Pulmonary mycobacterioses: surgical aspects of diagnostics and treatment
Goal: to investigate efficiency of surgical diagnostics and treatment of pulmonary mycobacteriosis.Materials and methods: 31 patients diagnosed with pulmonary mycobacteriosis underwent surgery. Should mycobacteriosis be not diagnosed before the surgical intervention, the surgery was performed as per...
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Format: | Article |
Language: | Russian |
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New Terra Publishing House
2016-05-01
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Series: | Туберкулез и болезни лёгких |
Subjects: | |
Online Access: | https://www.tibl-journal.com/jour/article/view/883 |
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author | L. D. Guntupova S. E. Borisov P. A. Dreval A. A. Vorobiev Yu. D. Isaeva |
author_facet | L. D. Guntupova S. E. Borisov P. A. Dreval A. A. Vorobiev Yu. D. Isaeva |
author_sort | L. D. Guntupova |
collection | DOAJ |
description | Goal: to investigate efficiency of surgical diagnostics and treatment of pulmonary mycobacteriosis.Materials and methods: 31 patients diagnosed with pulmonary mycobacteriosis underwent surgery. Should mycobacteriosis be not diagnosed before the surgical intervention, the surgery was performed as per standard indications for fibrous cavernous pulmonary tuberculosis or tuberculoma.Results. There were 20 segmental resections, 4 lobectomies (with МАС-, M. kansasii-infection), 5 pneumonectomies (with M. xenopi and M. fortuitum-infection), 2 combined resections. The causative agent was isolated out of surgical specimens in 11 (35.4%) patients; in 10 patients (32.3%) mycobacteriosis was confirmed by detection of non-tuberculous mycobacteria in sputum or bronchial lavage along with the detection of the causative agent in the resected tissue. In the remaining 10 (32.3%) patients non-tuberculous mycobacteria were detected only in sputum and/or bronchial lavage before surgical interventions. Post-surgery complications were observed in 6 (19.4%) of patients, lethal outcome due to myocardial infarction. Clinical cure was achieved in 29 (93.6%) patients. |
first_indexed | 2024-03-12T05:06:30Z |
format | Article |
id | doaj.art-288e3f4ce300406d8304602b6b80a980 |
institution | Directory Open Access Journal |
issn | 2075-1230 2542-1506 |
language | Russian |
last_indexed | 2024-03-12T05:06:30Z |
publishDate | 2016-05-01 |
publisher | New Terra Publishing House |
record_format | Article |
series | Туберкулез и болезни лёгких |
spelling | doaj.art-288e3f4ce300406d8304602b6b80a9802023-09-03T08:55:21ZrusNew Terra Publishing HouseТуберкулез и болезни лёгких2075-12302542-15062016-05-01945182610.21292/2075-1230-2016-94-5-18-26883Pulmonary mycobacterioses: surgical aspects of diagnostics and treatmentL. D. Guntupova0S. E. Borisov1P. A. Dreval2A. A. Vorobiev3Yu. D. Isaeva4ГБУЗ «Московский городской НПЦ борьбы с туберкулезом Департамента здравоохранения города Москвы»ГБУЗ «Московский городской НПЦ борьбы с туберкулезом Департамента здравоохранения города Москвы»ГБУЗ «Московский городской НПЦ борьбы с туберкулезом Департамента здравоохранения города Москвы»ГБУЗ «Московский городской НПЦ борьбы с туберкулезом Департамента здравоохранения города Москвы»ГБУЗ «Московский городской НПЦ борьбы с туберкулезом Департамента здравоохранения города Москвы»Goal: to investigate efficiency of surgical diagnostics and treatment of pulmonary mycobacteriosis.Materials and methods: 31 patients diagnosed with pulmonary mycobacteriosis underwent surgery. Should mycobacteriosis be not diagnosed before the surgical intervention, the surgery was performed as per standard indications for fibrous cavernous pulmonary tuberculosis or tuberculoma.Results. There were 20 segmental resections, 4 lobectomies (with МАС-, M. kansasii-infection), 5 pneumonectomies (with M. xenopi and M. fortuitum-infection), 2 combined resections. The causative agent was isolated out of surgical specimens in 11 (35.4%) patients; in 10 patients (32.3%) mycobacteriosis was confirmed by detection of non-tuberculous mycobacteria in sputum or bronchial lavage along with the detection of the causative agent in the resected tissue. In the remaining 10 (32.3%) patients non-tuberculous mycobacteria were detected only in sputum and/or bronchial lavage before surgical interventions. Post-surgery complications were observed in 6 (19.4%) of patients, lethal outcome due to myocardial infarction. Clinical cure was achieved in 29 (93.6%) patients.https://www.tibl-journal.com/jour/article/view/883микобактериоздиагностикаоперативное вмешательстволечение |
spellingShingle | L. D. Guntupova S. E. Borisov P. A. Dreval A. A. Vorobiev Yu. D. Isaeva Pulmonary mycobacterioses: surgical aspects of diagnostics and treatment Туберкулез и болезни лёгких микобактериоз диагностика оперативное вмешательство лечение |
title | Pulmonary mycobacterioses: surgical aspects of diagnostics and treatment |
title_full | Pulmonary mycobacterioses: surgical aspects of diagnostics and treatment |
title_fullStr | Pulmonary mycobacterioses: surgical aspects of diagnostics and treatment |
title_full_unstemmed | Pulmonary mycobacterioses: surgical aspects of diagnostics and treatment |
title_short | Pulmonary mycobacterioses: surgical aspects of diagnostics and treatment |
title_sort | pulmonary mycobacterioses surgical aspects of diagnostics and treatment |
topic | микобактериоз диагностика оперативное вмешательство лечение |
url | https://www.tibl-journal.com/jour/article/view/883 |
work_keys_str_mv | AT ldguntupova pulmonarymycobacteriosessurgicalaspectsofdiagnosticsandtreatment AT seborisov pulmonarymycobacteriosessurgicalaspectsofdiagnosticsandtreatment AT padreval pulmonarymycobacteriosessurgicalaspectsofdiagnosticsandtreatment AT aavorobiev pulmonarymycobacteriosessurgicalaspectsofdiagnosticsandtreatment AT yudisaeva pulmonarymycobacteriosessurgicalaspectsofdiagnosticsandtreatment |