Personalized approach to differential diagnosis of pulmonary tuberculosis and bilateral atypical localization pneumonia
Abstract
The article presents the current data on the epidemiology and differential diagnosis of pulmonary tuberculosis and pneumonia. There was presented a case of hospitalization of the 23-year-old woman with fever, lymphopenia, infiltration of the lung tissue, in whom pulmonary tuberculosis was diagnosed. Informative methods of diagnostics such as computed tomography should be used to put the differential diagnosis in patients with infiltration of the lung tissue and in the minimal effect of antibacterial therapy. It is very important in the case of a false-negative results of laboratory tests (diaskin test, polymerase chain reaction, sputum culture).
References
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3. Балабанова Я.М., Дробниевский Ф., Федорин И.М. и др. Оптимизация лабораторной диагностики туберкулеза с использованием современных бактериологических и молекулярно-биологических методов // Проблемы туберкулеза и болезней легких. – 2011. - №2. – С. 36-42.
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10. Мотанова Л.Н., Коваленко Г.Е., Попова Ю.В. Опыт применения Диаскинтеста на территории с неблагоприятной эпидемиологической ситуацией // Туберкулез. – 2013. - №9. – С. 37-42.
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13. Benjamin J.P. Diagnosis of active and latent tuberculosis: summary of NICE guidance // BMJ. – 2012. – Vol. 345. – P. e6828.
14. Garcia - Elorriaga G., del Rey Pineda G. Practical and Laboratory Diagnosis of Tuberculosis. From Sputum Smear to Molecular Biology // SPRINGS. – 2015. – P. 72.
15. Rufino R.L., Capone R., Capone D., et al. Pattern of chest computed tomography before and after treatment in patients with proven pulmonary tuberculosis. http://www.atsjournals.org/doi/abs/10.1164/ajrccmconference.2015.191.1_MeetingAbstracts.A3309.
16. Lee S.H., Kim S.W., Lee S., et al. Rapid detection of Mycobacterium tuberculosis using a novel ultrafast chip-type real-time polymerase chain reaction system // Chest. – 2014. – Vol. 146(5). – Р. 1319-1326.
17. Um S.J., Huh J.H., Choi I.S., et al. Role of the neutrophil-lymphocyte count ratio in the differential diagnosis of pulmonary tuberculosis and bacterial community acquired pneumonia // ATS, 2012; http://www.atsjournals.org/doi/abs/10.1164/ ajrccmconference.2012.185.1_MeetingAbstracts.A4737.
18. Spiro S.G., Silvestri G.A., Agusti A. Clinical respiratory medicine, 4th Edition // Saunders, 2012. –1000 p.
19. Yablonskii P., Vizel A., Galkin V., et al. Tuberculosis in Russia. Its History and Its Status Today // American Journal of Respiratory and Critical Care Medicine. – 2015. – Vol. 191. – Р. 372-376.
REFERENCES
1. Abilov A.U. Features of detection and diagnosis of caseous pneumonia in somatic hospitals at the present stage: the collection summary of the 20th National Congress on Respiratory Diseases. – Мoscow, 2010. – Р. 308. (in Russian)
2. Asner T.V., Goryaev Y.A., Fedorova O.A., et al. Tuberculosis in the practice of a therapist // Zhurnal Infeksionnoj Patologii. – 2004. – Vol. 11. N 1. – P. 44-48. (in Russian)
3. Balabanova Ya.M., Drobnievskiy F., Fedorin I.M., et al. Optimization of the laboratory diagnosis of tuberculosis using modern bacteriology and molecular- biological methods // Problemyi tuberkuleza i bolezney legkih. – 2011. - №2. – P. 36-42. (in Russian)
4. Brazhenko N.A., Brazhenko O.N. Phtisiopneumology. – Moscow.: Izdatelskiy Tsentr «Akademiya», 2006. – 376 p. (in Russian)
5. Instructions for use DIASKINTEST®. Allergen tuberculosis recombinant standard dilution solution for intradermal administration. Approved 06.09.2010 № 01-15. (in Russian)
6. WHO Newsletter №104 March 2015. http://www.who.int/mediacentre/factsheets/ fs104/ru/. (in Russian)
7. Koshechkin V.A., Ivanova V.A. Tuberculosis. – Moscow: GEOTAR-Media, 2007. - 304 p. (in Russian)
8. Mashkov N.S., Tyulkina E.A., Shaynurov M.I. Difficulties in the diagnosis of lung diseases (clinical observations ) // Ftiziatriya i pulmonologiya. – 2014. – №1. – Р. 35-43. (in Russian)
9. Mishin V.Yu. Detection and diagnosis of pulmonary tuberculosis in primary health care facilities // Russkiy meditsinskiy zhurnal. – 2013. - №7. – Р. 373-379. (in Russian)
