DIFFICULTIES OF TUBERCULOSIS DETECTION BY A LOCAL PHISICIAN IN THE PERIOD OF THE EPIDEMIC OF INFLUENZA (CLINICAL CASE)

Abstract

Purpose of issue is to show difficulties of detecting tuberculosis the general physician during epidemic of acute respiratory viral infection and flu, to show efficiency of modern methods of mycobacterial and HIV evaluation.Materials and methods. Clinical case from general physician’s practice was discussed. All methods from primary healthcare were used.Results. Possibilities of tuberculosis diagnostics by general physician during epidemic were shown. Tuberculosis was held under mask of flu. While carrying out diagnostic minimum negative results have been received. As a result of plane radiography dissemination was found. After analysis of social risk factors, analysis for HIV and «Diaskin-test» were made. Sputum also was sent for mycobacterium evaluation to antituberculosis center laboratory. Positive «Diaskintest» (8 mm), positive Gene-expert molecular-genetic test and BACTEC fluid growth were found. Diagnosis of tuberculosis was stated and patient was sent to specialized center.Conclusion. During flu epidemic alertness of general practitioners about tuberculosis is needed especially in social risk groups. It is recommended to enlarge diagnostic minimum using molecular genetic methods. These actions can improve rate of tuberculosis proving.

Keywords

• physician
• disseminated pulmonary tuberculosis
• acute respiratory viral infection
• hiv
• risk factors