tibljТуберкулез и болезни легкихTuberculosis and Lung Diseases2075-12302542-1506Медицинские знания и технологии10.21292/2075-1230-2019-97-2-56-61tiblj-1243Research ArticleКЛИНИЧЕСКОЕ НАБЛЮДЕНИЕТУБЕРКУЛЕЗ КИШЕЧНИКА С ПЕРФОРАЦИЕЙ КАК МАНИФЕСТАЦИЯ ГЕНЕРАЛИЗОВАННОГО МИЛИАРНОГО ТУБЕРКУЛЕЗА У ПАЦИЕНТКИ С ХРОНИЧЕСКОЙ НАДПОЧЕЧНИКОВОЙ НЕДОСТАТОЧНОСТЬЮTUBERCULOSIS COLITIS WITH PERFORATION AS A MANIFESTATION OF GENERALIZED MILIARY TUBERCULOSIS IN THE FEMALE PATIENT WITH CHRONIC ADRENAL INSUFFICIENCYВеликаяО. В.VelikayaO. V.

Великая Ольга Викторовна доктор медицинских наук, доцент, заведующая кафедрой.

394036, г. Воронеж, ул. Студенческая, д. 10.

Olga V. Velikaya Doctor of Medical Sciences, Associate Professor, Head of the Department.

10, Studencheskaya St., Voronezh, 394036

vgma-velikaya@yandex.ruСтоговаН. А.StogovaN. A.

Стогова Наталья Аполлоновна доктор медицинских наук, профессор.

394036, г. Воронеж, ул. Студенческая, д. 10.

Natalya A. Stogova Doctor of Medical Sciences, Professor.

10, Studencheskaya St., Voronezh, 394036

Stogova.51@mail.ruМартышоваО. С.MartyshovaO. S.

Мартышова Ольга Сергеевна кандидат медицинских наук, ассистент.

394036, г. Воронеж, ул. Студенческая, д. 10.

Olga S. Martyshova Candidate of Medical Sciences, Assistant.

10, Studencheskaya St., Voronezh, 394036

martyshovaolga@mail.ruФГБОУ ВО «Воронежский государственный медицинский университет им. Н. Н. Бурденко» МЗ РФРоссияVoronezh State Medical Academy named after N. N. BurdenkoRussian Federation2019110320199725661Copyright © Великая О.В., Стогова Н.А., Мартышова О.С., 20192019Великая О.В., Стогова Н.А., Мартышова О.С.Velikaya O.V., Stogova N.A., Martyshova O.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tibl-journal.com/jour/article/view/1243

Приведен клинический случай посмертной диагностики генерализованного туберкулеза в фазе прогрессирования с поражением легких (мелкоочаговый диссеминированный туберкулез легких), селезенки, почек, надпочечников, сердца, кишечника (инфильтративно-язвенный туберкулез терминального отдела подвздошной кишки), развившийся на фоне длительного приема глюкокортикостероидов по поводу хронической надпочечниковой недостаточности.

The article describes a clinical case of post mortem diagnostics of progressing generalized tuberculosis (microfocal disseminated pulmonary tuberculosis) of spleen, kidneys, adrenal glands, heart, and intestine (infiltrate ulcerative tuberculosis of terminal ileum), developed during continuous treatment with glucocorticosteroids due to chronic adrenal insufficiency.

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The authors declare that there are no conflicts of interest present.