Email this article Clinical picture of tuberculosis in its combination with hemoblastoses
- Authors: Yuldasheva NE1, Karachunsky MA2, Pivnik AV3
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Affiliations:
- Гематологический научный центр РАМН
- Центральный НИИ туберкулеза РАМН
- Российская медицинская академия последипломного образования
- Issue: Vol 79, No 3 (2004)
- Pages: 49-51
- Section: Editorial
- URL: https://journal-vniispk.ru/0040-3660/article/view/29775
- ID: 29775
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Abstract
Aim. To study clinical symptoms, course and diagnosis of tuberculosis in patients with hemoblastosis (HB).
Material and methods. 79 patients with tuberculosis and HB were examined. HB was represented by lymphoproliferative diseases (n = 61), acute leukemia (n - 4), chronic myeloproliferative diseases (n = 14).
Results. Pulmonary tuberculosis was in 61 (77.2%) patients: in 46 with lymphoproliferative disease (LPD), 4 with acute leukemia (AL) and 11 with myeloproliferative disease(MPD). Generalized tuberculosis was detected in 8 (10.1%) patients (7 with LPD and I with MPD) and extrapulmonary tuberculosis was in 10 (12.7%) patients (8 with LPD and 2 with MPD). Infiltrative, disseminated and military tuberculosis of the lungs developed in 55.7, 6.6 and 1.6% HB patients.
Conclusion. Persistent fever in HВ patients may point to developing tuberculosis infection. Fever syndrome and intoxication in patients with HB remission may serve a diagnostic marker of tuberculosis.
Material and methods. 79 patients with tuberculosis and HB were examined. HB was represented by lymphoproliferative diseases (n = 61), acute leukemia (n - 4), chronic myeloproliferative diseases (n = 14).
Results. Pulmonary tuberculosis was in 61 (77.2%) patients: in 46 with lymphoproliferative disease (LPD), 4 with acute leukemia (AL) and 11 with myeloproliferative disease(MPD). Generalized tuberculosis was detected in 8 (10.1%) patients (7 with LPD and I with MPD) and extrapulmonary tuberculosis was in 10 (12.7%) patients (8 with LPD and 2 with MPD). Infiltrative, disseminated and military tuberculosis of the lungs developed in 55.7, 6.6 and 1.6% HB patients.
Conclusion. Persistent fever in HВ patients may point to developing tuberculosis infection. Fever syndrome and intoxication in patients with HB remission may serve a diagnostic marker of tuberculosis.
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About the authors
N E Yuldasheva
Гематологический научный центр РАМНГематологический научный центр РАМН
M A Karachunsky
Центральный НИИ туберкулеза РАМНЦентральный НИИ туберкулеза РАМН
A V Pivnik
Российская медицинская академия последипломного образованияМосква; Российская медицинская академия последипломного образования
References
- Кравченко С. К., Романова Л. А., Пивник А. В. Милиарный туберкулез у больной парциальной красноклеточной аплазией. Пробл. гематол. 1998; 3: 55-58.
- Рехтина И. Г., Щекочихин С. М. О трудностях диагностики туберкулеза у больных с системными заболеваниями крови. Тер. арх. 1998; 4: 60-62.
- Duedraogo М., Duedraogo S. M. Active tuberculosis in a patient with Hodgkin disease. A case report. Rev. Pneumol. Clin. 2000; 56 (1): 33-35.
- Patel R., Relsey P. R. Acute myeloid leukaemia complicated by antrgic tuberculosis. Clin. Lab. Haematol. 1996; 18(1): 53-54.
- Рабухин А. Е. Туберкулез органов дыхания у взрослых. М.; 1976.
- Чистович А. Г. Ранний инфильтрат как начальная стадия развития легочного туберкулеза. Арх. пат. анат. 1948; 10: 3-61.
- Шмелев Н. А. В кн.: Руководство по туберкулезу. М.; 1955: 309-359.
- Bloom В. R., Fine P. Tuberculosis. Washington; 1994.
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