[Primary pulmonary tuberculosis in adolescents].
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Although pulmonary TB is declining in incidence, it continues to cause significant morbidity and mortality. The modern 6-month short-course chemotherapy regimens are virtually 100% curative if given and taken correctly. Other forms of intrathoracic TB, namely pleural effusion and particularly mediastinal lymphadenopathy, occur more frequently in ethnic minority groups and mainly in that from the Indian subcontinent.
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The authors have analyzed their experience in the diagnosis and treatment of 32 patients with broncholiths-induced obturation of the segmentary and lobar bronchi with subsequent prolonged recurring inflammatory, cirrhotic or suppurative bronchopulmonary processes farther to a site of bronchial obstruction. 37% of the patients only knew of primary tuberculosis. Chest pains were noted in 50%, hemoptysis in 40%. The rest of the symptoms were not characteristic. Therefore true diagnosis was established, as a rule, in a late period. Patients with broncholiths were treated for many years with the diagnosis of recurring pneumonia, cirrhotic or suppurative processes. Bronchoscopy is a method of choice because broncholiths can be found in a visible zone of the bronchial tree. The earlier bronchoscopy is performed, the easier and better can be the patients' cure.
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