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...

Full description

Bibliographic Details
Main Authors: L. D. Guntupova, S. E. Borisov, P. A. Dreval, A. A. Vorobiev, Yu. D. Isaeva
Format: Article
Language:Russian
Published: New Terra Publishing House 2016-05-01
Series:Туберкулез и болезни лёгких
Subjects:
Online Access:https://www.tibl-journal.com/jour/article/view/883
_version_ 1797703499262197760
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