[Tuberculosis of the stomach and peripheral lymph nodes].
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Biomedical subjects
Publications and source records attributed to E E Polushkina.
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Comparative analysis indicated that morbidity in the corrective labour institutions, Ministry Internal Affairs of the Udmurt Republic, is much higher than that in the therapeutical-and-prophylactic institutions of the republic. In the corrective labour institutions, patients who isolate bacteria and who have destructive processes are much more common. The clinical course of clinical tuberculosis is noted to be aggravated, there is an increase in the incidence of caseous pneumonia.
Open parietal pleural biopsy was made in 223 patients with pleurisy. The biopsy specimens were histologically and microbiologically studied (Mycobacterium tuberculosis (MT) being found). The etiology of pleurisy was established to be tuberculous in 118 patients, nonspecific in 96, cancerous in 9. The detection rate of MT in the biopsy specimens with histological evidence for tuberculosis was no more than 53.8%.
Data on tuberculosis morbidity rates in children and on main preventive measures (vaccination, revaccination, etc.) in Udmurtia. Over 5 years, the morbidity rates of children contacting with Mycobacterium tuberculosis-isolated and Mycobacterium-nonisolated individuals were 1215.4 and 1432.1, respectively. An analysis of the types of tuberculosis of sick children established that tuberculosis of the intrathoracic lymph nodes was prevalent (63.1%). The children having familial contacts for 6-12 months fell ill more frequently. Timely isolation of children and adolescents at the sanatorium-type institution is of beneficial value among measures for familial focal sanitation, in addition to specific prophylaxis.
The authors point to an increase in combined occurrence of lung cancer and tuberculosis. In one-third of all patients cancer arose secondary to tuberculosis. In 80% of cases lung cancer was diagnosed at x-ray or bronchoscopically. Mantoux test retains its importance for differential diagnosis.
Tuberculosis incidence rate and mortality in 1956-1990 tended to a decrease due to noticeable improvement of these parameters in children and adolescents. In 1991-1993 the incidence and mortality rates went up, especially in children. Infiltrative tuberculosis occurred much more frequently within the latter period.
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Clinical signs of chronic nonspecific diseases of the lung and their frequency in patients with and without tuberculosis and in those with nonspecific processes are described. The treatment results in the patients with nonspecific diseases of the lung and tuberculosis are presented.
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