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DIFFICULTIES IN MANAGING THE PATIENT WITH MULTIPLE DRUG RESISTANT TUBERCULOSIS AND CONCURRENT CONDITIONS

https://doi.org/10.21292/2075-1230-2016-94-7-56-60

Abstract

The article describes the clinical case of the successful cure of disseminated pulmonary tuberculosis (caseous pneumonia) with multiple drug resistance in the patients with several concurrent diseases: COPD, pulmonary emphysema, respiratory failure of the 1st phase, hypertension of the 2nd phase, coronary heart disease, cardiosclerosis, drug-induced hepatitis. Tuberculosis chemotherapy was accompanied by the intensive hepatotrophic, cardiac and urinative therapy with potassium-sparing diuretics. When drug-induced hepatitis developed the extracorporal methods namely discrete machine plasmapheresis were used.

About the Authors

E. V. Vaniev
Central Tuberculosis Research Institute
Russian Federation

Candidate of Medical Sciences, TB Doctor,

2, Yauzskaya Alleya, Moscow, 107564



I. A. Vasilieva
Central Tuberculosis Research Institute
Russian Federation

Doctor of Medical Sciences, Professor, Head of Phthisiology Department,

 2, Yauzskaya Alleya, Moscow, 107564


A. E. Ergeshov
Central Tuberculosis Research Institute
Russian Federation

Doctor of Medical Sciences, Professor, Director,

2, Yauzskaya Alleya, Moscow, 107564



T. R. Bagdasaryan
Central Tuberculosis Research Institute
Russian Federation

Candidate of Medical Sciences, Head of First Therapy Department,

2, Yauzskaya Alleya, Moscow, 107564



References

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2. Yerokhin V.V. Achievements and innovative ways of development in tuberculosis control. Vestnik RAMN, 2012, no. 11, pp. 4-8. (In Russ.)

3. Zinoviev I.P., Esaulova N.А., Novkov V.G. et al. Primary drugs resistance of tuberculous mycobacteria in patients with new destructive pulmonary tuberculosis. Probl. Tub., 2009, no. 4, pp. 37-39. (In Russ.)

4. Litvinov V.I., Mednikov B.L., Lovacheva O.V. et al. Rezistentnost mikobakteriy tuberkuleza k antibakterialnym preparatam. Khimioterapiya tuberkuleza. [Drug resistance of tuberculous mycobacteria. Chemotherapy of tuberculosis]. Moscow, 2000, pp. 49-50.

5. Testov V.V., Sterlikov S.А., Vasil’eva I.А. et al. Chemotherapy outcomes in multiple drug resistant tuberculosis patients in the regions of the Russian Federation. Tub. i Bolezni Legkikh, 2014, no. 4, pp. 9-13. (In Russ.)

6. Filinyuk O.V., Felker I.G., Yanova G.V. et al. Risk factors of chemotherapy failure in multiple drug resistant tuberculosis patients. Tub. i Bolezni Legkikh, 2014, no. 1, pp. 20-26. (In Russ.)


Review

For citations:


Vaniev E.V., Vasilieva I.A., Ergeshov A.E., Bagdasaryan T.R. DIFFICULTIES IN MANAGING THE PATIENT WITH MULTIPLE DRUG RESISTANT TUBERCULOSIS AND CONCURRENT CONDITIONS. Tuberculosis and Lung Diseases. 2016;94(7):56-60. (In Russ.) https://doi.org/10.21292/2075-1230-2016-94-7-56-60

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