10. Motanova L.N., Kovalenko G.E., Popova Yu.V.
Experience with Diaskintest in areas with unfavorable epidemiological situation // Tub. – 2013. - №9. – P. 37-42. (in Russian)
11. Tuberculosis in the Russian Federation , in 2011 Analytical review of statistical indicators used in the Russian Federation. – Moscow, 2012. – 246 p. (in Russian)
12. Chuchalin A.G., Sinopalnikov A.I., Kozlov R.S., et al. Clinical recommendations for diagnosis, treatment and prevention of severe community-acquired pneumonia in adults. – Moscow: OOO «Izdatelskiy dom «M-Vesti», 2014. – 92 p. (in Russian)
13. Benjamin J.P. Diagnosis of active and latent tuberculosis: summary of NICE guidance // BMJ. – 2012. – Vol. 345. – P. e6828.
14. Garcia - Elorriaga G., del Rey Pineda G. Practical and Laboratory Diagnosis of Tuberculosis. From Sputum Smear to Molecular Biology // SPRINGS. – 2015. – P. 72.
15. Rufino R.L., Capone R., Capone D., et al. Pattern of chest computed tomography before and after treatment in patients with proven pulmonary tuberculosis. http://www.atsjournals.org/doi/abs/10.1164/ajrccmconference.2015.191.1_MeetingAbstracts.A3309.
16. Lee S.H., Kim S.W., Lee S., et al. Rapid detection of Mycobacterium tuberculosis using a novel ultrafast chip-type real-time polymerase chain reaction system // Chest. – 2014. – Vol. 146 (5). – Р. 1319-1326.
17. Um S.J., Huh J.H., Choi I.S., et al. Role of the neutrophil-lymphocyte count ratio in the differential diagnosis of pulmonary tuberculosis and bacterial community acquired pneumonia // ATS, 2012; http://www.atsjournals.org/doi/abs/10.1164/ ajrccmconference.2012.185.1_MeetingAbstracts.A4737.
18. Spiro S.G., Silvestri G.A., Agusti A. Clinical respiratory medicine, 4th Edition // Saunders, 2012. –1000 p.
19. Yablonskii P., Vizel A., Galkin V., et al. Tuberculosis in Russia. Its History and Its Status Today // American Journal of Respiratory and Critical Care Medicine. - 2015. – Vol. 191. – Р. 372-376.
2. Аснер Т.В., Горяев Ю.А., Федорова О.А. и др. Туберкулёз в практике врача-терапевта // Журнал инфекционной патологии. – 2004. – Т. 11. №1. – С. 44-48.
3. Балабанова Я.М., Дробниевский Ф., Федорин И.М. и др. Оптимизация лабораторной диагностики туберкулеза с использованием современных бактериологических и молекулярно-биологических методов // Проблемы туберкулеза и болезней легких. – 2011. - №2. – С. 36-42.
4. Браженко Н.А., Браженко О.Н. Фтизиопульмонология. – М.: Издательский центр «Академия», 2006. – 376 с.
5. Инструкция по применению ДИАСКИНТЕСТ®. Аллерген туберкулезный рекомбинантный в стандартном разведении, раствор для внутрикожного введения. Утверждена 06.09.2010 г. № 01-15.
