[Tuberculous bronchial lymph node perforations during silicosis].
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The problem of quick and early detection of tuberculosis in old persons deserving increasingly special attention is discussed by the hand of eight observations. Differential diagnosis of generalized forms and isolated extrapulmonary organ tuberculosis is particularly difficult. Incorrect interpretation of signs and symptoms, default of examinations crucial for right diagnosis and above all, not considering tuberculosis in the diagnostic process explain error and often subsequent death due to failing the diagnosis of tuberculosis. In the examples represented the difficulties in making the right diagnosis, the change of the clinical features and course of disease, and the reasons for misinterpretation of these forms are shown. Relevant conditions and diagnostic procedures referring to the diagnosis of tuberculosis in old people are reviewed as chronic disabling ailments, drugs reducing resistance, pulmonary fibrotic lesions all sometimes followed by exacerbation of pulmonary or lymph node tuberculosis and subsequent haematogenous generalization, and as the tuberculin testing and repeated examinations for tubercle bacilli.
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An observation over a chronic course of primary tuberculosis of the lung in a 78-year-old female patient with involvement of the perihilar lymph nodes, development of periadenitis, ingrowth of tuberculous granulations into the lumen of bronchi and with formation of fistulas is described. Clinically the disease proceeded as asthmatic bronchitis.
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In this paper we present our experience concerning abdominal tuberculosis. The aim of this study is to evaluate various methods and to establish therapeutic approach to patients with abdominal tuberculosis. There were six patients (3 males and 3 females), aged between 22 and 67 years old, such as: 2 patients developed peritoneal tuberculosis, 3 patients developed intestinal tuberculosis and one patient developed mesenteric lymph node tuberculosis. We concluded that early diagnosis is often impossible and laboratory report was non-specific. Because surgical treatment in abdominal tuberculosis was made in complicate forms, we concluded that enterostomy "a minima" is the best therapeutic method.
The paper analyzes patient contingents at one of the largest tuberculosis hospitals in Russia in 1995 to 1998. Ti has been ascertained that there has been an increase in the number of patients transferred from general hospitals from 9.7 to 27.4%. Patients with caseous pneumonia and intrathoracic lymph node tuberculosis have doubled.
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This article presents retrospective data from a ten-year material consisting of 426 patients with tuberculosis. There was a large difference in age between Norwegian and foreign patients. Median duration of symptoms before treatment was 15 weeks. The most common extrapulmonary form was lymph node tuberculosis, with a striking overpercentage of females. General symptoms were more common among patients with pulmonary tuberculosis than among patients with extrapulmonary forms. In 43% of the patients with pulmonary tuberculosis no abnormal signs were registered by auscultation. Febrile patients became quickly afebrile after start of treatment. 83% of the patients were tb culture-positive. 9.5% of the isolates tested for resistance showed reduced sensitivity to one or more antituberculous drugs. Chest x-ray manifestations were more common in the right than in the left lung. Older people are the main source of tuberculosis in Norway. One should be particularly aware of this diagnosis in immigrants from the Third World.