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Primary tuberculosis of the penis.

We present a case of primary tuberculosis of the inner lining of the prepuce in a 63-year-old man. The condition resembled carcinoma. The diagnosis was based on histopathology and on M. tuberculosis culture. Successful treatment was by a combined medical and surgical approach. The rarity of the case is emphasized.

Antitubercular Agents↗

[Reasons for hospital readmission of infants and preschool children with tuberculosis].

As high as 12.4% of children suffering from tuberculosis are readmitted, rural children are more frequently readmitted (18.0 versus 7.2%, p < 0.01), children having tuberculosis (10.9%) and nonspecific pathology (1.5%). Among the children readmitted for tuberculosis, 75.9% had exacerbations which provoke infectious diseases in 18.2%. In 72.7% of cases, the cause of readmission was premature discharge due to their parents' noncompliance.

Age Factors↗

[Clinical aspects and treatment of tuberculosis of respiratory organs in adolescents under present epidemiological conditions].

The paper summarizes the results of clinical observations of 55 teenagers suffering from active respiratory tuberculosis. It defines risk factors for this disease in adolescents. Emphasis is laid on the current pathomorphology and a great variety of clinical types of tuberculosis. Treatment of tuberculosis is ascertained to be preferred by using the short-term intensive chemotherapy regimen recommended by the World Health Organization, which is intended to cure most patients in the shortest period as compared with existing routine regimens.

Adolescent↗

Gallium-67 citrate scan in extrapulmonary tuberculosis.

AIM: Whole-body gallium scan was performed to evaluate the usefulness of gallium scan for detecting extrapulmonary tuberculosis (TB) lesions. METHODS: Thirty-seven patients with extrapulmonary TB were included in this study. Four patients were found to have two lesions. Totally, 41 lesions were identified, including 19 TB arthritis, 8 spinal TB, 5 TB meningitis, 3 TB lymphadenopathy, 2 TB pericarditis, 1 TB peritonitis, 1 intestinal TB, 1 skin TB and 1 renal TB. RESULTS: Of the 41 extrapulmonary TB lesions, gallium scan detected 32 lesions with a sensitivity of 78%. All the patients with TB meningitis showed negative gallium scan. When the five cases of TB meningitis were excluded, the detection sensitivity of gallium scan increased to 88.9% (32/36). CONCLUSION: Our data revealed that gallium scan is a convenient and useful method for evaluating extrapulmonary TB lesions other than TB meningitis. We suggest that gallium scan be included in the clinical routine for patients with suspected extrapulmonary TB.

Adult↗

[The diagnosis of abdominal tuberculosis in military medical and prophylactic institutions].

Abdominal tuberculosis constitutes 0.5-2% in the general structure of the disease, nevertheless it requires special methods of treatment. The authors draw the rules of diagnosis at the early stages of the disease development on the base of 55 patients' case records. They also present a list the most important research projects on chronic and acute abdominal cases.

Abdominal Pain↗

The radiological presentation of pulmonary tuberculosis in children.

The children in this study had evidence of severe pulmonary disease when they were first radiographed. More than one segment, lobe or even lung was frequently involved and more than one type of lesion was often present in a patient. The right lung was more often affected. Segmental consolidation was common. Cavitary disease was particularly evident in children less than 3 years of age and many had extrapulmonary dissemination. Pleural effusions, calcification, and the acinar opacities of bronchogenic spread, were common in older children.

Age Factors↗

[Therapy of tuberculosis with Rifampicin in childhood (author's transl)].

Compared with the adults the child's bloodlevel after having taken Rifampicin is lower, therefore it is recommanded to take a higher dose of 15 mg/kg in the morning before having breakfasted. A combination of doses of 10 mg/kg INH and 20 mg/kg Ethambutol is possible without any doubt. If you consider the reaction which may arise, SGOT and SGPT values up to 21 mU are without any signification. If they depasse this limit a certain control is necessary and if they are still progressive the therapy must be changed. If you compare the experiences with the adults, secondary effects of Rifampicin in childhood are less, just so indigestibleness of the stomach or intestines tract or allergies.

Alanine Transaminase↗

[A case of primary tuberculosis, with subpleural infiltrative shadow, hilar lymphadenopathy perforated into bronchus, causing tuberculous pneumonia].

A 47-year-old asymptomatic female was referred to our outpatient department with pulmonary infiltration in the left S6. PPD skin test revealed 12 x 11 mm redness. The infiltration disappeared without treatment. Hilar lymphadenopathy appeared 2 months after the first visit. In 6 months after the first visit, the hilar lymphadenopathy disappeared without treatment, but infiltration appeared in the left S6 (different site to that of the first visit). A repeated PPD revealed 47 x 40 mm redness and 20 x 15 mm induration. Bronchoscopy revealed a polipoid lesion at the orifice of left B6, MTD (Mycobacterium tuberculosis direct test) was positive from the bronchial washing of left B6. She was diagnosed as tuberculosis based on the courses and radiographic appearances. After antituberculous chemotherapy, the pulmonary infiltration and the polipoid lesion at the orifice of left B6 improved.

Bronchial Diseases↗