[Transdiaphragmatic and retroperitoneal cutaneous fistulas in purulent chest diseases. Diagnosis and treatment].
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Biomedical subjects
Publications and source records attributed to H Blaha.
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The records of autopsies performed during the last year were examined with the view of assessing the accuracy of the diagnosis: death from tuberculosis. The study showed that the infection was only rarely the cause of death. Subsequently, in collaboration with R. Gruber, the deaths reported by the Study Group, Bavaria, were analysed. Over a period of two years there were 302 deaths in which tuberculosis was either the primary or a complicating disease. The analysis shows how important it is to establish the correct diagnosis and to ensure that in deaths attributed to tuberculosis the infection is, in fact, the sole cause of death and not a complicating factor.
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Using the farmer's lung as an example, the various problems in establishing a diagnosis are discussed. The "instruments" of diagnosis such as history (exposition), functional parameters, macro- and micromorphology, and laboratory findings are described. The different criteria and their value, the compatibility of informations, and the quality of definitions ("fuzzy sets") are analytically evaluated--all this finally leading to the "quality" of diagnosis and of subsequent decisions.
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The more efficient present day treatment with bactericidal anti-tuberculosis drugs combined with surgical procedures results in a much more rapid and longer lasting cure of tuberculous arthritis than previously. We assume actual periods of treatment between 2 and 4 months. It should be borne in mind that tuberculosis is a systemic disease and that the arthropathy only ranks second or third. Godd results are obtained if all concerned in the treatment of tuberculosis harmonize their approach to the treatment.
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