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A Clinical Case of the Personalized Approach to Surgical Treatment of Drug-Resistant Bilateral Fibrous Cavernous Pulmonary Tuberculosis Complicated by Pyopneumothorax and Pleural Cavity Empyema

https://doi.org/10.21292/2075-1230-2022-100-3-46-52

Abstract

A clinical case shows the complexity of the choice of surgical strategy for treatment in drug-resistant bilateral fibrous cavernous pulmonary tuberculosis complicated by pyopneumothorax and empyema of the pleural cavity. A non-standard personalized approach to the patient with initially compromised cardiorespiratory system resulted not only in cure of tuberculosis complications but also improved pulmonary functional parameters and allowed avoiding progression of pulmonary tuberculosis.

About the Authors

G. G. Kudryashov
St. Petersburg State Research Institute of Phthisiopulmonology
Russian Federation

Grigory G. Kudryashov, Candidate of Medical Sciences, Physician, Thoracic Surgeon, Senior Researcher.

2-4, Ligovsky Ave., St. Petersburg, 191036

Phone: +7 (812) 775-75-50



A. O. Аvetisyan
St. Petersburg State Research Institute of Phthisiopulmonology
Russian Federation

Armen O. Аvetisyan, Candidate of Medical Sciences, Senior Researcher, Head of Pulmonary Tuberculosis Chemotherapy Department no. 3

2-4, Ligovsky Ave., St. Petersburg, 191036

Phone: +7 (812) 775-75-50



I. А. Tabanakova
St. Petersburg State Research Institute of Phthisiopulmonology
Russian Federation

Irina A. Tabanakova, Candidate of Medical Sciences, Head of Endoscopy Department

2-4, Ligovsky Ave., St. Petersburg, 191036

Phone: +7 (812) 775-75-50



E. V. Zaytseva
St. Petersburg State Research Institute of Phthisiopulmonology
Russian Federation

Elena V. Zaytseva, Candidate of Medical Sciences, TB Doctor

2-4, Ligovsky Ave., St. Petersburg, 191036

Phone: +7 (812) 775-75-50



L. D. Kiryukhina
St. Petersburg State Research Institute of Phthisiopulmonology
Russian Federation

Larisa D. Kiryukhina, Candidate of Medical Sciences, Head of Functional Diagnostics Unit, Leading Researcher

2-4, Ligovsky Ave., St. Petersburg, 191036

Phone: +7 (812) 775-75-50



P. K. Yablonskiy
St. Petersburg State Research Institute of Phthisiopulmonology; St. Petersburg University
Russian Federation

Petr K. Yablonskiy, Doctor of Medical Sciences, Professor, Director

2-4, Ligovsky Ave., St. Petersburg, 191036

Phone: +7 (812) 775-75-50



References

1. Klinicheskie rekomendatsii Tuberkulez u vzroslykh. [Clinical guidelines on tuberculosis in adults]. All-Russia Non-Commercial Organization of the Russian Society of Phthisiologists The Russian Ministry of Health, 2020, 121 p.

2. Yablonskiy P.K., Sokolovich E.G. Natsionalnye klinicheskie rekomendatsii. Torakalnaya Khirurgiya. [National clinical guidelines. Thoracic surgery]. GEOTAR-Media Publ., 2014, 160 p.

3. Byun C.S., Chung K.Y., Narm K.S., Lee J.G., Hong D., Lee C.Y. Early and long-term outcomes of pneumonectomy for treating sequelae of pulmonary tuberculosis. Korean J. Thorac. Cardiovasc. Surg., 2012, vol. 45, no. 2, pp. 110.

4. Freixinet J.L., Caminero J.A., Marchena J., Rodríguez P.M., Casimiro J.A., Hussein M. Spontaneous pneumothorax and tuberculosis: long-term follow-up. Eur. Respir. J., 2011, vol. 38, no. 1, pp. 126-131.

5. The role of surgery in the treatment of pulmonary TB and multidrug-and extensively drug-resistant TB. World Health Organization. Geneva, Switzerland. WHO, 2014, 17 p.

6. Yablonskii P.K., Kudriashov G.G., Avetisyan A.O. Surgical Resection in the Treatment of Pulmonary Tuberculosis. Thor. Surg., Clin. 2019, no. 29, pp. 37-46.


Review

For citations:


Kudryashov G.G., Аvetisyan A.O., Tabanakova I.А., Zaytseva E.V., Kiryukhina L.D., Yablonskiy P.K. A Clinical Case of the Personalized Approach to Surgical Treatment of Drug-Resistant Bilateral Fibrous Cavernous Pulmonary Tuberculosis Complicated by Pyopneumothorax and Pleural Cavity Empyema. Tuberculosis and Lung Diseases. 2022;100(3):46-52. (In Russ.) https://doi.org/10.21292/2075-1230-2022-100-3-46-52

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ISSN 2075-1230 (Print)
ISSN 2542-1506 (Online)