6. Информационный бюллетень ВОЗ N°104 Март 2015г. http://www.who.int/mediacentre/factsheets/fs104/ru/.
7. Кошечкин В.А., Иванова В.А. Туберкулёз. – М.: ГЭОТАР-Медиа, 2007. – 304 с.
8. Машков Н.С., Тюлькина Е.А., Шайнуров М.И. Трудности в диагностике заболеваний лёгких (клинические наблюдения) // Фтизиатрия и пульмонология. – 2014. - №1. – С. 35-43.
9. Мишин В.Ю. Выявление и диагностика туберкулеза легких в учреждениях первичной медико–санитарной помощи // Русский медицинский журнал. – 2013. - №7. – С. 373-379.
10. Мотанова Л.Н., Коваленко Г.Е., Попова Ю.В. Опыт применения Диаскинтеста на территории с неблагоприятной эпидемиологической ситуацией // Туберкулез. – 2013. - №9. – С. 37-42.
11. Туберкулез в Российской Федерации, 2011 г. Аналитический обзор статистических показателей, используемых в Российской Федерации. – М., 2012. – 246 с.
12. Чучалин А.Г., Синопальников А.И., Козлов Р.С. и др. Клинические рекомендации по диагностике, лечению и профилактике тяжёлой внебольничной пневмонии у взрослых. – М.: ООО «Издательский дом «М-Вести», 2014. – 92 с.
13. Benjamin J.P. Diagnosis of active and latent tuberculosis: summary of NICE guidance // BMJ. – 2012. – Vol. 345. – P. e6828.
14. Garcia - Elorriaga G., del Rey Pineda G. Practical and Laboratory Diagnosis of Tuberculosis. From Sputum Smear to Molecular Biology // SPRINGS. – 2015. – P. 72.
15. Rufino R.L., Capone R., Capone D., et al. Pattern of chest computed tomography before and after treatment in patients with proven pulmonary tuberculosis. http://www.atsjournals.org/doi/abs/10.1164/ajrccmconference.2015.191.1_MeetingAbstracts.A3309.
16. Lee S.H., Kim S.W., Lee S., et al. Rapid detection of Mycobacterium tuberculosis using a novel ultrafast chip-type real-time polymerase chain reaction system // Chest. – 2014. – Vol. 146(5). – Р. 1319-1326.
17. Um S.J., Huh J.H., Choi I.S., et al. Role of the neutrophil-lymphocyte count ratio in the differential diagnosis of pulmonary tuberculosis and bacterial community acquired pneumonia // ATS, 2012; http://www.atsjournals.org/doi/abs/10.1164/ ajrccmconference.2012.185.1_MeetingAbstracts.A4737.
18. Spiro S.G., Silvestri G.A., Agusti A. Clinical respiratory medicine, 4th Edition // Saunders, 2012. –1000 p.
19. Yablonskii P., Vizel A., Galkin V., et al. Tuberculosis in Russia. Its History and Its Status Today // American Journal of Respiratory and Critical Care Medicine. – 2015. – Vol. 191. – Р. 372-376.
