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Reviving an old idea: can artificial pneumothorax play a role in the modern management of tuberculosis?

https://arctichealth.org/en/permalink/ahliterature169263
Source
Int J Tuberc Lung Dis. 2006 May;10(5):571-7
Publication Type
Article
Date
May-2006
Author
I Y Motus
S N Skorniakov
V A Sokolov
E A Egorov
E I Kildyusheva
A V Savel'ev
G E Zaletaeva
Author Affiliation
Urals Research Institute of Phthisiopulmonology, Ekaterinburg, Russia. Igor_Motus@net-burg.net
Source
Int J Tuberc Lung Dis. 2006 May;10(5):571-7
Date
May-2006
Language
English
Publication Type
Article
Keywords
Adult
Chi-Square Distribution
Female
Humans
Pneumothorax, Artificial
Prospective Studies
Russia
Treatment Outcome
Tuberculosis, Multidrug-Resistant
Tuberculosis, Pulmonary - drug therapy - therapy
Abstract
To determine the usefulness of artificial pneumothorax (AP) in the management of pulmonary tuberculosis (PTB) patients when anti-tuberculosis treatment is ineffective.
We evaluated the outcome of therapy in 214 patients with cavitary PTB bacteriologically confirmed by culture treated during 1998-2004, 78.9% of whom had multidrug resistance. AP was applied in 109 patients (56 newly diagnosed TB and 53 retreatment cases). A control group consisted of 105 patients (respectively 55 and 50) treated without AP. The average period of AP application was 4.5 months for newly diagnosed patients and 9 months in retreatment cases. Anti-tuberculosis treatment regimens in both groups were based on drug susceptibility test results.
Culture negativity was achieved in patients treated with AP in all new cases and in 81.1% of retreatment cases. Cavity closure occurred in 94.6% and 67.9% respectively. In the control group, culture negativity was achieved in respectively 70.9% and 40.0%, and cavity closure occurred in respectively 56.3% and 24.0%.
AP considerably improved the treatment outcome in both newly diagnosed and retreatment patients. This procedure can be considered a useful addition in managing certain patients with cavitary TB, particularly those with drug resistance.
PubMed ID
16704042 View in PubMed
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[Roentgenological diagnosis of silicotuberculosis].

https://arctichealth.org/en/permalink/ahliterature103678
Source
Probl Tuberk. 1990;(10):23-5
Publication Type
Article
Date
1990
Author
V A Sokolov
V M Kartashov
E A Egorov
V A Popov
Source
Probl Tuberk. 1990;(10):23-5
Date
1990
Language
Russian
Publication Type
Article
Keywords
Adult
Aged
Female
Humans
Male
Mass Chest X-Ray
Middle Aged
Occupational Health Services - organization & administration
Russia
Silicotuberculosis - prevention & control - radiography
Time Factors
Abstract
Possibilities of roentgenologic method of examination with the use of roentgenography and tomography in the diagnosis of current forms of silicotuberculosis and tuberculosis in workers of the industries highly exposed to silicosis are analysed. ++Clinico-roentgenological+ pictures of 305 patients were studied in their dynamics for the period of 3 to 10 years. Being characterized by a benign course, silicotuberculosis is most often diagnosed in persons who left their work. A follow-up at least at 6-month intervals is of great importance in assessing its activity.
PubMed ID
2150439 View in PubMed
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