Diagnosis and clinical and X-ray characteristics of pulmonary tuberculosis in adolescents

• Main Authors: M. V. Pavlova, A. A. Starshinova, N. V. Sapozhnikova, I. V. Chernokhaeva, V. Yu. Zhuravlev
• Format: Article
• Language: Russian
• Published: NEW TERRA Publishing House 2015-01-01
• Series: Tuberkulez i Bolezni Lëgkih
• Subjects: pulmonary tuberculosis; multidrug resistance; mycobacterium tuberculosis
• Online Access: https://www.tibl-journal.com/jour/article/view/324

adolescents. Fluorography is the basic method used as usual to detect tuberculosis in adolescents. The use of diaskintest in the diagnosis of tuberculosis infection in adolescents has reinforced its high informative value. The test was positive in 96.7% of the patients with tuberculosis and could reveal dormant tuberculosis infection in 29.2% of the cases. In the patterns of its clinical forms, there is a preponderance of secondary tuberculosis (infiltrative forms, including those with bacterial excretion); most (64.3%) cases show multidrug resistance (MDR) in Mycobacterium tuberculosis (MBT). Accelerated methods for determining MBT resistance in a number of patients can reveal MDR in MBT in early periods, which allows antituberculosis therapy to be timely corrected. Multidrug-resistant pulmonary tuberculosis is characterized by severe clinical symptoms and multisegmental destruction in the lung.