REFERENCES
1. Abilov A.U. Features of detection and diagnosis of caseous pneumonia in somatic hospitals at the present stage: the collection summary of the 20th National Congress on Respiratory Diseases. – Мoscow, 2010. – Р. 308. (in Russian)
2. Asner T.V., Goryaev Y.A., Fedorova O.A., et al. Tuberculosis in the practice of a therapist // Zhurnal Infeksionnoj Patologii. – 2004. – Vol. 11. N 1. – P. 44-48. (in Russian)
3. Balabanova Ya.M., Drobnievskiy F., Fedorin I.M., et al. Optimization of the laboratory diagnosis of tuberculosis using modern bacteriology and molecular- biological methods // Problemyi tuberkuleza i bolezney legkih. – 2011. - №2. – P. 36-42. (in Russian)
4. Brazhenko N.A., Brazhenko O.N. Phtisiopneumology. – Moscow.: Izdatelskiy Tsentr «Akademiya», 2006. – 376 p. (in Russian)
5. Instructions for use DIASKINTEST®. Allergen tuberculosis recombinant standard dilution solution for intradermal administration. Approved 06.09.2010 № 01-15. (in Russian)
6. WHO Newsletter №104 March 2015. http://www.who.int/mediacentre/factsheets/ fs104/ru/. (in Russian)
7. Koshechkin V.A., Ivanova V.A. Tuberculosis. – Moscow: GEOTAR-Media, 2007. - 304 p. (in Russian)
8. Mashkov N.S., Tyulkina E.A., Shaynurov M.I. Difficulties in the diagnosis of lung diseases (clinical observations ) // Ftiziatriya i pulmonologiya. – 2014. – №1. – Р. 35-43. (in Russian)
9. Mishin V.Yu. Detection and diagnosis of pulmonary tuberculosis in primary health care facilities // Russkiy meditsinskiy zhurnal. – 2013. - №7. – Р. 373-379. (in Russian)
10. Motanova L.N., Kovalenko G.E., Popova Yu.V.
Experience with Diaskintest in areas with unfavorable epidemiological situation // Tub. – 2013. - №9. – P. 37-42. (in Russian)
11. Tuberculosis in the Russian Federation , in 2011 Analytical review of statistical indicators used in the Russian Federation. – Moscow, 2012. – 246 p. (in Russian)
12. Chuchalin A.G., Sinopalnikov A.I., Kozlov R.S., et al. Clinical recommendations for diagnosis, treatment and prevention of severe community-acquired pneumonia in adults. – Moscow: OOO «Izdatelskiy dom «M-Vesti», 2014. – 92 p. (in Russian)
13. Benjamin J.P. Diagnosis of active and latent tuberculosis: summary of NICE guidance // BMJ. – 2012. – Vol. 345. – P. e6828.
14. Garcia - Elorriaga G., del Rey Pineda G. Practical and Laboratory Diagnosis of Tuberculosis. From Sputum Smear to Molecular Biology // SPRINGS. – 2015. – P. 72.
15. Rufino R.L., Capone R., Capone D., et al. Pattern of chest computed tomography before and after treatment in patients with proven pulmonary tuberculosis. http://www.atsjournals.org/doi/abs/10.1164/ajrccmconference.2015.191.1_MeetingAbstracts.A3309.
16. Lee S.H., Kim S.W., Lee S., et al. Rapid detection of Mycobacterium tuberculosis using a novel ultrafast chip-type real-time polymerase chain reaction system // Chest. – 2014. – Vol. 146 (5). – Р. 1319-1326.
17. Um S.J., Huh J.H., Choi I.S., et al. Role of the neutrophil-lymphocyte count ratio in the differential diagnosis of pulmonary tuberculosis and bacterial community acquired pneumonia // ATS, 2012; http://www.atsjournals.org/doi/abs/10.1164/ ajrccmconference.2012.185.1_MeetingAbstracts.A4737.
18. Spiro S.G., Silvestri G.A., Agusti A. Clinical respiratory medicine, 4th Edition // Saunders, 2012. –1000 p.
19. Yablonskii P., Vizel A., Galkin V., et al. Tuberculosis in Russia. Its History and Its Status Today // American Journal of Respiratory and Critical Care Medicine. - 2015. – Vol. 191. – Р. 372-376.
Published
2018-04-16
How to Cite
КУЗЬМИНА, Татьяна Михайловна et al.
Personalized approach to differential diagnosis of pulmonary tuberculosis and bilateral atypical localization pneumonia.
Sibirskij Medicinskij Zurnal (Irkutsk) = Siberian Medical Journal (Irkutsk) 16+, [S.l.], v. 140, n. 1, p. 61-66, apr. 2018.
ISSN 1815-7572. Available at: <http://smj.ismu.baikal.ru/index.php/osn/article/view/209>. Date accessed: 17 feb. 2026.
Issue
Section
Clinical cases
