Diagnosis of pulmonary tuberculosis in a pulmonology hospital
https://doi.org/10.18093/0869-0189-2018-28-6-762-766
Abstract
A clinical case of 23-year old female with pulmonary tuberculosis is described in this article. The patient was admitted to a hospital with preliminary diagnosis of community-acquired pneumonia and negative TB test. Differential diagnosis of pulmonary tuberculosis and community-acquired pneumonia is often difficult and could be more difficult in patients with co-existing specific (Mycobacterium tuberculosis) and non-specific infection in the lungs.
About the Authors
O. V. FatenkovRussian Federation
Oleg V. Fatenkov - Doctor of Medicine, Head of Department of General Internal Medicine.
Ul. Chapaevskaya 89, Samara, 443099, tel.: (905) 017-10-16
Competing Interests: No conflict of interest
E. A. Borodulina
Russian Federation
Elena A. Borodulina - Doctor of Medicine, Professor, Head of Department of Phthisiology and Pulmonology.
Ul. Chapaevskaya 89, Samara, 443099, tel.: (846) 332-57-35Competing Interests: No conflict of interest
O. A. Rubanenko
Russian Federation
Olesya A. Rubanenko - Candidate of Medicine, Assistant Lecturer, Department of General Internal Medicine.
Ul. Chapaevskaya 89, Samara, 443099, tel.: (937) 188-70-80Competing Interests: No conflict of interest
G. N. Svetlova
Russian Federation
Galina N. Svetlova - Candidate of Medicine, Associate Professor, Department of General Internal Medicine.
Ul. Chapaevskaya 89, Samara, 443099, tel.: (903) 304-32-60
Competing Interests: No conflict of interest
S. V. Arzamastseva
Russian Federation
Svetlana V. Arzamastseva - a pulmonologist, Pulmonology Department, Department of eneral Internal Medicine.
Ul. Chapaevskaya 89, Samara, 443099, tel.: (903) 304-32-60
Competing Interests: No conflict of interest
References
1. Yablonskii P., Vizel A., Galkin V., Shulgina M. Tuberculosis in Russia. Its history and its status today. Am. J. Respir. Crit. Care Med. 2015; 191 (4): 372–376. DOI: 10.1164/rccm.201305-0926OE.
2. Mashkov N.S., Tyul’kina E.A, Shaynurov M.I. Difficulties in diagnosis of lung diseases. Ftiziatriya i pul’monologiya. 2014; 1 (8): 35–43 (in Russian).
3. Jolobe O.M.P. Pulmonary tuberculosis in the differential diagnosis of community-acquired pneumonia. Eur. Respir. J. 2012; 40 (1): 279. DOI: 10.1183/09031936.00004312.
4. Mahboub B.H., Vats M.G. Tuberculosis – current issues in diagnosis and management. 2013. Available at: http://b-ok.org/book/3107042/2831ac
5. Pinto L.M., Chandrakant S.A., Dipakkumar S.K., Farokh U.Z. Pulmonary tuberculosis masquerading as community acquired pneumonia. Respir. Med. 2011; 4 (3): 138–140. DOI: 10.1016/j.rmedc.2010.11.004.
6. Mishin V.Yu. Diagnosis of pulmonary tuberculosis in primary care. Russkiy meditsinskiy zhurnal. 2013; 21 (7): 373–378 (in Russian).
7. Borodulina E.A., Povalyaeva L.V., Borodulina E.V., et al. Difficulties in diagnosis of tuberculosis in practice of a pulmonologist. Vestnik sovremennoy klinicheskoy meditsiny. 2017; 10 (1): 89–93. DOI: 10.20969/VSKM.2017.10(1).89-93 (in Russian).
8. Garcia-Elorriaga G., del Rey-Pineda G. Practical and laboratory diagnosis of tuberculosis. From sputum smear to molecular biology. Springer; 2015. DOI: 10.1007/978-3-319-20478-9.
9. Spiro S.G., Silvestri G.A., Agusti A. Clinical respiratory medicine. Saunders; 2012. Available at: http://b-ok.org/book/2651934/c8175e
10. Salina T.Yu., Morozova T.I. A comparative evaluation of molecular and immunological methods to diagnose localized pulmonary tuberculosis. Ftiziatriya i pul’monologiya. 2013; 1 (6): 53 (in Russian).
11. Borodulina E.A., Borodulin B.E., Povalyaeva L.V. et al. Differentiation between community-acquired pneumonia and infiltrative pulmonary tuberculosis using Diaskin-test. Pul’monologiya. 2010; (3): 89–91. DOI: 10.20969/VSKM.2017.10(1).89-93 (in Russian).
12. Lee S.H., Kim S.W., Lee S. et al. Rapid detection of Mcobacterium tuberculosis using a novel ultrafast chip-type real-time polymerase chain reaction system. Chest. 2014; 146 (5): 1319–1326. DOI:10.1378/chest.14-0626.
13. Rodionova Ju.D., Gusjakova O.A., Ljamin A.V. et al. Evaluation of the effect of sputum storage conditions on the vital properties of mycobacteria tuberculosis. Tuberkulez i bolezni legkikh. 2017; 95 (1): 42–46. DOI: 10.21292/2075-1230-2017-95-1-42-46 (in Russian).
14. Borodulin B., Borodulina E., Kozlova O., Povalyaeva L. Differential diagnosis of outpatient pneumonia and infiltrative pulmonary tuberculosis by the Diaskintest. Eur. Respir. J. 2011; 38 (Suppl. 55): 296.
15. Um S.J., Huh J.H., Choi I. et al. Role of the neutrophil-lymphocyte count ratio in the differential diagnosis of pulmonary tuberculosis and bacterial community acquired pneumonia. Am. J. Respir. Crit. Care Med. 2012; 185: A4737: DOI: 10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a4737.
Review
For citations:
Fatenkov O.V., Borodulina E.A., Rubanenko O.A., Svetlova G.N., Arzamastseva S.V. Diagnosis of pulmonary tuberculosis in a pulmonology hospital. PULMONOLOGIYA. 2018;28(6):762-766. (In Russ.) https://doi.org/10.18093/0869-0189-2018-28-6-762-766