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[Cardiac lesions in generalized hematogenic tuberculosis].

A case of a generalized hematogenous tuberculosis with exacerbation in a woman of 62 is described. The disease had an undulating course and was manifested by a rare combination of miliary lung tuberculosis with extrapulmonal lesions. The latter included cavernous spondylitis with two paravertebral abscesses, fibrinous pericarditis and a large-focal lesion in the myocardium.

Female↗

[Childhood tuberculosis, a forgotten disease?].

Three children had signs of illness for 5 to 18 months before tuberculosis was diagnosed, in spite of tuberculin conversion and abnormal chest X-ray findings in two. One 15-year-old boy developed tuberculous pericarditis, a 17-year-old boy had spondylitis, and a 10-year-old boy middle lobe pneumonia. The aim of this presentation is to emphasize that tuberculosis, although now rare in childhood, still exists. Prevention and early diagnosis are also discussed.

Adolescent↗

[The heart in tuberculosis].

The evolution of tuberculosis treatment considerably reduced the number of cases of pulmonary chronic heart with tubercular etiology. The fifteen cases of chronic cor pulmonale diagnosed at our Institute after tubercular disease are 22% of all cases of pulmonary chronic heart diagnosed in 1982. These cases are always combined with other diseases. Similar observations can be made about incidence of chronic constrictive pericarditis. Some progress was made in diagnosis of tuberculosis activity. Recent findings suggest not only that antimyolemmal antibodies are diagnostic indicators of perimyocardial involvement in tubercular pericarditis, but also that they may play a significant role in its pathogenesis.

Adult↗