DIFFICULTIES IN MANAGING THE PATIENT WITH MULTIPLE DRUG RESISTANT TUBERCULOSIS AND CONCURRENT CONDITIONS

Abstract

The article describes the clinical case of the successful cure of disseminated pulmonary tuberculosis (caseous pneumonia) with multiple drug resistance in the patients with several concurrent diseases: COPD, pulmonary emphysema, respiratory failure of the 1st phase, hypertension of the 2nd phase, coronary heart disease, cardiosclerosis, drug-induced hepatitis. Tuberculosis chemotherapy was accompanied by the intensive hepatotrophic, cardiac and urinative therapy with potassium-sparing diuretics. When drug-induced hepatitis developed the extracorporal methods namely discrete machine plasmapheresis were used.

Keywords

• туберкулез легких с множественной лекарственной устойчивостью
• патогенетическая терапия
• экстракорпоральные методы
• токсический гепатит