Tuberculous pleurisy in breast cancer patients: three clinical cases

The objective of the study: to detect specific clinical signs of tuberculous exudative pleurisy and define the tactics for doctors from general medical services for its detection in cancer patients.Subjects and methods. The case histories of 3 patients suffering from tuberculous pleurisy at the age...

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Main Author: N. A. Stogova
Format: Article
Language:Russian
Published: New Terra Publishing House 2018-11-01
Series:Туберкулез и болезни лёгких
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Online Access:https://www.tibl-journal.com/jour/article/view/1186
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author N. A. Stogova
author_facet N. A. Stogova
author_sort N. A. Stogova
collection DOAJ
description The objective of the study: to detect specific clinical signs of tuberculous exudative pleurisy and define the tactics for doctors from general medical services for its detection in cancer patients.Subjects and methods. The case histories of 3 patients suffering from tuberculous pleurisy at the age of 57, 58 and 59 years were analyzed; all the patients were examined and treated in Voronezh Regional TB Dispensary in 2000-2012; and earlier (8 months, 2 and 10 years before that respectively) they received combination therapy due to breast cancer.Results: The specific clinical manifestations of tuberculous pleurisy in the patients who had cancer were the absence of acute courses of the disease and no intense clinical manifestations as well as suppressed sensitivity to tuberculin. Development of pleurisy when there are no changes in the lungs and no mycobacteria are detected in sputum and pleural effusions results in difficulties in diagnostics aimed to define the etiology of pleural effusions. It was found out that the early use of puncture biopsy of parietal pleura allowed diagnosing tuberculosis within a short period of time (5-8 days).
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series Туберкулез и болезни лёгких
spelling doaj-art-db8cd208d8e445ca8eb93ca9b98a61f12025-08-20T02:05:49ZrusNew Terra Publishing HouseТуберкулез и болезни лёгких2075-12302542-15062018-11-019610485310.21292/2075-1230-2018-96-10-48-531186Tuberculous pleurisy in breast cancer patients: three clinical casesN. A. Stogova0Voronezh State Medical University named after N.N. BurdenkoThe objective of the study: to detect specific clinical signs of tuberculous exudative pleurisy and define the tactics for doctors from general medical services for its detection in cancer patients.Subjects and methods. The case histories of 3 patients suffering from tuberculous pleurisy at the age of 57, 58 and 59 years were analyzed; all the patients were examined and treated in Voronezh Regional TB Dispensary in 2000-2012; and earlier (8 months, 2 and 10 years before that respectively) they received combination therapy due to breast cancer.Results: The specific clinical manifestations of tuberculous pleurisy in the patients who had cancer were the absence of acute courses of the disease and no intense clinical manifestations as well as suppressed sensitivity to tuberculin. Development of pleurisy when there are no changes in the lungs and no mycobacteria are detected in sputum and pleural effusions results in difficulties in diagnostics aimed to define the etiology of pleural effusions. It was found out that the early use of puncture biopsy of parietal pleura allowed diagnosing tuberculosis within a short period of time (5-8 days).https://www.tibl-journal.com/jour/article/view/1186tuberculous pleurisybreast cancerdiagnosticspleural biopsy
spellingShingle N. A. Stogova
Tuberculous pleurisy in breast cancer patients: three clinical cases
Туберкулез и болезни лёгких
tuberculous pleurisy
breast cancer
diagnostics
pleural biopsy
title Tuberculous pleurisy in breast cancer patients: three clinical cases
title_full Tuberculous pleurisy in breast cancer patients: three clinical cases
title_fullStr Tuberculous pleurisy in breast cancer patients: three clinical cases
title_full_unstemmed Tuberculous pleurisy in breast cancer patients: three clinical cases
title_short Tuberculous pleurisy in breast cancer patients: three clinical cases
title_sort tuberculous pleurisy in breast cancer patients three clinical cases
topic tuberculous pleurisy
breast cancer
diagnostics
pleural biopsy
url https://www.tibl-journal.com/jour/article/view/1186
work_keys_str_mv AT nastogova tuberculouspleurisyinbreastcancerpatientsthreeclinicalcases