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[616.24-002.5:616.24-002]-07 (1) |
Patologia sistemului respirator. Tulburări ale organelor de respiraţie (747) |
SM ISO690:2012 CARAIANI, Olga, LESNIC, Evelina. Criteriile diagnosticului diferenţial al tuberculozei pulmonare cu pneumonia comunitară trenantă. In: Sănătate Publică, Economie şi Management în Medicină , 2015, nr. 2(59), pp. 52-59. ISSN 1729-8687. |
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Sănătate Publică, Economie şi Management în Medicină | |||||
Numărul 2(59) / 2015 / ISSN 1729-8687 /ISSNe 2587-3873 | |||||
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CZU: [616.24-002.5:616.24-002]-07 | |||||
Pag. 52-59 | |||||
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Rezumat | |||||
Tuberculosis is a big challenge for public health in R.Moldova, with a incidence ranking on the third place among high TB burden countries. Trenant evolution pneumonia is a distinct nosologic entity with an impact on public health, showing a high risk for a poor outcome. The conducted study was performed with the aim to assess clinical and paraclinical differential criteria between pulmonary infiltative tuberculosis and trenant evolution pneumonia. The study was retrospecitiv, selective and descriptive realised on a sample of 180 patients (study group – 125 patients with pulmonary tuberculosis and reference group – 55 patients with trenant community acquired pneumonia). Results showed that younger age, direct addressing to general practitioner, long lasting specific intoxication and broncho-pulmonary symptomatology (asthenia, loss of weight, fever, night sweets, cough) are the clinical features of tuberculosis pulmonary infiltrate. Polisegmentar localisation, affecting both lungs, with lung destructions characterised pulmonary infiltrates from tuberculosis. Severe inflammatory response, well expressed hypersensibility, immune cellular suppression differentiated the patients with tuberculosis. High degres anemia and low dynamics under the treatment confirmed the laboratory disturbances in tuberculosis |
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Cuvinte-cheie tuberculosis, pneumonia, differential diagnosis |
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