Faults in dispensary observation of a female patient with disseminated destructive pulmonary tuberculosis
Abstract. Current data from the World Health Organization indicate an annual increase of tuberculosis incidence worldwide. In addition, there is an increase in drug resistance of the pathogen, as well as an increase in the frequency of widespread destructive forms of the tuberculosis process among patients, which is due, among other reasons, to mistakes in dispensary observation. Clinical case presented in the article (2024) demonstrates systematic faults that occurred in the previous period of curation of a female patient with tuberculosis both during treatment in 2014 and after the end of the course of anti-tuberculosis chemotherapy. Due to the lack of X-ray examination over the past 5 years before applying to the Central research institute of tuberculosis (CRIT), the patient developed fibrous-cavernous tuberculosis of the left operated lung together with the presence of extensive drug resistance. Due to the integrated approach to treatment at CRIT, including the surgical stage, it was possible to achieve significant clinical improvement, persistent cessation of bacterial excretion, and eliminate the chronic focus of tuberculosis infection in observed patient.Chumovatov N.V., Chernykh N.A., Khosikov A.S., Komissarova O.G.
Keywords
tuberculosis
drug resistance
integrated treatment
observation faults
References
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About the Authors
Nikita V. Chumovatov, MD, PhD (Medicine), researcher at the Department of phthisiology, Central Research Institute of Tuberculosis. Address: 107564, Moscow, 2 Yauzskaya Alley.E-mail: Necro5412@mail.ru
ORCID: https://orcid.org/0000-0001-8745-7940. Scopus ID: 57459472600. eLibrary SPIN: 7088-5717
Natalya A. Chernykh, MD, PhD, senior researcher at the Department of phthisiology, Central Research Institute of Tuberculosis. Address: 107564, Moscow, 2 Yauzskaya Alley.
E-mail: natadok@inbox.ru
ORCID: https://orcid.org/0000-0001-6787-2362. Scopus ID: 36957272200. eLibrary SPIN: 9144-7729
Andrey S. Khozikov, MD, pathologist at the Central Research Institute of Tuberculosis. Address: 107564, Moscow, 2 Yauzskaya Alley.
E-mail: hozikov96@mail.ru
ORCID: https://orcid.org/0000-0003-0308-9592. eLibrary SPIN: 2969-5800
Oksana G. Komissarova, MD, Dr. Sci. (Medicine), associate professor, deputy director for scientific and medical work of the Department of phthisiology, Central Research Institute of Tuberculosis, professor of the Department of phthisiology, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia (Pirogov University). Address: 107564, Moscow, 2 Yauzskaya Alley.
E-mail: oksana.komissarova.72@mail.ru
ORCID: https://orcid.org/0000-0003-4427-3804. Scopus ID: 15051823500. eLibrary SPIN: 2969-5800
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