[Physical factors in the complex therapy of patients with tuberculosis (review of literature)].
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Extra pulmonary tuberculosis are frequent in Africa and have a special severity due to delayed diagnosis and multifocal forms. Various punctures and biopsies may be necessary to demonstate the tuberculous infection. Even with modern treatment it too often implies important risks of severe sequelae.
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Four cases with tuberculosis, not differentiated clinically and one case with ordinary septic process, falsly diagnosed as tuberculosis are described in patients treated with long-term hemodialysis. The errors admitted are analyzed, the significance of the atypical tuberculosis forms being stressed upon, especially miliary tuberculosis, pulmonary uremic edema, resembling disseminated pulmonary tuberculosis as well as of reduced activity in searching and diagnosis of tuberculosis. A plan and indications for the treatment of those infections in patients with kidney diseases are presented, treated with long-term hemodialysis.
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