, ZH.KH. SABANCHIEVA, L.B. TLAPSHOKOVA, M.ZH. CHOCHAEVA, KH.A. SABANCHIEVA, M.H. TLAKADUGOVA, A.M. SHOMAKHOVA, S.KH. SIZHAZHEVA
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| Abstract:
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Execution responcible biopsy of the lung first diagnosed tuberculosis with negative results of bacteriological
and histological examination (ICD-10, A16.0) made it possible to get a usable studies (biological and
morphological) material in 100% of cases. In 63,0% of cases, the application of this technique made it possible
to verify the diagnosis, including: bacteriologically – in 42,3%, histologically – in 37,8%, bacteriologically and
histologically – in 17,1% of cases.
At the same time, confirmation of the diagnosis of tuberculosis was obtained in 41.9% of cases, including: only
bacteriologically – in 35.4%, only histologically – in 0.4%, bacteriologically and histologically – in 6.1% of cases.
Nontubercular pathology (erroneous diagnosis) was detected in 23.6% of cases (58 patients), more than half of
them (33 patients) – malignant tumors of the lung, which emphasizes the importance of responcible biopsy of
the lung in this category of patients as early as possible after diagnosis.
These data confirm the need and the possibility of using responcible biopsy of the lung in the algorithm of
examination of this category of patients to verify the diagnosis and identify patients with non-tuberculous
pathology of the lungs.
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| Keyword:
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first-diagnosed TB patients; responcibly lung biopsy.
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| EOI:
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-
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| DOI:
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https://doi.org/10.31838/ijpr/2019.11.03.099
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| Download:
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