Generalized tuberculosis with long-term course in the guise of liver cirrhosis
Aim of investigation. To demonstrate unusual clinical symptoms and difficulties of diagnostics of disseminated tuberculous process.Material and methods. The 25 year-old patient, who was managed for 10 years for liver cirrhosis of nonspecified etiology, was investigated. The careful analysis of clini...
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| Format: | Article |
| Language: | Russian |
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Gastro LLC
2015-07-01
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| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
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| Online Access: | https://www.gastro-j.ru/jour/article/view/1020 |
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| author | Z. A. Lemeshko M. V. Mayevskaya I. N. Tikhonov N. P. Musina M. S. Zharkova Ye. V. Fominykh V. T. Ivashkin |
| author_facet | Z. A. Lemeshko M. V. Mayevskaya I. N. Tikhonov N. P. Musina M. S. Zharkova Ye. V. Fominykh V. T. Ivashkin |
| author_sort | Z. A. Lemeshko |
| collection | DOAJ |
| description | Aim of investigation. To demonstrate unusual clinical symptoms and difficulties of diagnostics of disseminated tuberculous process.Material and methods. The 25 year-old patient, who was managed for 10 years for liver cirrhosis of nonspecified etiology, was investigated. The careful analysis of clinical presentation of disease, data of physical examination, results of radiological and other methods of diagnostics was carried out.Results. It was possible to suspect and subsequently to confirm disseminated tuberculosis with involvement of the lungs, the heart, pericardium, pleura, mesenteric lymph nodes, the liver; chronic right-sided tubercular pleurisy with pleurocirrhosis; constrictive pericarditis with signs of right ventricular failure; cardiac liver fibrosis (Pick's pseudocirrhosis); mixed portal hypertension.Conclusion. The detailed analysis of clinical presentation of disease, physical data and application of complex of visual and other methods of investigation expand potential of diagnostics of disseminated tuberculous process. |
| format | Article |
| id | doaj-art-142d8fb5c53f4e178931cf72fc2c6676 |
| institution | Kabale University |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| publishDate | 2015-07-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj-art-142d8fb5c53f4e178931cf72fc2c66762025-02-10T16:14:34ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732015-07-012538589626Generalized tuberculosis with long-term course in the guise of liver cirrhosisZ. A. Lemeshko0M. V. Mayevskaya1I. N. Tikhonov2N. P. Musina3M. S. Zharkova4Ye. V. Fominykh5V. T. Ivashkin6State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university»State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university»State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university»State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university»State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university»State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university»State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university»Aim of investigation. To demonstrate unusual clinical symptoms and difficulties of diagnostics of disseminated tuberculous process.Material and methods. The 25 year-old patient, who was managed for 10 years for liver cirrhosis of nonspecified etiology, was investigated. The careful analysis of clinical presentation of disease, data of physical examination, results of radiological and other methods of diagnostics was carried out.Results. It was possible to suspect and subsequently to confirm disseminated tuberculosis with involvement of the lungs, the heart, pericardium, pleura, mesenteric lymph nodes, the liver; chronic right-sided tubercular pleurisy with pleurocirrhosis; constrictive pericarditis with signs of right ventricular failure; cardiac liver fibrosis (Pick's pseudocirrhosis); mixed portal hypertension.Conclusion. The detailed analysis of clinical presentation of disease, physical data and application of complex of visual and other methods of investigation expand potential of diagnostics of disseminated tuberculous process.https://www.gastro-j.ru/jour/article/view/1020tuberculosisliver cirrhosisradiological methods of diagnostics |
| spellingShingle | Z. A. Lemeshko M. V. Mayevskaya I. N. Tikhonov N. P. Musina M. S. Zharkova Ye. V. Fominykh V. T. Ivashkin Generalized tuberculosis with long-term course in the guise of liver cirrhosis Российский журнал гастроэнтерологии, гепатологии, колопроктологии tuberculosis liver cirrhosis radiological methods of diagnostics |
| title | Generalized tuberculosis with long-term course in the guise of liver cirrhosis |
| title_full | Generalized tuberculosis with long-term course in the guise of liver cirrhosis |
| title_fullStr | Generalized tuberculosis with long-term course in the guise of liver cirrhosis |
| title_full_unstemmed | Generalized tuberculosis with long-term course in the guise of liver cirrhosis |
| title_short | Generalized tuberculosis with long-term course in the guise of liver cirrhosis |
| title_sort | generalized tuberculosis with long term course in the guise of liver cirrhosis |
| topic | tuberculosis liver cirrhosis radiological methods of diagnostics |
| url | https://www.gastro-j.ru/jour/article/view/1020 |
| work_keys_str_mv | AT zalemeshko generalizedtuberculosiswithlongtermcourseintheguiseoflivercirrhosis AT mvmayevskaya generalizedtuberculosiswithlongtermcourseintheguiseoflivercirrhosis AT intikhonov generalizedtuberculosiswithlongtermcourseintheguiseoflivercirrhosis AT npmusina generalizedtuberculosiswithlongtermcourseintheguiseoflivercirrhosis AT mszharkova generalizedtuberculosiswithlongtermcourseintheguiseoflivercirrhosis AT yevfominykh generalizedtuberculosiswithlongtermcourseintheguiseoflivercirrhosis AT vtivashkin generalizedtuberculosiswithlongtermcourseintheguiseoflivercirrhosis |