Diffuse pulmonary ossification is a rare form of interstitial lung disease. Specific symptoms are often lacking. The present article describes a case of diffuse pulmonary ossification in an elderly person.
Objective: to analyze cases of childhood tuberculosis in Gomel region over the last 12 years. Material and methods. We have conducted a retrospective study of tuberculosis cases in children aged 1-14 over the period 2006-2017. Results. The ratio of childhood tuberculosis was 0.7% (0.5-0.8) among all new cases of the disease. A high level of microbiological confirmation of tuberculosis (26.7%, 16.0-39.6) was observed. Contact with a tuberculosis patients was found in 53.3% (40-66.3). The Mantoux test remains relevant in the diagnosis of childhood tuberculosis (the size of the papule is 12.3 ± 4.8 mm). More than a third of the sick children were in a socially dangerous situation. HIV-associated tuberculosis in the children was 18.3%. Most of those children lived in families being in contact with tuberculosis patients. Conclusion. A low rate of childhood tuberculosis has been recorded in the region. A high incidence rate of tuberculosis in children in contact with tuberculosis patients indicates a low grade of measures against the exposure to tuberculosis infection. The prevention and detection of tuberculosis among HIV-positive children are a topical issue.
The article gives the description of the epidemic situation for tuberculosis in Gomel. Organization of controlled chemotherapy during all the stages of the treatment is the key to the successful solution of tuberculosis problems. The article analyzes the effectiveness of the model of outpatient treatment for tuberculosis in city conditions and presents the order of the organization of outpatient treatment for tuberculosis in town, lists activities aimed at the improvement of adherence to the treatment.
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